Sara Stegall
Des Moines,Iowa
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. I strive to create an atmosphere that encourages and cultivates growth, ideas, and collaboration to build and maintain positive relationships with colleagues and external stakeholders. I pride myself in taking an innovative approach to problem solving while developing evidence-based, data driven solutions with a people first mindset. I provide an exceptional client experience through a proactive approach with effective, transparent, and easy communication. I have ten years of experience in the health insurance industry establishing, managing, and maintaining positive relationships with members and the provider network to allow proactive successful partnering on business initiatives and client objectives.
Overview
13
13
years of professional experience
Work History
Network Operations Manager – Network Management Team
Wellmark Blue Cross and Blue Shield
Des Moines, Iowa
05.2016 - Current
- Curious, motivated self-starter with strong organization, time management, and prioritization skills
- Flexible and adaptable to change
- Subject matter expert on credentialing and contracting criteria
- Experience with self-insured health plans
- Experience with both small and large group member benefit plans
- Experience with building out unique provider networks specific to Joint Venture and ACO networks and benefit plans
- Forward thinking approach and strategic vision to build out networks and benefits in conjunction with and compliant to evolving healthcare regulations and laws
- Excellent oral and written communication skills; the ability to articulate information into relevant, actionable insights, identify business implications and provide recommendations to varying audiences in a consumable format
- Strong collaboration and relationship building skills fostered through 10 years of experience in the healthcare industry using strong interpersonal skills to promote group facilitation, collaboration, and teamwork
- Lead the implementation of new technology, new network structures, and the implementation of new market products
- Lead the project to implement new credentialing system
- Knowledgeable of regulatory industry standards such as NCQA, URAQ, and the Joint Commission
- Develop and conduct internal facing and external facing webinar presentations pertaining to business priorities and client objectives
- Demonstrate innovative approach to business priorities and ability to manage change with effective use of process development, improvement, and support execution
- Development of monthly dashboard of data to identify trends, develop educational opportunities for both internal and external stakeholders and evaluate workflows and processes
- Passion for process excellence to establish work standards to provide transparent communication and exceptional service
- Initiate and leverage collaboration with both internal and external stakeholders on time sensitive, escalated issues to reach quick resolution.
Customer Service Associate
Wellmark Blue Cross and Blue Shield
Des Moines, Iowa
08.2013 - 05.2016
- State of Iowa Customer Service Team
- Provider and member service in both self-funded and fully insured member benefit plans
- Experienced with both small and large group benefit plans including national accounts
- Enhanced the customer experience through education and enabling effortless quality communication
- Assisted members with active employee and retiree enrollment information, billing inquiries and benefit application
- Researched and analyzed claim information and member inquiries providing accurate timely response
- Educated group retirees on benefit plan coordination with Medicare.
Territory Relations Manager
American Income Life
06.2011 - 08.2013
- Develop a team of ten agents to maintain and exceed sales goals
- Provider training and coaching surrounding products and sales procedures
- Cultivate a positive atmosphere to inspire team to develop their best selves leading to higher engagement and enthusiasm.
Education
Bachelor of Science in Healthcare Administration -
Purdue University Global
05.2017
Skills
- Reporting and Documentation
- Critical Thinking
- Microsoft Office
- Project Management
- Attention to Detail
- Motivated Self Starter
- Provider Network Administration and Credentialing
- Teamwork and Collaboration
- Relationship Management
- Skilled communicator
Timeline
Network Operations Manager – Network Management Team
Wellmark Blue Cross and Blue Shield
05.2016 - Current
Customer Service Associate
Wellmark Blue Cross and Blue Shield
08.2013 - 05.2016
Territory Relations Manager
American Income Life
06.2011 - 08.2013
Bachelor of Science in Healthcare Administration -
Purdue University Global
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