Dynamic professional with extensive experience at BlueCross BlueShield of Tennessee Inc., excelling in team leadership and relationship building. Proven track record in enhancing provider performance through data-driven insights and effective communication. Skilled in training and mentoring, with a strong focus on process improvement and achieving high Stars scores. Ready to apply current skills in a manger role to further drive success for BCBST.
Overview
15
15
years of professional experience
Work History
Supervisor, Provider Quality Outreach
BlueCross BlueShield of Tennessee Inc.
10.2017 - Current
Oversee daily operations of my team, ensuring smooth workflow and timely completion of tasks.
Apply strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Build and present robust presentations to reflect current performance in multiple metrics for targeted provider groups
Provide pertinent data to providers in order identify areas of opportunity for improvement in Stars, Risk Adjustment, and financial areas.
Evaluate staff performance and provide coaching to address inefficiencies.
Evaluate provider needs and feedback to drive success.
Maintain Provider Outreach visit database to track progress of outreach.
Led a workgroup that designed and assisted in the development of a mass communication delivery system as well as several provider facing materials that helps drive member compliance.
Provide reporting for forecast analysis and ad-hoc reporting in support of decision-making.
Plan and organize quarterly team building exercises.
Provider Quality Outreach Consultant
BlueCross BlueShield of Tennessee Inc.
11.2014 - 10.2017
Established strong relationships with targeted provider groups to enhance collaboration.
Built trust among targeted provider groups through empathetic listening and genuine responsiveness to their needs and concerns.
Worked closely with targeted providers to maximize Stars score.
Maintained regular and open communication with providers to nurture partnerships.
Clinical Projects Manager
The Allergy & Asthma Group
06.2010 - 11.2014
Education
Associate of Applied Science -
Miller-Motte College
Chattanooga, TN
01-2010
Skills
Training and mentoring
Employee motivation
Team building
Staff management
Customer service
Relationship building
Priority management
Verbal and written communication
Decision-making
Complex Problem-solving
Process improvement
Professionalism
Interpersonal skills
Timeline
Supervisor, Provider Quality Outreach
BlueCross BlueShield of Tennessee Inc.
10.2017 - Current
Provider Quality Outreach Consultant
BlueCross BlueShield of Tennessee Inc.
11.2014 - 10.2017
Clinical Projects Manager
The Allergy & Asthma Group
06.2010 - 11.2014
Associate of Applied Science -
Miller-Motte College
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