Theresa Locke, PMP

Outreach and Education Lead Medicare CareGuide at Anthem
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Contact Information
us****@****om
(386) 825-5501
Location
Loveland, Ohio, United States, US

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5.0

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Amalia VanMatre

Theresa is a very knowledgeable and experienced Project and Product Manager having worn many different hats in the Digital Product Management and Development realm. Not only she possesses the expertise needed to be successful in those roles, but she is also a fantastic team player, team energizer, and has outstanding ability to bring cross functional teams together. She is analytical, detail-oriented, has in-depth knowledge and understanding of the business and operations side, as well as digital product concepts, lingo, and Agile process of development. I would strongly recommend Theresa for any role in Digital Product Management and Development. She would be a wonderful asset!!!

Kim VanWinkle

I have worked with Theresa Locke for many years, she has significant technical and professional capabilities and experience. I highly recommend her for future positions, she has a depth of knowledge and leadership in managing business analyst teams, operations and project management. Theresa has a varied background knowledge across health care insurance industry.

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Experience

    • United States
    • Insurance
    • 700 & Above Employee
    • Outreach and Education Lead Medicare CareGuide
      • Nov 2020 - Present

    • Project Manager
      • Aug 2019 - Nov 2020

      Implemented federal mandates applicable to health insurance regulations. Drove successful project completion within timelines and allotted budgets. • Enabled enterprise to be compliant with credit / debit card regulations by surveying owners of internal applications and obtaining information from customers for confirming compliancy. • Supported follow project managers with assigned projects in meeting all deliverables.- Updated outgoing data files to customers and vendors, communicated file changes, and offered testing as needed. - Remediated internal membership files and alerted vendors of required updates.

    • Business Change Manager
      • Jun 2009 - Jul 2019

      Business Change Manager/Project Manager for Utilization Management. Wrote Policy and Procedures, documented workflows, and participated in or lead projects related to UM activities. Acted as an Agile Product owner for an external facing application. Wrote requirements, performed UAT testing, and participated in production releases.

    • United States
    • Insurance
    • 700 & Above Employee
    • Property/Casualty, Health/Health Life Sales
      • Jun 2008 - Jan 2009

      Sales and Service Sales and Service

    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Director Business Systems Implementation
      • Sep 2006 - Jun 2008

      Human Resource Manager for 13 Business Analysts working Production Support. Human Resource Manager for 13 Business Analysts working Production Support.

    • United States
    • Insurance
    • 700 & Above Employee
    • Project Manager
      • 1999 - 2006

      Led several successful departmental projects throughout tenure.• Implemented “no referral” process in Midwest, decreasing costs and provider abrasion associated with referral management process.• Revamped and improved UM letters with new language, working alongside UM managers, legal, and compliance experts.• Prepared documentation and represented UM for NCQA and URAC audits Led several successful departmental projects throughout tenure.• Implemented “no referral” process in Midwest, decreasing costs and provider abrasion associated with referral management process.• Revamped and improved UM letters with new language, working alongside UM managers, legal, and compliance experts.• Prepared documentation and represented UM for NCQA and URAC audits

Education

  • St. Thomas More
    Bachelor's degree, Individual Studies/Business
    -
  • University of Cincinnati
    Associate, Social work
    1980 - 1982
  • UC Blue Ash College
    Associate's degree, Business
    -

Community

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