Julia Stanforth Email & Phone Number

Supervise a Pharmacy Claims Analysis Team overseeing Medicare B & D and Medicaid Claims. Oversees remediation, reprocessing and subrogation of pharmacy claims processed inaccurately.

Mason, Oh

Senior-Level Technical Writer Excellent communication skills both written and verbalExcellent interpersonal skills with the ability to interact with cross-functional teams, Project Management, Business Development leads, editors, physicians, pharmacist, internal/external clients Planning & Prioritization Data-Driven AnalysisResearch & InsightsAttention to Detail Project ManagementChange drivenAble to balance multiple projects at onceTeam-Centric LeadershipRelationship BuildingProblem SolvingElite Client SupportQuality Assurance  Innovative and self-directed professional with proven track record synthesizing business requirements and crafting quality user-friendly documentation. Adept at translating complex IT and medical related concepts and jargon into universally understood terms for audiences of vary skill sets.  Laser focused on results with demonstrated ability to produce well-scoped deliverables on time in fluid and rapidly evolving work environments. Fluent in Pharmacy Benefit Manager (PMB) and Pharmacy Prior Authorization (PPA) processes and regulations.  Proficient in Sharepoint, Intelex, SalesForce, Confluence, ComplianceWire, and MS Office Excellent communication and presentation skills with hands-on experience facilitating on-site meetings, seminars, and workshops.

Manager for Medicare and Medicaid Prior Authorizations Department

Mason, Ohio, United States

Presided over monitoring and scoring of inbound phone calls according to established criteria. Consulted with managers on quality issues and assembled and retained audit reports. Primary coordinator of recognition awards for colleagues who received 100% audits. Operated as mentor and coach to motivate Customer Care Representatives in reaching fullest potential. Took part in orientations to help Call Center employees integrate into organization and get up to speed quickly.  Mobilized team of qualified staff members, Auditors, and Managers to supply immediate floor support for associates during 2015 kick-off of IngenioRX. Addressed escalated issues resulting in zero interruption of medication fulfillment for customers

Mason, Ohio, United States

Hired, guided, and coached 20 to 30 on-site and virtual direct reports. Integrated corporate and workforce objectives to accelerate overall combined performance. Established realistic and attainable goals for team members and empowered them to achieve measurable results. Counseled staff and offered feedback on performance related issues. Headed design and launch of Incentive and Recognition programs to promote team building. Employed PEGA/PAR tool to supervise Medical Injectable process at department-wide level. Brainstormed with Director on building and launching cutting-edge solutions that addressed business and marketplace needs. Engineered system testing to synchronize productivity reporting and compliance with Medicare and Medicaid standards.  Engaged one-on-one with employees to perform time studies on every step of their job to drive process improvements, efficient output, and accurate work products.  Single-handedly wrote and tested SOPs for company-wide system platform migration. Interfaced with Call Center Representatives, Auditors, Business Analysts, Pharmacists and Managers to compile and define procedures. Traveled to St. Louis, MO and Savannah, GA offices as face and voice of organization to recruit, hire, and coach new Call Center agents.

West Chester, Ohio, United States

Directed day-to-day operations and work-related activities for up to 70 Customer Service Representatives in high volume environment. Liaised with managers to identify and resolve quality issues and sustain service levels per client contracts. Instrumental in talent acquisition, performance management, and exiting of workforce. Deployed Supervisor Scheduling System to organize sufficient staffing for daily call projections. Acted as company ambassador for new clients and rolled out up-to-date Contact Center guidelines. Instituted Gift Card program to incentivize, recognize, and reward performance and attendance. Negotiated with Cole Hahn, Shoe Carnival, Sheisedo, Avon, Puma, Elie Tahari to secure complimentary gift cards, “meet and greets,” and swag bags

Call Center Manager

Managing the call center associates.

Diploma Of Education, General Business, 3.0

Activities and Societies: Basketball, Track, Volleyball, FHA, Softball

Diploma, Business/General

Activities and Societies: Volleyball, Softball, Basketball, FHA, DECA

Diploma Of Education, Business