• Maintained communication with area hospitals and health care organizations in order to educate and enhance patient safety throughout the region.• Collaborated with area wide hospitals in order to share processes and arrive and best practices.• Provided organized meetings of various departments (Infection Prevention, Surgery Safety, Medication Safety, Laboratory Safety, Fall Prevention, Care Transition, Security and Research) and maintained documentation of such for hospitals and educational institutions surrounding healthcare issues and projects.

Determine clients’ system requirements and ensure that IkaSystems could process claims, benefits, etc. according to clients’ business guidelines within required time frame.

I held many positions while employed at WHP - Medicare Sales Coordinator - Member Services Director - Grievance Coordinator - Vice President Operations. • Maintained oversight of multiple departments and operated efficiently within the budget for the following departments: Member Services, Group and Medicare Eligibility and Enrollment, Benefits Department, Claims, Billings and Premiums, and Appeals and Grievances. Maintained Policies and Procedures to ensure compliance with State, Federal, and Medicare guidelines.  Ensured WHP business rules and data were migrated accurately and efficiently within the required timelines for system conversion Maintained problem solving and crisis management skills and facilitated appeals and grievances between the member, health plan and physician.