S. Caprice Barrow
Louisville,USA
Summary
Program manager with extensive experience in business operations and project management. Proven track record of successfully leading projects from inception to completion. Strong leadership skills with a focus on team development and strategic planning.
Overview
12
12
years of professional experience
Work History
Network Relations Manager
Optum Home and Community
Brentwood, TN
10.2022 - Current
- Facilitated patient placement for over 70 KY hospitals, ensuring compliance with CMS guidelines.
- Partnered with KY market presidents to reduce skilled nursing facility length of stay by 24.8%.
- Designed and implemented hospital authorization process, increasing efficiency by 60%.
- Conducted analysis of clinical performance data to identify trends and drive improvements.
- Delivered performance briefings to KY healthcare executives, translating data into actionable insights.
- Built relationships with physicians to foster interdisciplinary collaboration and improve patient outcomes.
- Supported strategic network initiatives, effectively communicating with providers to enhance engagement.
- Promoted facility-level process changes through strong collaboration with clinical leaders.
Network Relations Consultant
Anthem
Louisville, KY
06.2019 - 10.2022
- Designed and led onboarding webinars for over 70 providers, enhancing training on Anthem’s systems and compliance.
- Analyzed provider utilization patterns using Tableau, generating insights to improve service delivery and reduce unnecessary costs.
- Conducted claims and trend analysis, resolving 100% of issues within targeted turnaround times through proactive collaboration.
- Facilitated Joint Operation Committees with professional provider groups, addressing operational issues and improving satisfaction.
- Strengthened provider relationships through virtual and on-site engagements, effectively communicating updates and resolving concerns.
- Served as liaison for escalated provider issues, clarifying contracts and reducing recurring problems by 70%.
Senior Consumer Operations Professional
Humana Inc
Louisville, KY
06.2016 - 06.2019
- Identified process inefficiencies and led the development of service level agreements (SLAs) with cross-functional stakeholders, resulting in streamlined workflows and improved accountability across Provider Network Organization operations.
- Designed and implemented real-time dashboards and performance reports for senior leadership, enhancing visibility into provider network status and enabling data-driven decision-making.
- Collaborated with Credentialing, Service Fund, and Contracting teams to reduce end-to-end transaction times by 92%, accelerating provider onboarding and contract execution timelines.
- Analyzed baseline operational data to identify improvement opportunities, implementing targeted process changes that increased efficiency and reduced delays across provider lifecycle management.
- Acted as a key liaison between market leadership and internal teams, facilitating alignment through coordinated meetings and ensuring smooth execution of complex transactions with 30% fewer errors.
- Oversaw the full lifecycle of provider contract loading, including monitoring productivity, quality assurance, and error correction—achieving a 62% reduction in rework and ensuring compliance with internal SLAs.
Contract Load Analyst
Humana Inc
Louisville, KY
04.2013 - 06.2016
- Analyzed and manipulated large datasets in Excel to resolve escalated issues and generate reports.
- Ensured over 99% accuracy in provider load execution as subject matter expert for contractual loading.
- Led meetings with Market teams to communicate contract load statuses and resolve claim-related issues, reducing provider complaints by 90%.
- Oversaw complete lifecycle of provider contract loading, achieving 95% reduction in rework and ensuring compliance with internal SLAs.
Education
MBA - Healthcare Management MBA
Indiana Wesleyan University
Louisville, Kentucky01-2013
Bachelor of Science - Public Health Education
University Of Louisville
Louisville, Kentucky01.2009
Skills
- Project management
- Microsoft Office Suite
- Humana payer systems
- Canva design
- Learning management systems
- SharePoint development
- Anthem systems expertise
- Data mining techniques
- Budget management
- Tableau reporting
- Data analytics
- Process improvement strategies
- Program development
- Data analysis capabilities
- Provider engagement strategies
- Regulatory compliance knowledge
Websites
Accomplishments/Skills
- IMPACT Network Resource Group Community Co-Lead- Humana
- Recipient of Shining Star Award for Developing Training Manual for Contract Load Teams- Humana
- Received Shining Star Award for Training around Rural Health Clinic-Anthem
- Adjunct Professor IWU- Healthcare Administration- Strategic Planning for healthcare development
- Received Anthem Impact Monetary award for developing Alpha Prefix/Sharepoint Resolution site Crosswalk
- Founder of Black Paperback Bookfair. www.blackpaperback.com
Timeline
Network Relations Manager
Optum Home and Community
10.2022 - Current
Network Relations Consultant
Anthem
06.2019 - 10.2022
Senior Consumer Operations Professional
Humana Inc
06.2016 - 06.2019
Contract Load Analyst
Humana Inc
04.2013 - 06.2016
MBA - Healthcare Management MBA
Indiana Wesleyan University
Bachelor of Science - Public Health Education
University Of Louisville
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