Angelo Alford Email & Phone Number

United States

Detroit, Michigan, United States

As a Senior Systems Readiness Lead and Client Services Manager, I am tasked with program and application support which includes process development, project management / implementation and strategic resolution for our Care Management team’s that deliver Cost of Care services to our Medicare customer base. I assist with quality improvements and product performance across multiple health informatics data sources, acting as a system support liaison for our internal and external Vendor… Show more As a Senior Systems Readiness Lead and Client Services Manager, I am tasked with program and application support which includes process development, project management / implementation and strategic resolution for our Care Management team’s that deliver Cost of Care services to our Medicare customer base. I assist with quality improvements and product performance across multiple health informatics data sources, acting as a system support liaison for our internal and external Vendor Leads/Partners. Show less

Detroit, Michigan, United States

As a Senior Analyst for Medicare Advantage Inpatient Utilization Management / Precertification, I research, analyze, and compile data in support of our Utilization Review clinical staff. This data is used to create strategic solutions, based on root cause analysis, to mitigate gaps in care for our Medicare Advantage population, and is also used for reports presented to BCBSM Senior Leadership. I also work on project implementation with our various internal partners and external vendors.… Show more As a Senior Analyst for Medicare Advantage Inpatient Utilization Management / Precertification, I research, analyze, and compile data in support of our Utilization Review clinical staff. This data is used to create strategic solutions, based on root cause analysis, to mitigate gaps in care for our Medicare Advantage population, and is also used for reports presented to BCBSM Senior Leadership. I also work on project implementation with our various internal partners and external vendors. These projects help produce multiple points of care for our members and communities we serve as an organization. Show less

Detroit, Mi

Assisted with program and application support, including; process development, strategic resolution, and project implementation as a Systems Readiness Lead for Care Management. Through data analysis across various platforms, I assisted with quality improvements and product performance that better support our customers and our partners. I was also tasked with providing weekly Wellness and Care Management Directors’ Report’s, outlining data compiled from our various BCBSM Medical/Care… Show more Assisted with program and application support, including; process development, strategic resolution, and project implementation as a Systems Readiness Lead for Care Management. Through data analysis across various platforms, I assisted with quality improvements and product performance that better support our customers and our partners. I was also tasked with providing weekly Wellness and Care Management Directors’ Report’s, outlining data compiled from our various BCBSM Medical/Care Management programs. Show less

Detroit, Mi

As a Case Management Specialist, I assisted with supporting the Case Management program to identify targeted members and process incoming referral requests to the Case Management team. My responsibilities included: call handling, referral processing, and the documenting of actions taken for case management request; including payment of service requests for non-benefit claims. In addition to care management coordination/support, I assisted with Utilization Management/Precertification review… Show more As a Case Management Specialist, I assisted with supporting the Case Management program to identify targeted members and process incoming referral requests to the Case Management team. My responsibilities included: call handling, referral processing, and the documenting of actions taken for case management request; including payment of service requests for non-benefit claims. In addition to care management coordination/support, I assisted with Utilization Management/Precertification review and processing. Show less

As an Insurance Specialist, I was responsible for verifying and updating patient’s medical insurance, associated with their hospital and professional claims, for proper billing and financing for medical services rendered. In addition to providing customer service to patient account information, I also worked with Henry Ford’s My Health website in processing and issuing requests to patients attempting to gain access to web functions.

Bachelor’S Degree, Exercise Science

Activities and Societies: N.A.A.C.P. Member, Y.B.M. Associated Member. Bachelor’s of Science in Health, Physical Education. Major.

High School, College Prep.