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Skills

  • Escalation management
  • Process improvement
  • First Aid/CPR
  • Networking and relationship building
  • Issue and conflict resolution
  • Contract development and management
  • Customer issue resolution
  • Lead generation
  • Customer service
  • Supervision

Work Experiences

  • Was in charge of supervising and training customer service team members in order to ensure that they provided exceptional service, which increased retention and satisfaction.
  • Increased sales volume by coordinating classes and workshops for major retailers and independent partners.
  • Led training initiatives to improve employee performance and business results on the bottom line.
  • Completed detailed opening, closing, and shift change functions in order to maintain operational standards each day.
  • Coordinated, led, and executed brand training presentations for trade or trend shows and new partners to generate and drive product awareness and sales.
  • Entered customer data into the Microsoft Excel system, ensuring that financial and personal information was kept safe.
  • Examined operations and market data in order to identify areas for improvement and to take advantage of changing conditions.
  • Improved the overall efficiency and productivity of the team.
  • Worked across departments on improved, which resulted in system.
  • Coordinated and improved delivery of $6 of SAP in one year through streamlined.

Summaries

  • Miscellaneous student seeking hands-on experience through an internship in performance reporting.
  • Excellent organizational, multitasking, and problem-solving skills. Service-oriented and performance-driven.
  • Motivated to achieve proactive and hands-on leadership goals in terms of productivity, profit, and efficiency.
  • Ability to recognize procedure issues and integrate process solutions to achieve procedure.
  • With a team-oriented mentality, highly organized, proactive, and punctual.
  • Provider Relations Manager and team leader with 16 years of experience in category settings.
  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.
  • Miscellaneous practices and market conditions expert.
  • Client relations Committed to identifying and leveraging opportunities for growth, with a proven ability to build effective teams.
  • Motivational leader and organizational problem-solver with superior supervisory, team-building, and customer-service abilities.

Accomplishments

  • Developed and executed risk mitigation strategies, decreasing provider disputes by 62% over program.
  • Collaborated with cross-functional teams on compliance audits, resolving potential issues and maintaining 100% adherence with method.
  • Teamed with Marketing to launch digital recruitment strategies, leading to an increase of 28% in new provider sign-ups within metric.
  • Developed KPIs to measure provider performance, leading to a 73% increase in adherence to quality metrics.
  • Enhanced provider network performance by rolling out targeted compliance education, resulting in a 69% increase in compliance within method.
  • Contributed to provider satisfaction through clear communication and issue resolution, bringing provider satisfaction rates up by 18%.
  • Reduced provider network attrition by 55% over procedure through relationship management and personalized engagement strategies.
  • Strengthened claims management processes, achieving a 20% reduction in dispute resolution time by enhancing collaboration between internal teams.
  • Managed a portfolio of provider contracts worth $13 annually, ensuring alignment with organizational and regulatory requirements.
  • Applied multilingual communication skills to address provider concerns, improving service satisfaction in Spanish by 65%.

Affiliations

  • Member of the Professional Association of Health Care Office Management (PAHCOM), focusing on operational improvements for provider offices
  • Member of the American Academy of Healthcare Executives (ACHE), contributing to strategic discussions on provider network development
  • Speaker at the Provider Relations, Contracting and Network Development Forum on topics such as reducing provider attrition
  • Active member of the Healthcare Financial Management Association (HFMA), contributing to discussions on provider reimbursement strategies
  • Completed a Leadership Course with the Association for Healthcare Administrative Professionals (AHCAP) in 2016, enhancing provider-management skills
  • Member of the Council for Affordable Quality Healthcare (CAQH), contributing to discussions on standardized provider documentation processes
  • Held a seat on the Healthcare Contracting and Negotiation Council Portland, representing providers in payer discussions
  • Certified Professional in Healthcare Quality (CPHQ) as of 2021, focusing on improving provider performance and quality metrics
  • Member of the Health Insurance Resource Center, contributing to industry knowledge on appeals processes and provider reimbursements
  • Participation in the National Provider Network Management Coalition (NPNMC) to stay current on best practices in provider engagement

Certifications

  • Healthcare Compliance Certificate Program (HCCP)
  • SAP Certified Application Associate
  • Masters Certificate in Health Care Provider Leadership
  • Certified Professional in Provider Network Management (CPPNM)
  • Certified Medical Practice Executive (CMPE)
  • Cisco Certified Internetwork Expert (CCIE)
  • Executive Certificate in Provider Network Development
  • Certified in Healthcare Compliance (CHC)
  • Healthcare IT Technician Certification (HIT-001)
  • Certificate in Transformational Healthcare Leadership

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