Bartley Smith Email & Phone Number

Smyrna, Ga, Us

Saint Louis, Mo, Us

•Monitor GA Pathways to Coverage program per State Contract requirements, current program membership approximately 2300 individuals•Liaison between department Vice President and 13 outside vendors on Monthly and Quarterly committee meetings•Oversee 60 current Medicaid programs that involve benefits for the most vulnerable members of the community, including new mothers and children•Manage departments Cyber Security training and risk assessments•Build monitoring dashboards regarding all programs managed for C-Suite level employee’s review•Produce presentations used for relaying ad-hoc, monthly, quarterly and annual metrics to outside organizations including the Georgia Department of Community Health, the National Committee for Quality Assurance and the Centers for Medicare and Medicaid Services.• Perform detailed analysis on multiple interdepartmental projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements

Saint Louis, Mo, Us

• Provide analysis to link business needs and objectives for Utilization Management department and implement process improvements• Lead the identification and analysis of user requirements, procedures, and problems to improve existing processes• Perform detailed analysis on multiple interdepartmental projects, recommend potential business solutions and ensure successful implementations, including improvements and revisions to business processes and requirements• Evaluate risks and concerns and communicate to management• Oversee all changes to departmental policies and procedures, including communicating and implementing the changes• Extract and report medical and pharmacy claims data and member reporting data• Produce Quarterly and Annual Power Points presented to the Board of Director and other high level committees• Manage my departments Cyber Security training and risk assessments

Atlanta, Ga, Us

• Created a database containing performance metrics for employee evaluation, and training• Prepare management reports defining and evaluating problems and recommending solutions• Collaborate with others in the organization to ensure successful implementation of chosen problem solutions• Collect and analyze data to detect controls, duplicated effort, extravagance, or non-compliance with laws, regulations, and management policies• Supervise auditing of establishments and determine scope of investigation• Report to management about asset utilization and audit results; recommend changes in operation• Monitor, evaluate, and record activities or program effectiveness• Perform analysis and interpretation of patterns in sales, cross-sales, and other financials• Serve as point of contact for several hundred business partners• Provide departmental supervision for development and implementation of data-driven employee training programs, establishing performance metrics, and providing employee support for customer/product problem-resolution – increased compliance from 30% to 94.5% by created manuals and training for a specific project• Increased company revenue through quality assurance of health care benefit proposals for several hundred clients – avoided over $2,000,000 in lost revenues for 2011-2013 FY by minimizing error occurrence• Preform auditing procedures for client presentations; audited for accuracy of benefits and financials• Responsible for tracking and analyzing department performance trends utilized for improvement of performance standards• Trained and coached new employees• Provide sales support by introducing potential business partners to the various departments and operations of the company

Atlanta, Ga, Us

• Contacted and screened prospective clients in regards to obtaining health insurance• Scrubbed and audited insurance forms for clients to be sent to carriers• Assisted sales consultants in processing client data and insurance applications• Inputted client information into CRM system and audited accounts for accuracy• Educated clients on health insurance and made recommendations best suited for their situation• Provided sales services through direct sale of dental and vision insurance policies

Bachelor Of Arts (B.A.), Economics

Bachelor Of Arts (B.A.), Economics