SHAWN WILLIAMS
Centene
Springfield,USA
8
years of professional experience
Self-motivated healthcare administrator specializing in provider engagement and education. Experienced in developing training modules that enhance understanding of Medicare and Medicaid policies, while fostering strong relationships with healthcare professionals to improve service quality and consumer satisfaction.
Work History
Provider Engagement Administrator II
2 Years 3 Months- Cultivate strong partnerships with assigned providers
- Discussed quality initiatives with providers to identify bonus opportunities for assigned groups, ensuring no potential revenue was overlooked
- Designed monthly presentations for providers, focusing on upcoming alterations in billing and workflows. Conducted provider meetings to outline and discuss important workflow modifications.
- Updated provider profiles emphasizing issues and concerns relevant to assigned provider groups to ensure effective communication and support
Provider Specialist II
2 Years 7 Months- Maintain strong working relationships with assigned providers
- Coordinate weekly, monthly, and quarterly meetings with all providers to address current issues
- Send provider agendas and obtain medical records to support fulfillment of continuity of care program
- Communicate findings of claims research effectively to improve provider insight
Provider Network Consultant
1 Month- Lead training webinars and orientation programs tailored for new and established providers across commercial and Medicaid/Medicare healthcare systems
- Oversee all internal mailboxes, maintaining inventory at a sustainable level
- Partnered with department managers to resolve issues enhancing service delivery for internal and external partners
- Regularly secured exceptional employee satisfaction ratings on an annual basis
Provider Network Associate
1 Year 4 Months- Manage the internal Provider Network Consultant mailbox promptly (sending cases for review within 1-2 business days after receipt)
- Develop standard operational procedures for department regarding essential daily systems
- Conduct training programs for Provider Network Consultants utilizing everyday tools to boost representative effectiveness in roles
- Provided Salesforce expertise to department, ensuring effective utilization of platform capabilities. Trained team members on Salesforce functionalities to improve performance and efficiency.
Education
Diploma - General Studies
Skills
Provider engagement
Presentation skills
Effective communication
Team collaboration
Proficiency in Microsoft Office
Leadership
Time management
Problem Solving
Timeline
Provider Engagement Administrator II
Centene
03.2024 - CurrentRead More
Provider Specialist II
Centene
08.2021 - 03.2024Read More
Provider Network Consultant
Blue Cross Blue Shield
06.2019 - 07.2019Read More
Provider Network Associate
Blue Cross Blue Shield
02.2018 - 06.2019Read More
Springfield Southeast Highschool
Diploma from General Studies
Read More