Taria Jordan
Canal Winchester,OH
Summary
An energetic, out-of-the-box strategic thought processor who is set apart. Utilizing solid goal-oriented planning with integrity and drive. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. A professional, who holds self and others accountable to compliance and performance that helps individuals and the company achieve growth-oriented results. Personally, seeking a position where my history of success in leading teams, innovative approach, auditing or training can continue to grow with new challenges. These changes and challenges I welcome, to supporting my professional carer growth path.
Overview
21
21
years of professional experience
Work History
Medicaid Health Systems Administrator 1
Ohio Department Of Medicaid
2021.09 - Current
- Manage the contracts between the state, CMS, and the managed care organizations.
- Assist with oversight of policies and procedures to ensure managed care organizations comply with federal and state regulations.
- Assist with policy requests and respond to managed care inquiries through multiple communication channels.
- Coordinate development with various areas of the overall program as it relates to Medicaid health delivery system.
- Oversee the administration with state directed provider payment initiatives by coordinating appropriate staff engagement and the oversight of the process to direct expenditures under the managed care contract.
Supervisor, Member and Provider Contact Center
Molina Healthcare
2014.01 - 2021.08
- Provided exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public
- Addressed more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care
- Supervised hiring, ensuring effective training, ongoing monitoring and Quality Assurance, evaluations and any disciplinary actions of member services representatives.
- Effectively managed escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure.
- Ensured compliance with state and regulatory requirements.
- In 2017 selected as point of contact for training other state Health Plans and was an effective change supervisor for company right sizing.
- Performed bi-annual review and developed written content of all departmental policies and procedures to ensure the Member and Provider Contact Center remained compliant with all Ohio Department of Medicaid and New York State of Health requirements, mandates and expectations.
- In 2019 selected to co-lead a Contact Center HR Taskforce workgroup to address opportunities highlighted in the Employee Survey and work to implement change to shape the future culture and environment of our contact center.
- Monitored workflow to improve employee time management and increase productivity.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Accounts Receivable Specialist
Intermedix
2013.01 - 2014.01
- Tracked claims through the billing process to identify problem areas and determine a course of action to resolve aging claims, identify trends which impact revenue and determine best course of action to resolve and interact with third parties to review status and update accounts.
- Contributed to a positive work environment by working closely with colleagues across departments to ensure efficient information exchange and collaboration on financial matters.
- Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
Education Consultant
Xerox
2008.01 - 2013.01
- Talked to prospective college students about future education goals and provide them with necessary resources to enroll in higher education. Coordinated appointments for prospective students at college campuses, maintain and engage in rapport with over 50 students each day, daily use of master communication systems including phone, email and numerous internet databases.
Shift Manager and Training Coordinator
Avis Rental Car
2003.01 - 2008.01
- Promoted to training coordinator in 2006 and was responsible for training all new employees onboarded.
- Trained new employees on company policies, procedures, and job responsibilities, ensuring seamless integration into the team.
- Promoted to shift Manager at the Cincinnati/North Kentucky International Airport from July 2006-2008, responsible for Human Resources duties including interviews, hiring and payroll through ADP.
- Provided quality assurance standards and knowledge on sales techniques, managed computer training with new employees and performed duties for runner management.
- Collaborated with other Shift Managers to maintain consistency in policies enforcement across all shifts, fostering a cohesive workplace culture.
- Coached crew members to optimize performance and motivate toward more efficient work.
Education
Bachelor of Science in Health and Human Service -
Wilberforce University
01.2014
Coursework toward Healthcare Administration degree -
Franklin University
Coursework toward a Bachelor of Science in Nursing -
West Virginia University Institute of Technology
MontgomerySkills
- Microsoft Office including Outlook
- Training and Development
- Developing Direct Reports
- Hiring and Staffing
- Managing Diversity
- Building Effective Teams
- Team Leadership
- System monitoring
- Team Collaboration
- Decision-Making
Additionalvolunteerexperience
Clinical Sessions, Worked clinical sessions for 3 years with Med/Surg, Pediatrics, Geriatrics, OB, Laboratory Delivery, and Psychiatric. Administered medication to patients, performed RN tasks with supervision and responsible for all drug testing for construction workers.
Referencesavailable
Upon Request
Timeline
Medicaid Health Systems Administrator 1
Ohio Department Of Medicaid
2021.09 - Current
Supervisor, Member and Provider Contact Center
Molina Healthcare
2014.01 - 2021.08
Accounts Receivable Specialist
Intermedix
2013.01 - 2014.01
Education Consultant
Xerox
2008.01 - 2013.01
Shift Manager and Training Coordinator
Avis Rental Car
2003.01 - 2008.01
Bachelor of Science in Health and Human Service -
Wilberforce University
Coursework toward Healthcare Administration degree -
Franklin University
Coursework toward a Bachelor of Science in Nursing -
West Virginia University Institute of Technology
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