Amanda North Email & Phone Number

Mumbai, Mh, In

Boca Raton, Florida, Us

Teaneck, New Jersey, Us

Lead Healthcare Delivery across 3 US based locations and 1 location in India. Expert in client presentations, operational excellence, automation, process improvement and client relationships (building and maintaining). Lead 700-1000+ associates at any given time. Manage strategic vendor relationships to improve client satisfaction and operational performance. In addition I am the Regional Delivery Center Leader for the three Phoenix locations. In this role I facilitate Employee Engagement (2500+ associates), Community Outreach and am the primary POC for Government officials and Prospective Clients.

Us

System owner for UHC Dental Operations. Managing Commercial, Medicare, Medicaid, Individual/Exchange business. Responsible for system and process integration and alignment. Manage relationships with vendors. Partner with internal teams such as compliance, legal, provider services, claim and call operations to ensure that operations are performing optimally. Manage budget and financial expectations for Dental Operations.

Us

- Lead team that detects, prevents, investigates, deters and recovers Fraud, Waste and Abuse and other Payment Integrity related items for Optum Specialty Networks.  - Service all lines of business within Specialty Networks, including carve in and carve out: Medicare, Medicaid and Commercial.  - Manage and facilitate relationships of vendors, internal departments and external partners. Collaborate with internal and external stakeholders to provide education, awareness and overall program effectiveness and impacts.  - Manage Relationships and serve as liaison for Clients, Providers, Consumers and Vendors  Overall leadership of operational wellness including; communicating and enforcing values, policies, and procedures; recruitment, selection, orientation, training, coaching, counseling, disciplinary, and communication programs; planning, monitoring, appraising, and reviewing job contributions; planning and reviewing compensation strategies.  - Responsible for execution of new business implementation and overall service results. - Manage budget and financial expectations including but not limited to: department budget, HCQAI initiatives, strategic planning, growth, quality and overall operations performance.

Us

• Manage day to day Site Operations for Houston location and work at home (WAH) staff. • Participated and graduated from Executive Development Program (EDP) in 2010. • Manage and Facilitate ongoing and process improvement Projects that create simplified processes in Business Operations. • Facilitate and execute strategic planning, including expense & budget management, people and inventory management as well as ensuring control objectives and operational goals are achieved or exceeded. • Assisted site leaders within Business Operations on projects, issues and operational improvement ideas and implementations. • Facilitate and Manage on a daily basis: - Claims Inventory, including but not limited to: Facets Pending, Adjustments, Escalated issues, Legal/FIRE issues, and Customer Service complaints. - Point of contact for Internal and External partners to ensure that our Members/Providers needs and objectives are achieved. i.e. Customer Consultants, Customer’s, Account Management, Business process owners, Senior Leadership, etc. - Manage office expenses and budget • Improved relations with and reduced turnover among mid-management and support staff.• Manage financial budget that consists of ~96 FTE’s (in multiple locations including: San Diego, Houston, Gurgaon – India, WAH staff) and ~14 million members (EAP & Direct Sale Customers). Accountability extends to assisting with forecasting and reforecast throughout the year, ensuring FTE and budget numbers are met. Hire and supervise staff, both non-exempt and exempt.

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Variety of claim roles within Behavioral and Medical Operations.

Az, Us

• Hiring, Training, Termination and Disciplinary actions of employees• Assisted in creating and implementing training programs, process improvement projects, customer sales initiatives, and employee award programs. • Annual Employee Reviews and Salary increases • Monthly review of Profit and Loss Reports for discrepancies or issues. • Facilitate and Manage on a daily basis:  - Parts Inventories, Sales figures and Customer Service complaints. - Point of contact for customer issues and corporate oversight.

• Hiring, Training, Termination and Disciplinary actions of employees• Assisted in creating and implementing training programs, process improvement projects, customer sales initiatives, and employee sales award programs. • Annual Employee Reviews and Salary increases • Daily review of sales forecast compared to actual numbers • Facilitate and Manage on a daily basis: - Day to day Hotel Operations, Sales figures and Customer Service complaints. - Point of contact for customer issues and other departmental issues. i.e. Assisting in Facilitating Housekeeping, Bar/Restaurant Management, and Support staff  - Acquired and maintained corporate room contracts, events (Weddings, Marathons, Parties, Fundraisers, etc)