Experience

ATTAC Consulting Group (ACG)

• United States
• Business Consulting and Services
• 1 - 100 Employee

• Senior Consultant

  • Jun 2021 - Present

  Primary responsibility is to support Claims Operations with the implementation of a new line of business. Responsibilities include communicating to Claims Operations leadership of decisions, issues, risks, and deliverable status. Deliverables include developing and maintaining a project plan, SOP development - including the training of associates on new SOPs, development of test scenarios and review test cases, and development of transition plan including knowledge transfer. Primary responsibility is to support Claims Operations with the implementation of a new line of business. Responsibilities include communicating to Claims Operations leadership of decisions, issues, risks, and deliverable status. Deliverables include developing and maintaining a project plan, SOP development - including the training of associates on new SOPs, development of test scenarios and review test cases, and development of transition plan including knowledge transfer.



SS&C Technologies

• United States
• Software Development
• 700 & Above Employee

• BPO Training/Quality Assurance Manager

  • Mar 2014 - Apr 2021

  DST Health Solutions Training Manager Successful instruction of all division training classes while guaranteeing team’s readiness for instruction as subject matter experts, analyzing errors to identify strategic direction for additional training course opportunities and process improvements. Position was initially responsible for segmented training and evolved into a division training role. KEY ACCOUNTABILITIES • Designed, developed course content, implemented, and instructed a 3-tier leadership development curriculum. Course topics: o Active Listening o Building Influence as a Leader o Coaching and Feedback o Difficult Conversations o Employee Relations (Human Resources) o Improving Productivity o Leading Effective Meetings o Managing Change o Managing Projects o Team Building • Worked with leadership to identify training needs/gaps and developed a training plan for the Trainers to learn the subject matter and develop appropriate training courses/plans. • Developed short-term and long-term initiatives and goals for the department, while identifying cost reductions that would not impact our level of customer service. • Increased the number of instructor-led courses from 8 per month to 33 per month in the first quarter, while maintaining an average of 35 per month. • Partnered with QA department to identify additional training and process improvement opportunities. • Consistently met monthly metrics reporting standards and reporting processes. • Participated in annual compliance and HIPAA trainings. • Knowledgeable of and accountable for enforcing HR policies and time/ attendance policies, while driving team productivity. Show less



NaphCare, Inc.

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Claims Manager

  • Aug 2012 - Mar 2014

  NaphCare, Inc. – Claims Manager – 2012 - 2014 Primary responsibilities include the management of staff for the timely and accurate processing of claims in accordance with contracted prisons/jails and provider network, as well as monitoring the provider relations telephone lines and correspondence, and weekly Company check run for providers. Major Accomplishments: • Consistently meeting department performance goals for processing claims with a minimum of 98.5% accuracy and 95% timeliness. • Successfully reduced a two-month claims backlog within one month with the implementation of a performance management project. • Implemented Provider relations Specialists call log and correspondence protocol.  Created positive relations with supporting areas if the Company to improve claims processing. Show less



UAB

• Office Specialist

  • Feb 2011 - Jul 2012

  Primary responsibilities include drafting of subrecipient agreements for UAB awarded grants, coordinating approval of agreements, and securing signatures for agreement execution. Primary responsibilities include drafting of subrecipient agreements for UAB awarded grants, coordinating approval of agreements, and securing signatures for agreement execution.



HECA/Housing Fund of Central Alabama

• Grants Officer

  • 2003 - 2010

  2003 to 2010 Primary responsibilities included the review of funding requests, the administration and compliancy of awarded grants, oversight of non-profit capacity building program, as well as property management responsibilities for company-owned multifamily units. Major Accomplishments: Developed and implemented a statewide non-profit "incubator" program designed to increase capacity, stimulate the production of affordable housing, train and develop staff and Board, while implementing best business practices. Personally managed grant pool. Grant pool grew from $1.6 million to over $2 million. Management and compliancy of all awarded and received grants. Compliant on all grants. Personally responsible for reporting to all funders. Designed and sponsored Cutting Crime in Residential Neighborhoods, a statewide hands-on conference for understanding the proactive measures that individuals, government officials, law enforcement, neighborhood leaders, and others can take to reduce crime in urban and rural neighborhoods. Show less



Blue Cross and Blue Shield of Alabama

• United States
• Insurance
• 700 & Above Employee

• Claims Processing Manager

  • Oct 1989 - Jan 2003

  1989 to 2003 Primary responsibilities included the management of staff for the timely and accurate processing of claims in accordance with Alabama Department of Insurance and Medicare guidelines. Major Accomplishments: · Instrumental in the design, testing, and implementation of the automated dental claims processing system. · Consistently met unit performance goals for processing claims with a minimum of 98.5% accuracy and 95% timeliness. · Successfully reduced a seven-month backlog to 25-day inventory within 3 months with the implementation of a performance management project. · Received national recognition in ADI’s Performance Management for outstanding performance management projects. · Received company recognition in an Atrium article for outstanding performance management project. Show less