My duties include (But aren’t limited to) managing client accounts through implementation as well as the maintenance of assigned vendor, client, plan and member accounts to ensure CMS Compliance. I also am tasked with resolving the day to day issues that arise for clients and I also assist Senior Leadership and Account Executives on aspects of supporting client specific strategic plans. Other duties include serving as the day-to-day contact for assigned account representatives and interacting with client contacts to facilitate escalated issue resolution to promote high client satisfaction. I also work cross functionally with internal departments regarding client needs and requests, contractual obligations, organizational compliance (policy and procedure), benefit change requests, as well as other elements necessary to support assigned clients. Envolve Health is a Subsidiary of Centene Corporation.

I perform various analysis and interpretation to link business needs and objectives for assigned functions.Tasks include (But aren't limited to):*Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of various systems*Identify and analyze user requirements, procedures, and problems to improve existing processes*Perform detailed analysis on multiple projects, recommend potential business solutions and ensure successful implementations*Identify ways to enhance performance management and operational reports related to new business implementation processes*Coordinate with various business units and departments in the development and delivery of training programs*Develop, share, and incorporate organizational best practices into business applications*Diagnose problems and identify opportunities for process redesign and improvement*Formulate and update departmental policies and procedures*Serve as the subject matter expert on the assigned function product to ensure operational performance.I also serve as departmental Point of Contact on Compliance issues related to Policies, Procedures and Operational Processes.

My responsibilities include reviewing internal stakeholder processes for effectiveness and efficiency via assigned projects from members of Senior Leadership using a variety of tools and systems. I am also responsible for the monitoring and tracking of incoming Vendor Correspondence from ENVOLVE’s current Claims Adjudicator (ARGUS Health Systems) and disseminating the information to affected internal stakeholders for review. My role also requires the continuous monitoring, maintenance and review of ENVOLVE’s Medicare Part D Policy and Procedure Database (Compliance 360) to ensure that our internal stakeholders remain compliant with the Center for Medicare and Medicaid Services’ (CMS) annual P&P review and validation requirement. I also work cross functionally with internal departments regarding client needs and requests, contractual obligations, work procedures, benefit change requests, and other elements to support ENVOLVE’s clients and various books of business. My duties also include occasionally assisting Account Managers with account renewals, benefit enrollment troubleshooting, and overall compliance with their client contracts. Other responsibilities include occasional member profile setup and benefit configuration of new and existing clients in our Adjudication Vendor’s PBM system. I also participate in new client implementation meetings, the review of vendor policies and procedures as well as contract amendments under the direction of Senior Leadership. The role also involves monitoring and tracking Health Plan Management System (HPMS) information (Via HPMS Memo emails sent daily from CMS) using a system that I created for tracking purposes to ensure that our internal partners receive the information necessary for them to remain compliant. The role also requires the creation and review of reports to Senior Leadership as well as policy and procedure recommendations for our external vendors and the CENTENE Corp Corporate office.

A Notary Public is an official of integrity appointed by state government —typically by the secretary of state — to serve the public as an impartial witness in performing a variety of official fraud-deterrent acts related to the signing of important documents.I have been authorized to perform certain legal formalities, especially to draw up or certify contracts, deeds, and other documents for use in other jurisdictions since 2012.

Servicing the needs of my clients for well over a decade. My number one goal is to provide them with the Customized Services and/ or Representation that they truly desire and deserve.My experience includes office management, call center, customer service, event planning, small business development, project management, Not-for-profit setup and management as well as managing and supervising employees in a variety of scenarios.I also have experience in accounting and bookkeeping, departmental budgeting, fiscal planning, payroll, various aspects of the Entertainment, Telecommunications and Healthcare Industries as well as employee training. I am very knowledgeable of computer software applications and I have excellent knowledge of the following applications and or computer programs: SQL, Windows XP and Vista, Microsoft Enterprise Solutions Software, Siebel Software, Peoplesoft and Peoplesafe Software, AS400/RX Claims Database, IDX Database, AMISYS, Salesforce, CMS Client Info databases (MARx and MDB), MEDS Online/3270 Database, Moore-Wallace Client Info Database and Authentica Content Security Server Database to name a few.My diverse work history coupled with my Bachelor’s Degree in Business Administration (Concentration: Marketing) in addition to my experience in a variety of different industries, makes me a valuable asset to the clients that I service.

