Autumn Funderburg
Provider Services Account Executive at AmeriHealth Caritas Ohio- Claim this Profile
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Bio
Credentials
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ServSafe
National Restaurant Association
Experience
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AmeriHealth Caritas Ohio
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United States
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Hospitals and Health Care
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1 - 100 Employee
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Provider Services Account Executive
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Jul 2022 - Present
• Responsible for building, nurturing and maintaining positive working relationships between health plan and its contracted providers. • AE maintains in depth understanding of Plan’s contracts and provider performance and needs, identifying, developing and conducting relevant and tailored provider orientation sessions, making educational visits and working to resolve provider issues. • Responsible for monitoring and managing provider network by assuring appropriate access to services throughout the Plan’s territory in keeping w/ State and Federal contact mandates for all products. • Identifies, contacts and actively solicits qualified providers to participate in Plan at new and existing service areas and products, assuring financial integrity of the Plan is maintained and contract management requirements are adhered to, including language, terms and reimbursement requirements. • Maintains complete understanding of Plan reports and metrics and uses them to evaluate the performance of assigned providers/practices/facilities, determining, communicating and implementing plans for providers to improve performance and measuring ongoing performance. • Uses data to develop and implement methods to improve relationship. • Assists in corrective actions required up to and including termination, following Plan policies and procedures. • Supports the Quality Management department with the credentialing and re-credentialing processes, investigation of member complaints and any potential quality issues. • Maintains a functional working knowledge of Facets • Maintains and delivers accurate, timely activity and metric reports as required. • Identifies and maintains strong partnerships with appropriate internal resources and stakeholders. Show less
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Aramark
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United States
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Hospitality
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Food Service Director
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Oct 2021 - Apr 2022
• Prepared weekly and monthly P&L files and reconciliations including assessment of variance analysis vs. targets to plan and projection• Analyzed and interpreted source financial information that was presented to management• Provided leadership and growth for the development of 16 food service programs across 5 school districts • Developed and maintained professional and productive client relationships ensuring elevated service levels for 5 clients• Drafted yearly budget plans that included revenue, food cost, labor and direct expenses • Drove business processes to streamline financials and improve account metrics Show less
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Food Service Manager
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Jul 2017 - Oct 2021
• Acted as liaison and support to food service managers and teams across the school district• Supported client claiming for the state and managed USDA audits• Successfully retained a 5-year bid contract continuing a 22 year partnership• Developed menus in accordance with USDA guidelines using pre and post cost analysis• Followed agency standards including the Illinois State Board of Education, USDA regulations (NSBP, NSLP, ASSP, CACFP), and all food handler practices (ServSafe)•Supported business growth with marketing, client collaboration, and a social media platform on Facebook• Analyzed inventory valued at $25k for an account producing 1,700 meals+ daily• Implemented a program teaching transition students job and life skills utilizing Aramark resources (recipes, standards, hygiene)• Maintained professional and productive client relationships ensuring elevated service levels Show less
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Education
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2018 - 2021
DePaul University
Master of Science - MS, Accounting -
2012 - 2017
Ohio University
Bachelor of Science in Food and Nutrition Sciences, Culinary Nutrition -
2012 - 2017
Ohio University
Minor, Environmental Health Science -
2012 - 2017
Ohio University
Certificate, Diabetes -
2012 - 2017
Ohio University
Minor, Business Administration and Management, General -
2008 - 2012
Tecumseh High School
High School Diploma
Community
