Crystal Harvey Email and Phone Number
hartford, connecticut, united states
Crystal Harvey's Location
Richmond, Virginia, United States, United States
Crystal Harvey's Contact Details
Crystal Harvey work email
- Valid
- Valid
- Valid
Crystal Harvey personal email
n/a
About Crystal Harvey
Crystal Harvey is a Manager, Corporate Compliance at Aetna, a CVS Health Company. She possess expertise in medical staff credentialing, human resources, onboarding, office management, office administration and 11 more skills.
Crystal Harvey Work Experience Details
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Manager, Corporate ComplianceAetna, A Cvs Health Company Jan 2019 - Present -
Manager, Coproorate ComplianceAetna, A Cvs Health Company Jan 2019 - Jul 2023Richmond, Virginia- Maintain effective compliance policies and procedures, and effective communication and training- Prepares regulatory reports, filings and follow-ups, and supports regulatory review- Helps develop processes to ensure organization-wide compliance with State and Federal regulations- Effectively communicates and maintains positive, productive relationships with internal and external constituents- Supports established compliance system and operations, including processes for implementation of laws and regulations.- Responds to moderately complex requests for information within area of responsibility from internal and external constituents- Monitor internal activities to assess compliance risk, identify instances of non-compliance and make recommendation for remedies- Conduct law searches on moderately complex matters and provides basic analysis
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Managed Care Compliance Analyst At Department Of Medical Assistance Services (Dmas)State Of Virginia Jul 2017 - Jan 2019Richmond, Virginia Area- Responsible for ensuring that Medicaid managed care organizations (MCOs) comply with federal and State regulations as well as MCO Contract requirements- Interpreted various administrative rules, policies and laws and determines the impact on assigned MCOs- Performed audits and develop quantitative and qualitative analyses- Generated client deliverables, make valuable contributions to expert reports, communicate results, and work product, as appropriate- Researched and developed criteria for JLARC compliance, investigating and responding to concerns and/or complaints regarding assigned MCOs, and providing technical assistance to contractors and other internal and external parties- Contributed to business development initiatives and administrative functions, including staff training and reinvestigations and respond to compliance violations
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Provider Relations RepresentativeCoventry Health Care, An Aetna Company Jun 2015 - Jul 2017Richmond, Va- Provide ongoing support to department members in completing research and analysis to resolve concerns/issues raised by providers and other internal/external customers - Provide telephonic education to providers on policies and procedures- Provide education and training to providers and/or internal customers on systems related policies and procedures. - Support production and distribution of provider communication and educational materials - Perform data entry and systems maintenance as needed; Align data across all across systems- Verify, analyze and maintain all provider data in support of claim adjudication and production of directory and physician supplements- Review provider maintenance request for complete and accurate information. - Develop and/or produce system queries/reports -
Credentialing SpecialistCorvel Corporation Nov 2013 - Jun 2015- Successfully credentialed over 2000 multi-state health care providers in accordance with NCQA, CMS & MDH Standards- Responsible for analyzing and audit of practitioner and facility credentialing applications to determine eligibility status- Contributed to corporate success in development and implementation of credentialing policies and procedures- Identified and initiated investigations regarding credentialing applications in violation of policy and legal regulations- Created and published real time databases using eVIPS software, which included client documentation, contracts and files- Provided excellent client service to external providers regarding eligibility, credentialing decisions and provider issues- Researched state licensure databases for negligence, medical malpractice claims, and Medicare/Medicaid sanctions -
Office Manager/Office AdministratorCelerity Feb 2012 - Nov 2013- Efficiently manage all office activities, ensuring a safe and productive office environment for all managers and staff- Maintained accurate and timely performance of payroll functions, proactively initiating leave & pay adjustments- Responsible for all onboarding activities including recruitment, interview schedules, and new hire paperwork- Planned and executed all company events - event logistics, attendee tracking & development of presentation materials- Responsible for executive meeting schedule management, travel arrangements, corporate agendas and itineraries- Acted as primary time and labor timekeeper responsible for coordinating & finalizing time cards submission- Responsible for Form I-9 processing for new hires and existing employee auditing to ensure federal compliance -
Merchandising SpecialistSupervalu Jun 2010 - Feb 2012- Utilized expert knowledge to launch successful advertisements such as GreatValu, Fresh Grocer and Advantage- Created effective presentations and reports utilizing Microsoft Excel, Access, Power Point and Ad Hoc reporting- Proactively assisted merchandisers by executing effective promotional deals which lead to increased sales- Responsible for maintaining databases and reports which includes research, verification and corrections- Provided excellent customer service and assistance to Merchandisers, Analysts, Managers and Specialists- Performed data entry into computer automated systems, including systematic maintenance and client support -
Document Management SpecialistWellpoint Anthem Jan 2009 - Jun 2010Richmond, Virginia Area- Responsible for error-free document management services which included date tracking and image scanning- Accurately inventoried and processed billing documents such as member correspondence and medical records- Performed complex claim verification processes and various administrative tasks to support department goals- Investigated validity of member and health care provider insurance claims such as CMS 1500 and UBO4 forms, also issuing denial letters as necessary- Successfully received, reported, and resolved customer and health care provider inquiries and grievances
Crystal Harvey Skills
Medical Staff Credentialing
Human Resources
Onboarding
Office Management
Office Administration
Microsoft Office
Microsoft Publisher
Sharepoint
Adobe Acrobat
Oracle
Peoplesoft
Filemaker
Ibm As/400
Adp Payroll
Evips
Access
Crystal Harvey Education Details
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Business Administration And Management, General
Frequently Asked Questions about Crystal Harvey
What company does Crystal Harvey work for?
Crystal Harvey works for Aetna, A Cvs Health Company
What is Crystal Harvey's role at the current company?
Crystal Harvey's current role is Manager, Corporate Compliance.
What is Crystal Harvey's email address?
Crystal Harvey's email address is ch****@****ity.com
What schools did Crystal Harvey attend?
Crystal Harvey attended Virginia Commonwealth University.
What skills is Crystal Harvey known for?
Crystal Harvey has skills like Medical Staff Credentialing, Human Resources, Onboarding, Office Management, Office Administration, Microsoft Office, Microsoft Publisher, Sharepoint, Adobe Acrobat, Oracle, Peoplesoft, Filemaker.
Who are Crystal Harvey's colleagues?
Crystal Harvey's colleagues are Heather Rodocker, William Lumley, Jessica Thorburn, Pharmd, Bcps, Karen Roulhac, Brittany Chappell, Betsy Hudgens, Jennifer Wojcik Jones.
Not the Crystal Harvey you were looking for?
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Crystal Harvey
Glen Allen, Va -
2kurtosys.com, bombora.com -
2appstate.edu, highpoint.edu -
1covance.com -
Crystal Harvey
Executive Officer, Principal Trainer & Consultant At Crystal Clear Hospitality And Your Savory Fare, LlcMiami, Fl
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