OldSchool Gaming was conceptualized to create a Marketplace for the Old School Gamer and for those who just have a love for Gaming Culture. A community for gamers of all ages and demographics, but dedicated to those of us that even though we may sport a little salt and pepper in the mane, still put in that digital work.OSG seeks to be your one stop shop for the latest in gaming news and all things related to gaming culture (Cinema, Collectables, Commerce, Conventions, Cosplay, Console news and the like). Don’t forget to check out our FLOWPAGE for access to OSG's Social Media Portals and YouTube Channel for the latest in Entertainment News and a variety of Game Content and comment free Game Reviews. Your place for information on the latest in Entertainment and Gaming Culture. For everything from New Game Trailers and player walkthroughs for some of your favorite games to Theatrical and Streaming release trailers, Movie Shorts, Music Videos, Content Reviews and throwback vids of some of your favorite shows.If gaming is not just a hobby for you .... but a lifestyle, OldSchool Gaming was created for you. Let's connect:OSGGAMERHUB@GMAIL.COM

Legion M is the world’s first FAN-OWNED entertainment company. We work with top tier Hollywood talent to create movies, TV shows, and other entertainment experiences. Legion M is the first company designed from the ground up to be owned by fans.

Working daily to provide my clients with the Travel Opportunities and Services that they desire and deserve.

My responsibilities include managing client accounts for both DSNP (Special Needs Plans) and MMP (Medicare/ Medicaid) Plans through implementation and assigned accounts. Resolve day to day issues for clients and assist Account Executives on aspects of supporting client specific strategic plans, serving as the day-to-day contact for assigned accounts, interacting with client contacts to facilitate problem resolution and promote high client satisfaction. I also work cross functionally with internal departments regarding client needs and requests, contractual obligations, work procedures, benefit change requests, and other elements to support assigned clients. My duties also include assisting the Account Executive with account renewals, benefit enrollment meetings, and overall compliance with client contracts. Other responsibilities include plan setup and benefit configuration of new and existing clients in PBM system. I also participate in new client implementation meetings, finalists meetings, conferences and tradeshows as well as the development of contract amendments under the direction of the Account Executive. The role also involves documenting appropriate client specific information in Salesforce.com, the creation and review of reports as well as pharmacy benefit recommendations with clients quarterly and annually which involves occasional travel.

Implementations/ Account Management is an important team within the organization, acting as a liaison between our company and the client/ plan participants. As an Implementations Analyst/ Account Manager I address the day-to-day needs of clients and participants. I am a CVS/Caremark tenured and experienced employee who brings business knowledge and Medicare D process knowledge expertise vital to the role in handling client initiated plan participant issues, problems, and other needs that require hands on resolution.

The Client Services Unit is also an important team within the organization, acting as a liaison between Customer Care, our clients and participants. My duties as a Client Support Specialist included addressing the day-today needs of Customer Care Operations (Nashville), our clients and our plan participant population. In this role, my department was the point of contact for the Nashville Customer Care Medicare D Center in handling client initiated plan participant issues, problems, and other needs that require hands on resolution. My other responsibilities included working with specificMedicare D Clients to resolve a variety of Plan Participant issues which included PA verification, ClaimsProcessing research, Participant Eligibility verification, and Appeals Management to name but a few. My duties also included supporting various CVS/Caremark Account Management Teams in resolving highly escalated Client issues.

My daily duties included providing quality customer service to several Health Insurance Plans and their Prescription Plan Service Providers and Participants. In my current position, I interact with PBM Plan Participants and Clients, Account Management and the Centers for Medicaid and Medicare Services (CMS). Prior to transitioning to the Client Support Unit, I had been afforded the following opportunities in other facets of the PBM industry. I was a member of the CVS/Caremark Research and Grievance Team; where my responsibilities were, opening and researching grievances or complaints filed by Medicare Participants from various Medicare D Sponsored Prescriptions Drug Plans (PDPs), answering inquiries from Centers for Medicaid and Medicare Services (CMS) representatives concerning Medicare Participants prescription plan information such as enrollment, subsidy assistance information, inputting information into the CMS Database, Responding to participant callback inquiries and handling escalated, urgent, and emergent issues concerning Medicare D Participants to insure they receive quality service from both their PDP as well as CMS. Other R&G duties included handling complex customer service inquiries that required additional research and follow up beyond the scope of the inbound Customer Care Representatives and/or FCRT teams (Senior Reps. /Escalation specialists) as well as providing coaching to representatives on processes and procedures. R&G Specialist’s duties also included partnering with internal business units to identify trends and/or potential global issues that may impact the client, Customer Care or Operations. I have also been a Guest Trainer (facilitating training on software updates, CARE procedural changes and Client Infusion Training modules) and I have also served as the Point of Contact for Caremark’s Annual Integrity Training module.

Responsibilities included setting up radiology exams for a variety of Medical HealthPlans and Health Plan service providers by evaluating the medical necessity of thepatient on a case- by- case basis. Other duties included training new hire employees onthe Medical Database that is used to evaluate Preauthorization criteria.

Responsible for retaining existing customers by increasing customer loyalty as well as troubleshooting service related issues and activating new accounts.