Collaborated with cross-functional teams to optimize the behavioral health prior authorization process, resulting in increased efficiency and effectiveness. Influenced project expansion, performance, and internal and external user satisfaction through the strategic application of advanced technology and human-centered design. Proactively acquired knowledge of new systems, processes, and industry-specific terminology, ensuring effective communication, especially in IT and software development.• Utilized advanced metrics tracking to identify areas for process optimization, leading to streamlined operations and improved performance.• Served as a consultant to behavioral health providers, recruiting, training and onboarding them to utilize STAR Platform to submit authorization requests online..• Spearheaded user adoption initiatives by delivering comprehensive training programs and providing continuous support, resulting in enhanced user engagement and satisfaction.• Incorporated advanced analytics, customer feedback, and clinical audits to refine diagnosis-specific question sets and associated algorithms, increasing review efficiency and user satisfaction. • Influenced product design by incorporating customer input gathered through surveys, interviews, focus groups, and internal audits, contributing to an increase in product adoption.• Tracked recurrent system user issues and assisted in developing effective solutions, resulting in a reduction in recurring technical issues.

Managed Inpatient and Outpatient Behavioral Health Benefits for Commercial and Public Sector Accounts. Collaborated with internal and external partners and consumers to ensure effective and efficient treatment and positive outcomes.• Worked closely with consumers, providing personalized assistance in comprehending benefit plans, and obtaining necessary healthcare services, leading to improved client outcomes.• Engaged healthcare providers in utilization review for authorization of services, incorporating evidence-based treatment modalities and wellness/recovery goals into treatment and discharge planning. • Mentored new staff, reducing onboarding time and improving staff performance metrics.• Researched and provided solutions for Claims and Account Management concerns.• Diligently monitored, detected, and reported instances of Fraud, Waste, and Abuse, safeguarding consumers against cost inflation and risks to personal data and healthcare results.• Chaired and participated on multiple committees: quality improvement, UAT, provider and employee satisfaction, policy and procedure efficiencies, workflow management, treatment outcomes and resiliency.

Provided counseling and psychosocial rehabilitation services in a variety of settings: Private Practice, Elementary School, Community Agencies, School Based Health Center; serving Insurance, EAP, Pro-Bono Project, Out-of-Pocket clients, and students.

Led initiatives to transform a small commuter college into a thriving residential university. Recruited students at local and national college fairs. Directed admissions for the Post-Baccalaureate Teacher Certification Program. Managed application and registration process for new, transfer and nontraditional students.