Tyreka Horton
Smithfield,NC
Summary
Results-driven Program Supervisor experienced in academic collaboration and program implementation. Achieved program objectives through effective communication, relationship building, and process improvements. Focused on fostering teamwork and continuous improvement in program operations.
Overview
9
9
years of professional experience
Work History
Welcome Season Program Supervisor
Valeris
Morrisville, North Carolina
07.2018 - Current
- Managed daily operations for reverification team, prioritizing tasks to address "reverification season" surge, ensuring compliance with client-specific business rules, and upholding quality assurance standards.
- Evaluate and monitor program needs, identifies unmet needs and provides recommendations for internal processes.
- Problem Resolution. Acts as the first line of escalation for complex cases or patient issues involving insurance coverage gaps, ensuring swift resolution to maintain therapy.
- Ensures all activities, including the reporting of Adverse Events or Product Complaints, adhere to regulatory and good manufacturer practices.
- Supervised and supported a team of 13 employees, ensuring operational efficiency and high performance.
- Provided coaching, training, and mentorship to staff, fostering professional growth and development.
- Collaborated with leadership to strategize and implement initiatives that improved employee engagement and program effectiveness.
- Resolved escalations and complex issues, enhancing customer satisfaction and service excellence.
- Led performance evaluations and provided constructive feedback to enhance team effectiveness.
- Conducted monthly and quarterly audits of team members, ensuring high quality and performance standards.
- Co-Chair for Diversity, Equity, and Inclusion Team and Co-Chair for Pride Collective.
- Handle Escalation cases and work as a Liaison between Escalation Program Manager and Team.
- Participated in focus groups to gather Salesforce feedback for enhancements and improvements.
- Temporary Supervisor Blizzard
- Interim Supervisor Link
- Interim Supervisor Inbound Care Coordinator
- Specialty Pharmacy Liaison
- Interim Program Supervisor Welcome Season Reverification
Sr. Reimbursement Case Manager
United Bio Source
01.2017 - 07.2018
- Conducted benefit investigations, verified insurance benefits for patients and physicians' offices, and submitted and obtained prior authorizations.
- Educated patients and prescribers on program requirements and facilitated referrals.
- Supported efficient referral processing from intake to prescription triaging.
- Provide coordination of order for product, shipment of product, and therapy initiation with pharmacy and patient.
- Independently and effectively resolves complex issues with creativity and innovation.
- Participated in conference calls with Client Sales Representatives, client management, and physicians' offices to discuss case statuses, drug orders, and alternative funding.
- Accurately enter and maintain data as required in client database and patient files and utilize the client database to monitor outstanding items on each client case file. Ensure files are complete so the team can determine the status.
- Maintain good housekeeping techniques, adhering to quality and production standards and comply with all applicable company, state, and federal safety and environmental programs and procedures.
Education
Human Service Certification -
Johnston Community College
Smithfield, NCSkills
- Supervision and leadership
- Team leadership
- Customer service excellence
- Operational efficiency
- Process improvement
- Problem solving
- Benefit investigation
- Communication skills
- Process improvements
- Diversity engagement
- Staff training experience
- Performance evaluation
Timeline
Welcome Season Program Supervisor
Valeris
07.2018 - Current
Sr. Reimbursement Case Manager
United Bio Source
01.2017 - 07.2018
Human Service Certification -
Johnston Community College