Professional History
Anthem, Inc.
Operations Expert
SEPTEMBER 2018 - CURRENT
Provides subject matter expertise in response to day to day business issues; researches applicable subject matter
practices; and remains aware of industry trends.
-
Researches operations workflow problems and system irregularities
-
Develops and leads project plans and communicates project status.
-
Manages business relationships and partners with health plan as well as corporate areas.
-
Develops communication documents and training criteria related to program success measures.
-
Develops documentation to support meeting presentations and the tracking and reporting of the program’s success.
-
Provides leadership to program support staff
KES Educational Services
Substitute Teacher
FEBRUARY 2018 - SEPTEMBER 2018
Provide instruction and managing the learning environment in the absence of the classroom teacher. Maintain communication between KES and the principal or designee at the location to which has been assigned.
-
Gave students positive reinforcement by following the absent teacher’s lesson plan to support student’s daily routine.
-
Gave neighboring teachers support by maintaining constant supervision of students to encourage a safe and positive learning environment.
-
Dismisses all students from the classroom by not leaving the building to secure the safety and wellbeing of the students.
Maxim Healthcare
Underwriter
MAY 2017 - JANUARY 2018
Analyze the risk to insure Medicare Advantage individuals to determine insurability and policy terms. Calculate insurance premiums on the basis of statistical health assessment background information from the client and the provider.
-
Analyze medical information by determining the risk to establish insurability
-
Screen applicants by asking probing questions based on a set criteria to determine health assessment for insurance premiums.
-
Manage multiple database systems by manipulating dual monitors to maintain support and communication to agents, clients, and team members.
RxCrossroads,
Case Manager III Territory
AUGUST 2016 - MAY 2017
Coordinate care for patients using program information given for a specific territory. Conduct a benefit investigation for patients needing assistance with medication delivery and services.
Communicate with medical providers by telephone to insure proper delivery of medication to the patient.
Coordinate and schedule medication delivery to the patient by obtaining patient information to get necessary medication to the proper location.
Maintain case status of patients by updating patient and prescriber information to guarantee each case is being worked to completion.