Jennifer Stancer Email & Phone Number

• Responsible for supporting projects and the project staff in a dedicated project management business unit • Contributes to ensuring project deliverables are met, assist in documentation and project status tracing• Responsible for overseeing, tracking, and responding to emails received through the Minnesota provider service inbox for various issues, including oral member appeals and grievances• Led Tier Two meetings with NCC, Claims OPs and leadership teams• Accountable for detailed meeting minutes for several Amerigroup and alliance partner committees• Manager delegate for Amerigroup and alliance system access and contingent worker requests• Amerigroup contact for the alliance for Site to Service reviews• Initial contact for Single Case Agreement requests from out of network/state providers• Applications used – Facets, Macess, Workday, Care Compass, Member 360, NextGen, InterAct, and SNOW• Proficient in Word, Outlook and Excel

• Provided outreach by phone to welcome newer Minnesota Medicaid members and encourage members to complete their Initial Health Screening by phone, online or by mail • Answered questions and directed members toward additional resources including Customer Service, Case Management, DHS, BCBCMN Website, Aunt Bertha website) • Responded to member’s messages and returned callbacks in a timely manner • Helped members register and set up an account on website• Outbound calls to parents of children who were not up to date on their vaccinations as a reminder to get them completed• Completed weekly report of calls made and outcomes• Worked with Leadership – IVR and text messages to members• Collaborated to update the Initial Health Screener

Eagan, Mn 55121

Consumer Service Center Intake Specialist (January 2011 – Present)• Maintained strong knowledge about different Government plan types and contracts becoming a specialist in Consumer and Government programs such as FEP, PMAP, Medicare, Secure Blue, Senior Gold• Specialist in Appeals for: Internal Employees claims, Senior Staff, Regulatory, and Peer to Peer Appeals• Validated incoming correspondence for appeals, inquiries, grievances and complaints• Analyzed data to create and prep cases for Liaison review• Represented BCBS by working with outside vendors, Prime Therapeutics and ClearStone, to create and prepare cases for grievances from Medicare Part D members• Worked the CIS report prior to transitioning to the Blue Core system• Assisted in the creation of the Government Intake Training Manual documenting processes and procedures• Team member evaluating and rolling out the paperless case system resulting in significant cost and time savings• Trained new employees in various roles on CSC processes and programs• 97.5 % Quality rating on personal audits• Utilized systems and programs including: BlueCore: Appeals Management Application, Client Letter Utilization Management, Highview, Focus, Legacy Sytems, RxClaims, Sharepoint, Prime Resolution, NextGen and Member 360 Anthem Systems, FEP Direct, Corporate Appeals Transaction System, State of MN DHS Medicaid member system, MS Office Outlook, Word, ExcelCustomer Service (April 2005 – January 2011)• Responded to member’s inquiries in a professional manner • Provided proper research and documents for inquiries• Demonstrated ability in efficiency • Utilized various systems and programs• Provided backup support to 3M, Small Group and Provider service areas • Assisted in the creation and promotion of EMI Extensions • Gained security access to perform specialized tasks • Furthered my career development through classes offered through Blue U• Served as a team leader and mentor to others

Rosemount, Mn. 55068