Tenille Williams
Celina
Summary
Program management professional with proven track record in leading cross-functional teams and driving project success. Skilled in strategic planning, risk management, and resource allocation. Known for adaptability, problem-solving, and fostering collaboration to achieve results. Proficient in optimizing processes and aligning initiatives with organizational objectives.
Overview
13
13
years of professional experience
Work History
Health Services Administrator/Program Manager
United States Air Force Reserve
01.2020 - Current
- Direct all phases of healthcare programs from inception through completion and participates in the negotiation of contract and contract changes.
- Coordinate health service programs with federal agencies across the medical and aeromedical evacuation spectrum.
- Perform comprehensive evaluations of products and materials to determine their acceptability for use in operations.
- Formulate, interpret, and implement policies and procedures with both peace and wartime contingencies.
- Support Federal Lead in developing, tracking, and applying success metrics and execute a range of network and project implementation tasks.
- Monitor and direct health service sectors covering an array of management and implementations for medical and operations support.
Sr. Business Health Data Analyst
CVS Health/Caremark Corporation
01.2020 - Current
- Provide uniform guidelines for the implementation and maintenance of the Commercial Market Segment which can include but is not limited to commercial, RDS and Exchange segments about eligibility and ensure compliance with laws, regulations, standards, or CVS Health business practices.
- Communicate with Internal Partners to complete implementation process of new clients and to maintain the integrity of the eligibility for existing clients.
- Manage both new and existing relationships with external clients to accurately set up and maintain the integrity of the eligibility to ensure the data is compatible with each applicable application’s adjudication process.
- Create and maintained all client’s eligibility records via adjudication platforms such as QL, RECAP, and RxClaim and maintain eligibility requirements for the existing clients and their members while making the necessary changes to the requirements as needed.
Business Development Manager/Veteran Affairs-Military (DoD)
Fulgent Genetics, Inc.
01.2019 - 01.2020
- Conducted market research by exploring new business opportunities with Federal Institutions and Military Hospitals on Federal installations. Established the first point of contact a new potential client for the business when they are seeking information on the products and services the company provides.
- Partnered with management of marketing and other scientific departments of Fulgent by creating and implementing business strategies to increase brand awareness and sales.
- Analyzed business competition and assisted with the development of marketing materials along with maintaining corporate and federal contacts.
- Planned, prepared, and executed presentations to prospective clients on Fulgent services and benefits; Communicated new product development to prospective clients.
- Oversaw the development of marketing literature, writing reports, and providing management feedback on client experience within the respective territory.
Program Manager for Medical Operations/Health Services Administrator
United States Army Reserve
01.2012 - 01.2020
- Oversaw the allocation of human resources, along with financial resources of over $4M as required to ensure overall objectives were obtained. Directed all phases of programs from inception through completion and participates in the negotiation of contract and contract changes.
- Directed, supervised, and evaluated work activities of medical professionals and paraprofessionals; Supervise logistical, administrative, and maintenance of more than 40 subordinate personnel.
- Prepared and analyzed completed reports to identify substantive errors and take corrective action based on existing procedures and observation.
- Developed business requirements, managed change controls, and track performance of the Medical Operations section.
- Implemented processes and procedures that ensure departmental safety, service, quality, and financial objectives.
- Monitored, analyzed and implemented initiatives to cut costs by 50% and improve efficiencies of the business.
Practice Partner
Medsynergies, Inc./Optum 360
01.2016 - 01.2018
- Identified trends, developed standards and procedures that were implemented by over 200 Primary Care Clinics, Practice Managers and Optimal Practice teams.
- Implemented new procedures for the revenue cycle process, which saved the organization 2 billion dollars in revenue in claims processing.
- Maintained a one-call resolution rate on nearly 400 cases a week and communicated with various business partners to resolve issues/questions in the practices.
- Assisted in the developing customer service connection to improve operational and financial performance by partnering with physician practices and medical groups as the primary contact for the client.
Medical Claims Examiner
United States Department of Labor
01.2014 - 01.2015
- Adjudicated a broad range of disability, medical claims, and provided compensation for Federal and Postal workers in Texas, Louisiana, and Oklahoma for employment-related injuries and occupational diseases.
- Established as Liaison between Third Party Administrators (TPA), Claim Adjusters, Medical Providers, supervisors, and employees.
- Reviewed medical documentation to ensure that the physicians’ documentation supported the diagnosis and ensured that proper coding and conditions were documented.
- Ensured the timely resolution of all claims and conducted research to ensure that claims decisions are consistent and current to policy.
Education
Master of Arts - Business Administration
University of Phoenix
Phoenix, AZ01.2015
Bachelor of Science - Health and Sports Management
University of Oklahoma
Norman, OK01.2004
Bachelor of Science - Sociology
University of Oklahoma
Norman, OK01.2004
Skills
- Business Development
- Training and Development
- Healthcare Consulting
- Program Management
- Project Implementation and coordination
- Strategic Planning
- Data Analysis
- Multi-operations management
- Healthcare Operations
- Medical Logistics
- Detail-oriented
- Team leadership and direction
Affiliations
- Medical Services Corps Association
- Minority Air Force Officers Organization
- Military Officers Organization of America
- Field Grade Officers Council
- Delta Sigma Theta Sorority, Inc.
- Kappa Epsilon Psi Military Sorority, Inc.
Timeline
Health Services Administrator/Program Manager
United States Air Force Reserve
01.2020 - Current
Sr. Business Health Data Analyst
CVS Health/Caremark Corporation
01.2020 - Current
Business Development Manager/Veteran Affairs-Military (DoD)
Fulgent Genetics, Inc.
01.2019 - 01.2020
Practice Partner
Medsynergies, Inc./Optum 360
01.2016 - 01.2018
Medical Claims Examiner
United States Department of Labor
01.2014 - 01.2015
Program Manager for Medical Operations/Health Services Administrator
United States Army Reserve
01.2012 - 01.2020
Bachelor of Science - Health and Sports Management
University of Oklahoma
Bachelor of Science - Sociology
University of Oklahoma
Master of Arts - Business Administration
University of Phoenix
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