Cody Sutherland, Lssgb Email & Phone Number

Nashville, Tn

Nashville, Tn

Nashville, Tennessee, United States

• Project managed the Change Management work stream on one of the largest Enterprise projects in company history• Documented and analyzed all business processes related to enterprise need and necessity• Designed, built, and implemented the first Enterprise Business Process Flow document repository for the business, which included features such as dated review timers• Worked alongside the EPMO department to assist PM’s in documenting and analyzing business processes on all project related material• Lead process improvement initiatives that supported critical goals and satisfaction requirements• Developed and implemented process, procedure, and job aid templates for the enterprise to create best practices and standardize documentation design and usage.• Trained and coached team members in the use of problem solving and process design tools, methodologies, and techniques to drive continuous improvement and develop a process excellence mindset

Nashville, Tennessee, United States

• Managed two Senior level positions, including bi-weekly audits, monthly reviews, and quarterly performance reviews• Maintained a 96% or above Medicaid enrollment percentage, averaging an estimated cost savings of $38.5 million for both Wellpath and its clients• Utilized my understanding of Microsoft Office and Medicaid Policies/Procedures to accomplish the enrollment of inmates, resulting in cost savings for the company/clients.• Further progressed my knowledge of healthcare and data/business analytics utilizing complex formulas in excel to extrapolate data from a wide range of reports• Identified additional cost savings opportunities by analyzing a variety of financial reports, including by not limited to private/commercial insurance, and recoupments.• Developed expert knowledge in utilizing EHR databases• Provided monthly/quarterly reports to clients identifying estimated cost savings from Medicaid enrollments in their county/state.• Key point of contact for several clients, internal operators in the field.• Expert knowledge of UB04/HCFA 1500 claims• Worked closely with local Departments of Human/Social Services to identify, manage, and correct Medicaid appeals, eligibility, and coverage types across the United States.

• Served as department supervisor/team lead. Answering questions, helping ensure responsibilities were completed timely, and stepping in to provide wisdom/direction in complex situations.• Utilized my understanding of Microsoft Office and Medicaid Policies/Procedures to accomplish the enrollment of inmates, resulting in cost savings for the company/clients.• Further enhanced my knowledge of healthcare and data/business analytics utilizing complex formulas in excel to extrapolate data from a wide range of reports• Identified cost savings opportunities by analyzing a variety of financial reports• Developed expert knowledge in utilizing EHR databases• Provided quarterly reports to clients identifying estimated cost savings from Medicaid enrollments in their county/state.• Key point of contact for several clients, regional vice presidents, regional managers, spanning across the United States.• Expert knowledge of UB04/HCFA 1500 claims• Worked closely with the Department of Human/Social Services to identify, manage, and correct Medicaid appeals and denials in several expansion states across the US.

Brentwood, Tennessee

Built customer relationships and business growth based off of word of mouth, social media marketing, honesty, and integrity. Ran a 3 person team, managing service, fuel cost, equipment maintenance, scheduling, etc

Nashville, Tennessee

• Responsible for managing Medicaid enrollments for inmates in expansion states across the US, and communicating approvals/denials, as well as financial liability, with providers daily.• Utilized my understanding of Microsoft Office and Medicaid Policies/Procedures to accomplish the enrollment of inmates, resulting in cost savings for the company/clients.