Project manager responsible for documenting all benefit and administrative information, and managing the client implementation from pre-sale through completion. I am accountable for implementation of the customer case installation and all necessary actions to set up the customer in relation to medical, dental and all ancillary products purchased. This includes facilitating meetings with the customer, account management and sales to set the expectations for completion of the group installation. It entails loading all product and customer demographics in the case database system and completion of all appropriate documents. I manage and coordinate the work of the installation team members. All tasks are monitored for accuracy and completion within target deadlines. Initiate and manage timelines to final medical and benefit ready for each case.

Manage the daily operations of the claims department; respond to written appeals from members, providers and the TX DOI, handle escalated telephone calls. Track the inventory and backlogPayrollPerformance evaluations

Prepare lesson plans, maintain course syllabiInstruct and evaluate students with management approved materialsTrack students (attendance, grades and retention)Keep abreast of technological changesCoordinate and seek approval for field trips and guest speakers

Responsible for departmental budget and operationsIncreased COB collections from $100K to over $8 million annually under my directionEnsured strict adherence to all TRICARE regulations regarding third party reimbursementsCreated departmental policy and procedures for URAC accreditation Authored detailed request and corresponding flowcharts necessary to develop new billing software General HR duties including payroll, career development, productivity measurement, performance appraisalsAnalyzed and monitored all reimbursements and refunds Respond to Congressional appeals6 Direct Reports