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Summary

Healthcare Professional recognized for making significant contributions to the coordination and organization of department to ensure high standards of Compliance to meet strict Federal guidelines.  Highly motivated and resourceful with proficient in both oral and written communications.  Self-starter with proven competency in driving projects to successful completion coupled with commitment and dedication. Strategic thinker consistently making significant contributions and multi-tasking to complete multiple competing deliverables in a deadline driven environment. Exemplary ability to seek out ways to improve processes and streamline operations.


SUMMARY OF QUALIFICATIONS

  • Microsoft Suite and Adobe proficiency
  • Understanding Federal Rules and Regs
  • Project Coordination and Management
  • Problem Solving and Critical thinking

Professional Experience

Supervisor for Medicare Appeals and Grievance Team

1998present
Regence BlueCross BlueShield

Manage team of 13 staff remotely which requires strong written and verbal communication to understand goals and expectations of team.  Very strong compliance and understanding are needed with regard to Federal Rules and Regulations.  

  • Strong organizational skills needed to be available for questions while gathering data and having reports done accurately and timely
  • Constantly keeping up with changing environment
  • Auditing files and providing reports
  • Able to provide both positive and negative feedback (when needed)
  • Maintain confidentiality at all times
  • Provide Ethics presentations quarterly
  • 18 years experience in Insurance HealthCare, starting at frontline and working my way up to management by proving that I am a team player and leader

Education

Bachelors of Science, focus on Business

20042008
University of Phoenix
  • Organizational Development
  • Business Law
  • Business Ethics
  • Statistics

Masters of Business Administration (MBA)

20102012
Willamette University, Atkinson School of Business
  • Statistical Analysis
  • Project Management
  • Strategic Planning
  • HR
  • Accounting
  • Global Management
  • Leadership

Computer Software and Technology

  • Proficient in Internet and Computer Applications
  • Microsoft Office: Word, Excel, PowerPoint, Access, Outlook
  • Experienced in office equipment and administrative operation