Stacy Hildreth

• Successfully integrated two senior analysts into northeast region, adapting to cultural and procedural differences
• Optimized reporting processes by enhancing automation and streamlining code for efficiency
• Led change management initiatives during realignment with finance team and introduction of new region president
• Onboarded new Health Services Director and Regional Vice President of Health Services to regional and company-wide reporting and initiatives
• Managed through transition to centralized team, ensuring minimal disruption to operations

• Mentored and trained level 2 associates to strengthen team capabilities and departmental impact
• Delegated responsibilities effectively to optimize team performance
• Improved reporting and automation processes by increasing efficiencies
• Cultivated executive presence through active participation in high-stakes discussions
• Presented regional performance bi-annually during market review calls with executives

• Created operational, managerial, and ad hoc reports on productivity and outcome performance
• Maintained and updated reports to ensure accuracy and relevance
• Distributed reports to stakeholders for informed decision-making
• Acquired knowledge of utilization and case management processes to enhance reporting effectiveness
• Interpreted outcome reporting for presentation to executives, ensuring clarity in insights

• Ensured compliance with all HIPAA and Medicare regulations across operations
• Trained new-hire CIS staff, enhancing operational efficiency and team performance
• Issued denial letters to providers and members, logging details in Microsoft Access for month-end reports
• Requested initial clinical documentation for inpatient authorizations from hospital providers promptly
• Executed various functions within Humana’s Clinical Guidance Exchange (CGX) system effectively

Collected and analyzed deicing data for quality control and inventory management.

Calculated service costs to establish competitive pricing for airline contract bidding.

Performed payroll processing manually through ADP, ensuring accurate compensation.

Coordinated staffing efforts for snow events to optimize response efficiency.

Conducted interviews, hired, and trained new deicers to enhance team capabilities.