Takisha Stewart
Charlotte,NC
Summary
Encouraging biopharmaceutical/pharmaceutical HUB operations manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to improving patient access to therapies and identifying provider reimbursement barriers.
Overview
23
23
years of professional experience
3
3
Certification
Work History
Pharma Hub Operations Manager/Interim Area Director
CareMetx
11.2020 - Current
- Analyze trends and communicate to team and executive leadership, conduct performance reviews, coaching, monitor employee performance to ensure all tasks are completed in accordance with SLAs
- Launch new pharma programs, client facing, including SOW
- Identify billing and coding barriers to improve patient access and provider reimbursement DSOs
- Align with my team to ensure minimal delays in patient access to therapy
- Hire and implement retention strategies for employees
- Proactively identify program issues and suggest improvements
- Create and maintain training documents
- Create reports to identify KPIs and how to implement better processes, SOPs
- Specialty pharmacy
- Adverse Events
- Key player of annual reverification project with planning, execution and directing.
- Pharmaceutical manufacturers supported: Regeneron, Amgen, Janssen, Apellis, Novartis and Biogen
Revenue Analyst
Ensemble Health
02.2019 - 10.2020
- Analyze financial data from various health care payers to find discrepancies in the reimbursement and the contracted schedules
- Multiple hospital systems across the country
- Contract Analysis
- Subject matter expert (SME) trainer.
Senior Reimbursement Specialist
Curo
08.2012 - 01.2019
- Created policies and procedures for the department, training documents
- Ongoing training for new hires and continued learning
- Exceed monthly goals and lower DSO to under goal
- Define KPIs and forecast monthly and annual projections
- Acquisition and mergers of hospice locations in 23 states
- Oversaw team building and morale
- Contracting and Credentialing, Corporate level, multi-states
- Assist regional directors of operations with policies and procedures to maintain office procedural integrity and to maintain compliance with company and government policies.
Field Reimbursement
Med Emporium
08.2001 - 08.2012
- Supported HCPs on best billing, coding and charting practices to ensure timely patient access to therapies and reimbursement
- Analyze trends regarding post and prepayments from insurance payors and interpret updates to LCDs
- Lead representative to process all level insurance audits and Administrative Law Judge hearings
- Managed intake, authorizations, and billing departments to ensure efficient patient access to therapy and medical equipment
- Negotiated contracts and utilization with COO for optimal budget planning.
Education
BS Healthcare Administration -
Walden University
Computer Information Systems -
DeVry
Real Estate -
JY Monk
Skills
- Performance Improvements
- Policy Development and Enforcement
- Staff Development
- Key Performance Indicators
- Performance Appraisal
- Coaching and Mentoring
- Standard Operating Procedures
Certification
- CRCR, Certified Revenue Cycle Representative, HFMA
- North Carolina Real Estate Broker, Licensed
- Microsoft Excel
Management Experience
20+ years of health care management, pharmacy hub and patient access. Buy and bill and specialty pharmacies. Bio and non-biological drugs. Pharma; Launches of new products. PBM, Medicare, Medicaid and commercial payers. Client facing and call calibrations. Improve SLAs and patient access to therapy. Reverification seasonal Area Director. Impeccable employee retention rate. Assist with Operations, regional directors and VPs with government and company compliance. Lead teams of 150+ employees, remote and onsite. Create and improve company and department policies and procedures and training documents. Contracting and credentialing for multi-states. Compliance board member.
Accomplishments
- Managed team of 400+ staff members.
- Achieved successful reverification ahead of schedule through effectively helping with streamlined processes and project management. Saving the company $1+ million.
- Collaborated with team of 45 in the development of new launch of business in digital operations for a pharmaceutical HUB.
- Surpassed SLA goals by leading the team with accuracy and efficiency.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Company CultureWork-life balanceCareer advancementWork from home optionStock Options / Equity / Profit SharingHealthcare benefitsTeam Building / Company RetreatsPaid time off401k matchPersonal development programsQuote
Far and away the best prize that life offers is the chance to work hard at work worth doing.
Theodore Roosevelt
Timeline
Pharma Hub Operations Manager/Interim Area Director
CareMetx
11.2020 - Current
Revenue Analyst
Ensemble Health
02.2019 - 10.2020
Senior Reimbursement Specialist
Curo
08.2012 - 01.2019
Field Reimbursement
Med Emporium
08.2001 - 08.2012
BS Healthcare Administration -
Walden University
Computer Information Systems -
DeVry
Real Estate -
JY Monk
- CRCR, Certified Revenue Cycle Representative, HFMA
- North Carolina Real Estate Broker, Licensed
- Microsoft Excel
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