Quick Interview: view Salary range: $120,000 to $160,000 Willing to relocate: No Years of related job experience: 18 Highest degree earned: B.S. Languages: English Software: Word, Excel, PowerPoint, Access, Visio, SharePoint and several claim processing platforms.
We are very pleased to introduce you to this candidate with over 18 years of experience in healthcare. His background includes operations, account management, disease management, and managed care. His diverse background in healthcare enables him to look at things holistically. In fact, most recently successfully led a technology start-up implementation with two large Tenncare health plans.
EMPLOYMENT HISTORY
Organization: Please reach us for these details! Location: Franklin, TN Job title: General Manager Years and months employed: 1 Year(s) 5 Month(s) Responsibilities: Led all aspects of technology start-up operations with two health plans. This included building and staffing a call center, overseeing roll-out, and provider training.
Organization: United Healthcare Community Plan of TN Location: Brentwood, TN Job title: Director of Operations and Reporting Years and months employed: 3 Year(s) Responsibilities: Responsbile for all aspects of non-clinical operations. This includes provider claim escalations, vendor management, program management, and various process improvement projects. This role also involved building strong relationships with Tenncare. Also, led the reporting team which consisted of five team members. I was responsible scheduled reporting to the state regulators as well as ad hoc internal and external reporting needs.
Organization: DaVita Location: Brentwood, TN Job title: Group Insurance Manager Years and months employed: 4 Year(s) Responsibilities: Led a team located across 13 states covering over 400 dialysis clinics. Responsibilities included patient retention, insurance management, program management. Worked with senior management on issues regarding insurance contracting and patient satisfaction. Successfully exceeded goals in patient retention
EDUCATION
Institution Name: Auburn University Location: Auburn, AL Degree earned: B.S. Major/Concentration: Business Admin and Economics Year Graduated: 4
