Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Sabrinna Berghorst

Hopkins,MN

Summary

Diversity, Equity, and Inclusion champion with over twenty years of successful leadership and project management experience.

Overview

25
25
years of professional experience

Work History

Utilization Management Operations Supervisor

Medica
Minnetonka, MN
10.2017 - Current
  • Leads high-performance cross-functional team in Medicare, Medicaid, Individual/Family, and Commercial business
  • Oversees team and executes end-to-end operational processes for triaging and processing provider submissions, prior authorizations
  • Coaches and facilitates individual growth and development by providing specific, timely, and consistent feedback
  • Conducts the hiring processes and interviews to facilitate the onboarding of new staff members
  • Handles employee performance and conduct issues in accordance with HR policies
  • Conducts monthly audits to ensure adherence to department guidelines, processes, and regulatory turn-around times
  • Ensures the regular maintenance and updating of standard operating procedures; effectively communicating changes to staff when necessary
  • Enables continuous improvement by managing departmental tools and identifying process optimization opportunities
  • Researches and resolves complex issues for Medica members and providers, exhibiting commitment to our mission of bettering our members' lives with care in the moments that matter
  • Ensures adherence to privacy and confidentiality requirements set by Medica.
  • Manage daily operations, including scheduling personnel, assigning tasks, and monitoring progress.
  • Identified areas of improvement and developed strategies to increase efficiency

Special Transportation and Contracts Supervisor

Medica
Minnetonka, MN
01.2015 - 10.2017
  • Led collaborative initiatives to establish connections with county navigators and nursing home facilities, ensuring the adequacy of the special transportation program for members' requirements
  • Developed comprehensive training materials for the Special Transportation program and conducted training sessions to educate staff members on effective management of medical rides for Medica members
  • Developed strategies to improve efficiency in various processes

Government Programs Supervisor

Medica
Minnetonka, MN
05.2014 - 01.2015
  • Ensured adherence to department standards by maintaining accountability of staff
  • Provided targeted and prompt feedback to foster personal growth and progress
  • Managed the hiring process by conducting interviews and selecting qualified candidates
  • Managed employee performance and conduct in alignment with HR policies

Account Manager

Express Scripts
Bloomington, MN
06.1999 - 05.2014
  • Analyzed client trends, recommending changes and approaches
  • Achieved results by proactively resolving issues
  • Successfully oversaw the management of several client accounts, guaranteeing their satisfaction, profitability and renewal
  • Attended employee health fairs and informed existing clients about current benefit structures during on-site meetings
  • Successfully worked towards betterment of drug trends, member satisfaction, and client retention
  • Developed and maintained relationships with key accounts to ensure customer satisfaction

Education

Cosmetology

Aveda Institute
Minneapolis, MN
05-1993

Skills

  • Project Management
  • Staff Supervision
  • Employee Development
  • Employee Engagement
  • Exceptional Organizational Skills
  • Employee Relations

Accomplishments

  • Member of the Grant Performance Committee with the Medica Foundation, guiding non-profit organizations on how to best present their grant requests to Medica by performing site visits, viewing grant applications and presenting them to the Medica Grant Review Board
  • Organized and executed several large department donation drives benefiting local non-profit organizations in the Twin Cities by creating excitement around the drive to gain employee giving and engagement
  • Held the secretary position of the Medica PRIDE Employee Resource group for a three-year term
  • Helped spearhead Medica’s participation in the 2022 and 2023 Twin Cities PRIDE festival and parade
  • Organized PRIDE month activities by writing articles, using internal communication tools and bringing in external speakers to Medica to bring excitement and education around PRIDE month
  • Member of Medica’s Diversity, Equity and Inclusion Committee where I have been able to contribute towards the implementation of diversity, equity and inclusion strategies and programs
  • A Volunteer Ambassador for Medica where we encourage volunteerism throughout Medica leading by example with personal volunteering
  • A consistent participant and leader in community engagement events representing Medica throughout the Twin Cities

Timeline

Utilization Management Operations Supervisor

Medica
10.2017 - Current

Special Transportation and Contracts Supervisor

Medica
01.2015 - 10.2017

Government Programs Supervisor

Medica
05.2014 - 01.2015

Account Manager

Express Scripts
06.1999 - 05.2014

Cosmetology

Aveda Institute

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Sabrinna Berghorst