Stacey Evans
Austin,TX
Summary
I am a bilingual (Spanish) that is looking for a company where I can grow and develop within the company. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
8
8
years of professional experience
Work History
Network Operations Coordinator 4
Humana
Austin, Texas
03.2024 - Current
- Navigate multiple software
- Send providers to credentialing and update demographics/add and terms.
- Roster update
- Answer emails on timely manner
Sr. Provider Engagement Specialist
Alignment Healthcare
Las Vegas, NV
02.2022 - 01.2024
- Negotiate commercial/medicare contracts.
- Answer emails on timely manner.
- submit providers for credentialing
- Navigate in the Hedis Stars Program.
- Host JWG and JOC meetings
- Attend events for providers and brokers.
Senior Analyst, Network Consultant
Aetna
Las Vegas, NV
07.2018 - 02.2022
- Computer literate, with advanced MS software knowledge, including Excel, Word, ·PowerPoint, and Outlook
- Support providers with Claims, Credentialing, rate increase and Demographics.
- Assist providers for updates, add/term providers
- Host JOC and JWG meeting
- Assisted with Stars Hedis Measures by retrieving medical records from members.
- Rate increase for providers
- Negotiate commercial contracts with providers
- Developed training materials for end users.
Office Manager
Absolute Dental
Las Vegas, NV
01.2017 - 07.2018
- Monitored work to enforce deadlines and support
- Maintain Daily goal for the office
- Manage billing by sending out claims to insurance companies.
- Attend company management huddles
- Develop and recommend programs to improve office operations, patient retention and profitability
- Payroll
Education
Bachelor of Arts - Business Administration
Texas State University
San Marcos, TXSkills
- Hedis Stars Measures
- Helpdesk administration
- Document editing
- Microsoft, Excel, PowerPoint
- Medical record management
- Contract Routing/Rate increase/contract negotiations
- JOC meetings
- JWG meetings
- Update Demographic
- Sales Force
- Event Planing
- Provider Engagement
- Medicare and Commercial contracts
Timeline
Network Operations Coordinator 4
Humana
03.2024 - Current
Sr. Provider Engagement Specialist
Alignment Healthcare
02.2022 - 01.2024
Senior Analyst, Network Consultant
Aetna
07.2018 - 02.2022
Office Manager
Absolute Dental
01.2017 - 07.2018
Bachelor of Arts - Business Administration
Texas State University