Experience

Carolina Complete Health

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Compliance Analyst

  • Aug 2022 - Present

  •Respond to external requests for information required by the organization for its regulatory filings • Respond to inquiries from state and federal regulatory agencies • Monitor pending legislation and regulations affecting Centene Corporation services • Maintain database and other reference materials related to legislative and regulatory issues and compliance • Communicate state and federal requirements to internal and external clients • Provide development quidance and assists in the identification, implementation, and maintenance of compliance policies, procedures and work instructions • Assist in the identification, analysis, and resolution of compliance issues • Maintain and review regulatory documentation necessary to maintain corporate standards • Assist in developing, producing and conducting compliance training programs • Perform periodic compliance audits, risk assessments and conducts related to ongoing compliance monitoring activities • Assist health plans in managing relationships with regulatory agencies and seek to resolve policy issues which may negatively impact service to members Plan, direct and coordinate the implementation of Compliance Committee policy to ensure decisions are properly executed • Serve as a companywide resource and liaison on policies, contract issues and provisions, communications, workflow, and quality improvements initiatives Show less



Envolve Benefit Options Inc

• 1 - 100 Employee

• Account Manager

  • Sep 2019 - Aug 2022

  - Managed and maintained assigned accounts, client relationships and service responsibilities in four states in excess of 2.1 million lives. - Worked closely with cross-functional teams to manage client needs and expectations - Assisted in the project management of all contract implementations and created strong account relationships while ensuring a smooth transition of services for members - Coordinated the design, development and rollout of product enhancements and related projects as requested by clients - Completed and delivered monthly Joint Operation Committee metrics for all accounts - Completed regularly scheduled Joint Operation Committee calls and vendor delegation meetings with all accounts to review performance - Acted as a liaison between all contracts and company operating departments on Account Management issues - Coordinated with Quality Improvement on tracking all account related complaints/concerns and ensure timely follow-up, including resolution with all appropriate operations and/or corporate staff - Assisted Compliance in the development and completion of Account Corrective Action Plans - Assisted in the development of RFP’s and expansion of new business - Translated ideas and client request into actionable items for operations, call center, and/or product development team to enhance service delivery or new product offerings - Assisted with monitoring and tracking legislative or regulatory changes and issues for all states of operation Show less



KINEXO

• United States
• Transportation, Logistics, Supply Chain and Storage
• 1 - 100 Employee

• National Account Manager

  • May 2018 - Aug 2019

  - Built and developed broad based relationships with concept(s) to achieve best practice supply chain solutions - Responsible for project development, solution and implementations - Managed LTO projects which included rollout, inventory management, reporting and depletion of inventory to coincide with concept marketing plan - In conjunction with Strategic Account Manager, reviewed and established concept KPI’s, business targets and execution of contractual agreements - Completed special projects as tasked by the concept and Director of Account Management - Utilized current vendor business relationships to explore and develop further supply chain solutions resulting in additional new concept volume through Kinexo’s system - Monitored slow moving, overstock and dead stock products providing disposition direction to purchasing based on agreed solution with concept - Created internal concept AOP development and sales projections with ongoing concept P&L management Show less



McLane Company, Inc.

• United States
• Transportation, Logistics, Supply Chain and Storage
• 700 & Above Employee

• • Aug 2012 - May 2018

  - Managed average daily inventory of $3.5M of assigned items and vendors to ensure fulfillment of customer orders while optimizing Distribution Center space constraints and cash flow- Maintained item and vendor setup information within the E3 Purchasing system to optimize efficient order placement- Proactively identified gaps in the supply chain and leveraged working relationships with Suppliers, Logistics groups and Distribution Centers to execute creative solutions to mitigate or eliminate potential service failures to the customer- Analyzed information provided by the Supply Chain Team to establish inventory stocking strategies for customer promotions, LTOs, test and new items- Exceeded individual expense and service level goals Show less

• • Nov 2011 - Aug 2012

  - Reviewed weekly statistic reports on each center within company- Completed Bi-monthly reporting on Line Haul-Back Haul Calculators-Responsible for creating Monthly Equipment Reports-Completed documentation of procedures and manuals for the AS400-Overviewed regulation of freezer and refrigerator temperature testing-Conducted audits in the transportation department to ensure deliveries and employee performances were documented by supervisor- Conducted monthly audits on warehouse and transportation training Show less