Emily Techman Email & Phone Number

Moncks Corner, SC, US

Columbia, South Carolina, United States

Provides program operation, coordination and analysis of various value-based reimbursement programs. Works strategically with internal stakeholders including management, finance, and other areas to identify, analyze, determine, and improve programs, initiatives and products that facilitate driving an increasing percentage of payment for value. Actively.

Columbia, South Carolina, United States

• Acting liaison between business and contracted vendors. Communicating customer grievances, monitoring vendor task progress, and ensuring goals are met.
• Building out Medicare Advantage membership data for the newly implemented Value Based Contracting program with participating providers.
• Building out Medicare Advantage Risk Adjustment reporting, building chart chase lists for chronic condition recapture year over year. Managing Tableau Dashboards, SQL databases and tables. Producing weekly/monthly.
• Attending member engagement events. This includes checking members into the event, engaging in conversations about their insurance, as well as general conversation to make them feel welcome and a valued member.

• Created and maintained a complex scenario-based staffing forecast model including advanced Excel reporting with pivot tables and extensive formulas.
• Research and resolve complex member level issues while identifying trends, gaps and defects.
• Utilizes SQL Server and Teradata for writing SQL code to locate account information for policy corrections and data analysis.
• Helping maintain large databases, creating new tables, querying large datasets for research, and updating data as needed.
• Lead a diverse team on a consolidation initiative resulting in significant administration cost savings, reduction in inventory, and improved response time.
• Created procedures and led operations training for complex processing.

• Answering phones to resolve member requests and issues with account data.
• Managed Inventory volumes and processor down time by preparing work and distributing to peers.
• Consistently met and exceeded production goals through hard work and determination
• Built processes and procedures around reports showing accounts in error, as well as training peers on how to produce the reports and make any corrections needed to member accounts.

• Assisted management with implementing a paperless system. Played a key role in testing new systems, training peers, and helping establish a new department based on the paperless environment.
• Developed and created processes and procedures.
• Data entry for member applications
• Filing and sorting

Greet, help, and ring up customer's orders. Receive weekly supply and restock shelves. Help other cashiers with returns and issues.

Health And Medical Administrative Services

Received a Certificate for Medical Administration.

General Studies