Shameitra D. Bonner
Fort Worth
Summary
Certified Project Manager with 19 years of experience in healthcare operations, implementation, and appeals management. Proven ability to lead cross-functional teams, manage complex projects, and drive process improvements. Skilled in stakeholder engagement, data analysis, and compliance with a strong foundation in Agile methodologies and Six Sigma principles.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Implementation Manager
UnitedHealthcare
11.2022 - Current
- Led end-to-end implementation projects, ensuring timely delivery and client satisfaction.
- Built and audited benefit structures for accuracy and compliance.
- Managed billing setup and structure revisions for multiple implementation projects.
- Conducted contract load audits and presented onboarding topics to new hires.
- Navigated matrixed environments to drive operational success.
Senior Resolving Analyst – Pharmacy Appeals Escalation
UnitedHealthcare
06.2021 - 11.2022
- Managed high-volume pharmacy appeals and ensured timely resolution.
- Led investigations and audits to ensure claims accuracy and compliance.
- Authored SOPs and spearheaded process improvement initiatives.
- Delivered training and assessed cases for clinical review.
Care Coordinator / Platinum Provider Specialist
UnitedHealthcare
12.2006 - 10.2015
- Scheduled office visits, surgeries, and out-of-network procedures.
- Managed medical notifications and prior authorizations for services.
Education
Master’s - Psychology
University of Phoenix
Phoenix, AZBachelor of Arts - Criminal Justice
Northwestern State University
Natchitoches, LASkills
- Project Management & Implementation
- Stakeholder Engagement & Communication
- Process Improvement & Change Management
- Operational Auditing & Compliance
- Pharmacy Appeals & Grievance Resolution
- Team Leadership & Training
- Data Analysis & Reporting
- Agile & Six Sigma Methodologies
- Strong interpersonal & communication skills
- MS Office Suite
- Ability to work collaboratively as part of a team
- Problem Solving
- Leadership
- Meticulous attention to detail
- Excellent Organizational skills
- Poised under pressure
Certification
- Six Sigma Green Belt Certifications, Villanova University
- Six Sigma Black Belt Certification
- Project Manager Certification
- Agile Foundation Certification
- ServiceNow Certification
- Business Writing Certification
Timeline
Implementation Manager
UnitedHealthcare
11.2022 - Current
Senior Resolving Analyst – Pharmacy Appeals Escalation
UnitedHealthcare
06.2021 - 11.2022
Care Coordinator / Platinum Provider Specialist
UnitedHealthcare
12.2006 - 10.2015
Bachelor of Arts - Criminal Justice
Northwestern State University
Master’s - Psychology
University of Phoenix
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