Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shannon Logan

St. Louis

Summary

Dynamic professional with extensive experience in the health insurance industry, including roles at Optum and Aetna. Proven track record in provider relations and contract management, demonstrating reliability and exceptional customer service. Skilled in Medicaid and Medicare processes, with a focus on enhancing provider satisfaction and streamlining operations.

Overview

10
10
years of professional experience

Work History

Customer Service Cashier-Weekends

General Grant Car Wash & Detail Center
07.2024 - Current
  • Processed customer transactions efficiently using point-of-sale systems
  • Assisted customers with service selections and answered inquiries to enhance satisfaction
  • Maintained cleanliness and organization of work area to ensure a welcoming environment
  • Collaborated with team members to streamline service operations during peak hours

Provider Relations Advocate

Optum
12.2023 - Current

*Provider Education regarding Commercial, Medicare, and Medicaid lines of business

*Roster confirmation

*Claims Resolution

*Routine touch base meetings

*Quarterly meetings

*Credentialing and contracting updates

Payment Appendix Manager

United Healthcare
05.2022 - 12.2023

*Managing Inpatient and ancillary payment appendices for FL, TN, IN, and MI as well as base appendices

*Work closely with legal and vetting administration to ensure contract language and fees are up to date and accurate

*Provide support for coding research, network and contracting support as needed

Outpatient Contract Manager

Optum
03.2017 - 05.2022
  • Managed contract negotiations to ensure compliance with organizational policies and legal requirements
  • Developed and implemented strategic initiatives to enhance contract management processes
  • Collaborated with cross-functional teams to optimize vendor relationships and improve service delivery
  • Led training sessions for staff on best practices in contract administration and compliance standards

Provider Relations Representative

Aetna
01.2016 - 03.2017
  • Facilitated communication between providers and internal departments to resolve issues effectively
  • Managed provider inquiries, ensuring timely and accurate responses to support relationships
  • Coordinated training sessions for new providers on system usage and compliance requirements
  • Developed and maintained comprehensive provider resource materials to enhance understanding of protocols

Education

Associate of Science - Business Administration

Lewis & Clark Community College
Godfrey, IL
01-2001

High School Diploma -

EAWR High School
Wood River, IL
05-1994

Skills

  • Customer service
  • Health Insurance Industry
  • Medicaid
  • Medicare
  • Commercial
  • Reliability and punctuality

Timeline

Customer Service Cashier-Weekends

General Grant Car Wash & Detail Center
07.2024 - Current

Provider Relations Advocate

Optum
12.2023 - Current

Payment Appendix Manager

United Healthcare
05.2022 - 12.2023

Outpatient Contract Manager

Optum
03.2017 - 05.2022

Provider Relations Representative

Aetna
01.2016 - 03.2017

Associate of Science - Business Administration

Lewis & Clark Community College

High School Diploma -

EAWR High School
Shannon Logan