Contract Pharmacy Projections Advisor

• Dec 2020 - Present

Global Strategic Sourcing Associate

• Nov 2019 - Oct 2020

Manage the order process: requisitions from all departments/ business units, handle requests for quotes, process purchase requisitions/ purchase orders, provide orders to suppliers, maintain adequate records of purchases, follow up on orders/ approvals and resolve issues with invoice/receipt discrepancies. Review supplier proposals and develop statements of work for more robust engagement and performance-based delivery to strengthen work performed and reduce risk. Perform both spend analysis… Show more Manage the order process: requisitions from all departments/ business units, handle requests for quotes, process purchase requisitions/ purchase orders, provide orders to suppliers, maintain adequate records of purchases, follow up on orders/ approvals and resolve issues with invoice/receipt discrepancies. Review supplier proposals and develop statements of work for more robust engagement and performance-based delivery to strengthen work performed and reduce risk. Perform both spend analysis and market research on assigned categories and create PowerPoint presentations to internal teams to help facilitate supplier selection. Leading resource specialist to suppliers using the Coupa Supplier Portal. Show less Manage the order process: requisitions from all departments/ business units, handle requests for quotes, process purchase requisitions/ purchase orders, provide orders to suppliers, maintain adequate records of purchases, follow up on orders/ approvals and resolve issues with invoice/receipt discrepancies. Review supplier proposals and develop statements of work for more robust engagement and performance-based delivery to strengthen work performed and reduce risk. Perform both spend analysis… Show more Manage the order process: requisitions from all departments/ business units, handle requests for quotes, process purchase requisitions/ purchase orders, provide orders to suppliers, maintain adequate records of purchases, follow up on orders/ approvals and resolve issues with invoice/receipt discrepancies. Review supplier proposals and develop statements of work for more robust engagement and performance-based delivery to strengthen work performed and reduce risk. Perform both spend analysis and market research on assigned categories and create PowerPoint presentations to internal teams to help facilitate supplier selection. Leading resource specialist to suppliers using the Coupa Supplier Portal. Show less

Senior Revenue Operations Manager

• Jan 2019 - Nov 2019

Facilitate and maintain vendor relationships for Northeast and Central Hospitals. Evaluate and on-board new vendor business. Review current and potential vendor contracts and assignments of work. Perform invoice reconciliation and initiate invoice disputes or approval process. Develop and lead two teams performing vendor management and customer service/ patient experience activities.

Revenue Operations Manager

• Jul 2018 - Jan 2019

Oversee the reporting of outsource revenue cycle activities. Maintain vendor contracts and understand workflow and placement processes for each vendor. Manage vendor performance in partnership with Central Business Office owner.

Supply Chain Data Analyst I

• Mar 2018 - Jul 2018

Acting as a liaison between Steward Corporate Supply Chain and Cardinal Health to ensure contract and price alignment to reduce purchase order and invoice exceptions. Identify areas where Steward hospitals purchase off contract items and works with value analysis and contract managers to obtain price protection or equivalent item on contract through item conversions.

Revenue Cyle Manager- Vendor Management

• May 2015 - Mar 2018

Manages a team of twelve members to provide day to day support for self-pay collections for Steward Health Care Hospitals and Professionals Services for Steward Medical Group and affiliates. Drives collection performance of business partners and team members by analyzing analytic reporting for collection compliance and liquation of self-pay balances in early out and bad debt collections. Act as the point of contact for disputes related to facility and professional bills received by patients… Show more Manages a team of twelve members to provide day to day support for self-pay collections for Steward Health Care Hospitals and Professionals Services for Steward Medical Group and affiliates. Drives collection performance of business partners and team members by analyzing analytic reporting for collection compliance and liquation of self-pay balances in early out and bad debt collections. Act as the point of contact for disputes related to facility and professional bills received by patients. Provide resolution for billing questions or concerns and quality of care disputes. Ensure all Massachusetts’s collection policies are followed by business partners contracted for customer service and collection activities. Review all invoices related to hospital and professional account collections.

Operating Room Sergeant/ Medical Readiness NCO

• Jun 2015 - May 2018

Assists in the management of an operating room (OR) in a 44 bed combat support hospital. Responsible for coordinating daily room assignments for four OR technicians and ensures all surgical suites are adequately staffed and all equipment is functioning properly. Responsible for providing direct supervision, counseling, mentoring for soldiers. As the Medical Readiness NCO for the unit detachment in Portsmouth, New Hampshire, acts as a liaison between company commander and Medical Readiness… Show more Assists in the management of an operating room (OR) in a 44 bed combat support hospital. Responsible for coordinating daily room assignments for four OR technicians and ensures all surgical suites are adequately staffed and all equipment is functioning properly. Responsible for providing direct supervision, counseling, mentoring for soldiers. As the Medical Readiness NCO for the unit detachment in Portsmouth, New Hampshire, acts as a liaison between company commander and Medical Readiness Officer to ensure personnel medical readiness for training opportunities and assigned missions.

Operating Room Specialist

• May 2009 - Jun 2015

Assist in preparing patients and operating room environments for surgery. Provide assistance to medical staff during surgical procedures. Performed various preoperative and postoperative procedures. Maintain cleanliness and sterilization of the operating room and sterile fields for surgical procedures. Work in central material services where medical supplies and equipment are received, cleaned, decontaminated, sterilized and stored.

Pharmacy Receivable Analyst

• Feb 2014 - Apr 2015

Provide resolution to third party billing issues by working with retail pharmacies, software venders, pharmacy directors and managers, business partners, commercial and government insurers. Act as the company expert and primary resource for resolving third party billing and policy inquires in regards to third party billing. Create and maintain standard practice documentation for third party billing procedures for corporate and retail pharmacies. Ensure accurate and efficient third party billing… Show more Provide resolution to third party billing issues by working with retail pharmacies, software venders, pharmacy directors and managers, business partners, commercial and government insurers. Act as the company expert and primary resource for resolving third party billing and policy inquires in regards to third party billing. Create and maintain standard practice documentation for third party billing procedures for corporate and retail pharmacies. Ensure accurate and efficient third party billing to attain the highest collection rate and contribute to the profitability of pharmacies and to the company.

Claims Billing Specialist

• Mar 2013 - Feb 2014

Provide third pharmacy support related to commercial insurance and state Medicaid programs in multiple states along the East Coast. Responsible for claim solution in real time for pharmacies adjudicating prescription claims to prescription insurance. Perform durable medical billing for incontinence and nutritional supplements.

Supervisor, Pharmacy Receivables

• Jun 2011 - Feb 2013

Supervise pharmacy and durable medical equipment billing practices for commercial third parties, federal and state programs including Medicaid and community based general assistance programs for 315 pharmacies along the east coast. Develop billing procedures at retail and corporate levels to ensure accuracy and efficiency of reimbursement from third parties for pharmacy services.

Medicare Billing Specialist

• Apr 2007 - Jun 2011

Work with pharmacies in multiple states to provide third party support and resolution of pharmacy billing errors to Medicare entities. Maintain collection of Medicare deductibles and unpaid pharmacy claims. Perform durable medical billing for Medicare advantage plans and Medicare companion plans including state Medicaids. Stay informed and in compliance with Center for Medicare & Medicaid Services policies and procedures.