It Manager, Business Operations Pricing
Current• Recruited to transform IT Claim Application team into a high performing organization necessary to support Centene’s continued growth.• Transforming Business Operations DST Pricing team to accept more complex tasks that will result in increased number of projects and tasks completing on target and reducing backlog of tasks.• Leading the Business Operations Pricing department training initiative to ensure that Standard Work Instructions (SWI) are created for all key tasks, department is trained on all SWIs and SWIs are revised with department changes • Created EDI KPI’s reporting that provided claims processing transparency to IT and our business partners leaders.• Created and enhanced EDI claim file tracking processes to ensure successful Month End Close.• Spearheaded an EDI Service Excellence initiative that mitigated the weekly breached Service Level Agreement for key EDI transactions (837, 835, 277CA, 270/271, 276/277) and system outages by 50%.• Led EDI quarterly and annual IT SOX audit reviews.• Provided strategic IT leadership for the 2-year Enterprise International Classification of Disease (ICD 9 to 10) IT Claims effort. IT largest and most complex project at that time.• Provides people care management which includes performance management, compensation administration, staffing and career development.• Coach/mentor managers on leading people and business partnership relationships.