RONESHA WILLIAMS
Atlanta,GA
Summary
With a proven track record at CareXM, I excel in project management and relationship building, ensuring 100% client retention through expert Medicaid and Medicare process navigation and strategic account management. Leveraging skills in Salesforce and strong interpersonal communication, I drive successful healthcare solutions and stakeholder satisfaction.
Overview
10
10
years of professional experience
Work History
Clinical Account Manager
CareXM
10.2023 - Current
- Serve as the primary Account Manager for 15+ key accounts, delivering exceptional customer service to ensure client satisfaction, retention, and long-term engagement.
- Conduct quarterly business reviews to align client needs with business objectives, fostering strong relationships with healthcare providers, administrators, and IT professionals.
- Achieved a 100% client retention rate across new accounts and maintained consistent success with long-term clients by providing personalized support and driving collaboration.
- Provide clinical insights and facilitate seamless integration of CareXM solutions through onboarding, implementation, and targeted training sessions.
- Monitor account performance, deliver regular reports to stakeholders, and identify upsell opportunities to maximize the value of business solutions.
Project Coordinator
Babylon Healthcare, PLLC
Atlanta, GA
03.2021 - 06.2023
- Assisted project managers with 10-client portfolio helping execute project schedules, documentation, and expense monitoring, ensuring on-time project execution, in a dynamic environment
- Collaborated with clients and across departments (implementation, sales) to develop and implement client-centric, outcome-based solutions
- Conducted business requirements analysis, documented Change Request (CR), and recommended improvements
- Maintained project documentation for transparency and managed multiple priorities
- Grew product knowledge, supported release planning, and improved team collaboration through effective communication and organizational skills
- Participated in 508 compliance testing and demonstrating the product to key stakeholders and customers
Patient Care Advocate
WellCare Health Plans
Silver Spring, MD
01.2019 - 03.2021
- Verified patient eligibility and gathered clinical documentation to facilitate prior authorizations and appeals, ensuring compliance with payer requirements for seamless access to care.
- Provided expert-level support on authorization and appeal processes for Medicare, Medicaid, commercial insurance, workers’ compensation, and liability payers.
- Partnered with healthcare providers, patients, and internal teams to obtain necessary documentation, coordinate appeals, and maintain consistent communication throughout the patient access process.
- Monitored payer trends and analyzed account performance to identify barriers to access, providing actionable insights to improve outcomes for patients, and healthcare providers.
- Adhered to HIPAA, HITECH, and ADVAMED standards while maintaining accurate documentation, and ensuring compliance with all regulatory requirements related to patient access.
Benefits and Compliance Specialist
Aetna Better Health of Virginia
Chantilly, VA
03.2017 - 03.2019
- Monitored and analyzed patient metrics to ensure optimal performance of Medicaid and Medicare services, identifying areas for improvement.
- Administered merit and bonus programs with accurate monthly, quarterly, and annual payouts for providers.
- Created and delivered high-accuracy operational and stakeholder reports, with a 95% accuracy rate, to support data-driven decision-making.
- Built strong relationships with healthcare providers and stakeholders to align pharmaceutical benefit goals, and improve patient access to treatments.
- Facilitated prior authorization requests electronically and by phone, ensuring timely approvals and adherence to payer requirements.
Client Engagement Manager
Inova Healthcare
03.2015 - 01.2017
- Served as the escalation point of contact for Implementation Project Managers, internal operations, and clients, ensuring prompt resolution of issues, and adherence to timelines.
- Collaborated with Operations, IT, and functional leaders to proactively identify implementation challenges and drive resolution, improving service delivery outcomes.
- Developed and presented finalist presentations for new business customer proposals, working closely with Sales to strengthen client relationships, and secure new contracts.
- Monitored and tracked implementation status, ensuring performance guarantees were met, and providing stakeholders with timely updates on progress.
- Led requirements elicitation sessions and conducted business analysis, documenting change requests (CR), and ensuring alignment with project goals and deliverables.
Education
BS - Information Technology, Cybersecurity Concentration
North Carolina Central University
Remote05.2026
Master of Arts (MA) - Health and Human Service Counseling
Liberty University
Lynchburg, VABachelor of Arts (BA) - Sociology
University of North Carolina
Charlotte, NCSkills
- Project Management & Change Management: Expertise in managing project scope, timelines, and resources, applying PMI principles to ensure successful project execution and alignment with business objectives
- Medicaid & Medicare Expertise: In-depth knowledge of Medicaid and Medicare processes, including eligibility verification, prior authorizations, billing, and navigating payer systems in healthcare and behavioral health environments
- Insurance Billing & Claims Management: Proficient in insurance billing, claims management, and reimbursement processes for both government and commercial insurance programs
- Behavioral & Mental Health Experience: Skilled in managing patient access, compliance, and service coordination in behavioral and mental health settings
- Relationship & Account Management: Proven ability to build and maintain strong relationships with clients, ensuring customer satisfaction, retention, and effective service delivery
- CRM & Analytics Software: Proficient in Salesforce, Zendesk, Freshdesk, Microsoft Dynamics 365, and Tableau for managing customer relationships, tracking performance, and generating actionable insights
- Sales & Negotiation: Experienced in sales processes, customer onboarding, and account management to drive business growth and expand service offerings
- Process Modeling & Documentation Tools: Skilled in using MS Visio, Drawio, and SharePoint to document and streamline workflows, ensuring operational efficiency
Timeline
Clinical Account Manager
CareXM
10.2023 - Current
Project Coordinator
Babylon Healthcare, PLLC
03.2021 - 06.2023
Patient Care Advocate
WellCare Health Plans
01.2019 - 03.2021
Benefits and Compliance Specialist
Aetna Better Health of Virginia
03.2017 - 03.2019
Client Engagement Manager
Inova Healthcare
03.2015 - 01.2017
BS - Information Technology, Cybersecurity Concentration
North Carolina Central University
Master of Arts (MA) - Health and Human Service Counseling
Liberty University
Bachelor of Arts (BA) - Sociology
University of North Carolina
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