Beth Fowler Email & Phone Number

Nashville, TN, US

Franklin, TN, US

Franklin, TN, US

Bloomfield, CT, US

• Oversight of a team of Subject Matter Experts (SMEs) with focus on support of Customer and Provider Contact Center (Call + Digital) project and non-project work. Ongoing engagement in readiness-related decisions.
• Accomplishments. Oversee Impact Assessment input and completion as well as coordination of high impact, high priority initiatives (Portfolio funded) to reduce negative experience for frontline advocates and Contact.

Bloomfield, CT, US

• COVID-19 Call Project Manager | Special Assignment (March 2020 - December 2020)
• Cigna in partnership with Express Scripts (ESI) - Medicare and non-Medicare cross coverage team stand-up)

Bloomfield, CT, US

Responsible for delivery and success of Value Stream initiatives from a holistic viewpoint in collaboration with Value Stream leads with focus on driving decisions around prioritization, risk mitigation and readiness timeline development. Collaborate with and facilitate communication across Value Streams to ensure alignment for end-to-end delivery and.

Nashville, TN, US

Responsible for the overall direction, guidance, and leadership of HealthStream's implementation operations, including maintaining and reporting on implementation metrics, executing complex implementations, staffing, and managing the professional development of the implementation personnel.

Franklin, TN, US

*Oversight and management of operational systems and processes related to call center ops; including management of 5 remote direct reports. *Cross-departmental collaboration to identify and execute activities related to operational processes with a focus on productivity, elimination of waste, enhancement of program effectiveness and reduction of overall.

Franklin, TN, US

*Maintenance of 100+ state UR/UM and TPA licenses (inclusive of initial and renewal applications as well as annual reporting, when applicable)*Monitoring of regulatory tracking system – StateScape – and ongoing communications with Legal Department to determine application of legislation and regulation to HWAY business units*Management of 500+ corporate.

Franklin, TN, US

* Responsible for the audit of 783 health plan contracts (Credit Balance, Overpayment Recovery Services (ORS), Coordination of Benefits (COB), Specialty Audit Services (SAS), Subrogation, etc)* Managed HIPAA-related audits and ongoing reporting for twenty (20) national account health plan contracts* Researched state regulations and amended legislation.

* Review of regional financials, billings and contract renewals * Assist in the development and review of proposals for potential new/renewal business* Active participation in the QI and UM programs * Responsible for orientation and ongoing training of site administrators for the Southeast Region include accreditation standards and credentialing.

* Operations position with emphasis and focus on regional activity including twenty-four (24) facilities within the southeast region. * Support the Regional Medical Director and Division Vice President in the oversight of operations and monitoring contract compliance at the site level. * Responsibility for maintaining ongoing compliance with the corporate.

* Paid subcontractors (independent contractors) through payroll (ADP and ProBusiness) and A/P (Macola) * Collaborated with Network Development representatives on development of Vendor contracts based on operational needs and budgetary requirements* Assistant to Corporate Controller and Assistant Controller* Aided in month-end journal entries* Trained on.

* Completed federal, state, and local tax "set-ups" * Reviewed quarterly reports and researched tax laws for newly obtained sites* Reviewed contracts for and paid subcontracted (1099) employees for approximately 220 sites nationwide* Verified and reviewed employee wage and employment information* Researched wage garnishment and union regulations (state.