Dynamic health care advocate with extensive management experience and a focus on operational effectiveness. Proven ability to leverage analytical skills for data-driven decision-making and process optimization, enhancing productivity and patient outcomes. Committed to driving positive change through innovative solutions and effective leadership, while fostering collaborative environments that elevate staff performance and support community engagement.
Adapted and translated data to fulfill business needs, facilitating management's efforts in standardizing documentation and operational procedures.
Analyzed operational processes to construct customized dashboards for various clients, ensuring accurate tracking of service level agreements.
Implemented and optimized systems and processes to assess and oversee the influence of performance on operations, significantly enhancing audit accuracy by 50% in the initial year.
Led cross-departmental teams to optimize operational workflows, developing daily processes that increased productivity by 10%.
Gathered, consolidated, and interpreted data to create insightful reports that support strategic initiatives.
Oversaw day-to-day operations for a claims processing staff, ensuring alignment with performance metrics.
Developed policies and procedures for processing claims and managing call center operations.
Created reporting portfolios for team leads, managers, and executives to track key performance indicators (KPIs).
Customer Operations Supervisor
2 Years 1 Month
Dean Health Plan | 06.2014 - 07.2016
Provided thorough claims supervision for day-to-day operations, ensuring compliance with policies and guidelines.
Regularly evaluated employee performance, provided feedback, and coached staff to meet operational objectives.
Organized and led weekly team meetings, enhancing communication and alignment among 12-20 staff members.
Reimbursement Coordinator (Supervisor of Claims)
8 Months
Employee Benefits Corporation | 10.2013 - 06.2014
Oversaw day-to-day operations of processing claims for Third Party Administrator duties including Flexible Spending Accounts (FSA) and Health Reimbursement Accounts (HRA).
Regularly evaluated employee performance, providing coaching and assistance to ensure compliance with legal standards.
Customer Operations Supervisor
14 Years 8 Months
Dean Health Plan | 02.1999 - 10.2013
Promoted from Claims Specialist to Customer Operations Supervisor during tenure.
Provided thorough claims supervision for day-to-day operations of facility in accordance with set policies and guidelines.
Regularly evaluated employee performance, provided feedback and assisted coached and disciplined staff as needed.
Organized and led weekly Team meetings with 12 -20 staff members.
Revise policies and procedures in accordance with changes in local, state and federal laws and regulations including Health Care Reform.
Relationships with third party vendors and self-funded groups.
Perform quality checks and reviews on an ongoing basis.
Interviewed and hired for placement within the department.