*Rise Health Conferences - San Diego Invitations 2023 & June 2024 Speaking Engagements Appeals & Grievances Medicare Summit Speaker/Presenter on Patient Experience Analytics and member retention rates, survey free-text responses.* Expertise in patient service recovery & retention rates with proven documented quantitative and qualitative metrics.* Performs “forensic-level” engagement; immersive work ethic yielding ROI within first 90-days performance.* Appeals & Grievances (Medicaid, Medicare & Private HP) case management expertise in Patient Experience Specializations - Concierge caliber mitigating submission volume of Official Grievances by building listening rapport with Medicare Advantage members.* Walks the Talk’ about Medicare Advantage Patient Experience & Advocacy. *Loves deep-diving A&G Casework to resolve.*Seeking an amiable, professional, workplace culture #2024 -Promotional #NextLevel
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Quality AuditorVbc OneUnited States -
Quality AuditorAetna, A Cvs Health Company Jun 2023 - PresentUnited StatesAppeals & Grievances NCQA Standards in Medicaid National auditing for Quality Assurance of casework benchmarks Oversight Delegation tasks to ensure compliance with established policies in alignment with contracted states within a myriad of health insurance plans. -
Patient Experience SpecialistBrown & Toland Physicians Jun 2021 - Dec 2022United StatesAchieved significant quantitative & qualitative outcomes diffusing submissions of Official Grievances. Service Recovery and Retention via National Research Centers (NRC) portal fostered personable responses to members’ free-text narratives. Cultivated valuable & member-appreciated rapport with Medicare patients, practice partnering providers, Medical Directors, and vendors.Acted as liaison to interdepartmental stakeholders in Population Health, as well as Provider Relations compatriots to support, repair and sustain a mutually amiable culture for conducting business. -
Appeals/Grievances SpecialistAmi Network Jun 2021 - Dec 2022Beverly Hills, California, United StatesBrown & Toland Physicians Group Consultant role in Appeals and Grievances case management & resolution subject-matters expert.
Frequently Asked Questions about Ava Archie
What company does Ava Archie work for?
Ava Archie works for Vbc One
What is Ava Archie's role at the current company?
Ava Archie's current role is Quality Auditor.
Who are Ava Archie's colleagues?
Ava Archie's colleagues are Angela Woodard, Valentino Gaona, Margaret Meadows, David Castro, Charles C. Green, Michael Tadeja, Ve'rykia C..
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