Claim Analysis Supervisor
CurrentSupervise a Pharmacy Claims Analysis Team overseeing Medicare B & D and Medicaid Claims. Oversees remediation, reprocessing and subrogation of pharmacy claims processed inaccurately.
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@anthem.com
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Julia Stanforth is listed as Claims Analysis Supervisor at Prime Therapeutics, a company with 3535 employees, based in Lebanon, Ohio, United States. AeroLeads shows a work email signal at anthem.com and a matched LinkedIn profile for Julia Stanforth.
Julia Stanforth previously worked as Claim Analysis Supervisor at Prime Therapeutics and Business Analyst at Eversana. Julia Stanforth holds Diploma Of Education, General Business, 3.0 from Blanchester High School.
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AeroLeads found 1 current-domain work email signal for Julia Stanforth. Compare company email patterns before reaching out.
Business Analyst PBMSenior-Level Technical Writer , PBMPlanning & Prioritization Data-Driven AnalysisResearch & InsightsAttention to Detail Project ManagementTeam-Centric LeadershipRelationship BuildingElite 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, Jira, CPR+, Patient Connect, CareTend, Nurse Management Systems Salesforce, Confluence, Compliance Wire, and MS Office Excellent communication and presentation skills with hands-on experience facilitating on-site meetings, seminars, and workshops.
Listed skills include Customer Service, Call Centers, Quality Auditing, Management, and 29 others.
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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.
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.
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.
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.
Call Center Manager
Managing the call center associates.
Other employees you can reach at primetherapeutics.com. View company contacts for 3535 employees →
Dawn Ballantine
Colleague at Prime Therapeutics
Hugo, Minnesota, United States, United States
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KD
Kathryn Dewolfe
Colleague at Prime Therapeutics
Rosemount, Minnesota, United States, United States
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KH
Keesha Hughes
Colleague at Prime Therapeutics
St Paul, Minnesota, United States, United States
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DG
Deyanira Gonzalez
Colleague at Prime Therapeutics
Omaha, Nebraska, United States, United States
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PR
Pat Rattan
Colleague at Prime Therapeutics
Sacramento, California, United States, United States
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BH
Brenley Haralson
Colleague at Prime Therapeutics
Burnsville, Minnesota, United States, United States
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DD
David Dyczewski
Colleague at Prime Therapeutics
United States, United States
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CO
Carol Oakley
Colleague at Prime Therapeutics
St Paul, Minnesota, United States, United States
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PK
Paramjit Kaur
Colleague at Prime Therapeutics
Minneapolis, Minnesota, United States, United States
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MP
Medina Pelham
Colleague at Prime Therapeutics
United States, United States
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Activities and Societies: Basketball, Track, Volleyball, FHA, Softball
Activities and Societies: Volleyball, Softball, Basketball, FHA, DECA
Quick answers generated from the profile data available on this page.
Julia Stanforth works for Prime Therapeutics.
Julia Stanforth is listed as Claims Analysis Supervisor at Prime Therapeutics.
AeroLeads has found 1 work email signal at @anthem.com for Julia Stanforth at Prime Therapeutics.
Julia Stanforth is based in Lebanon, Ohio, United States while working with Prime Therapeutics.
Julia Stanforth has worked for Prime Therapeutics, Eversana, Anthem, Inc., Anthem Incorporated, and Ingeniorx.
Julia Stanforth's colleagues at Prime Therapeutics include Dawn Ballantine, Kathryn Dewolfe, Keesha Hughes, Deyanira Gonzalez, and Pat Rattan.
You can use AeroLeads to view verified contact signals for Julia Stanforth at Prime Therapeutics, including work email, phone, and LinkedIn data when available.
Julia Stanforth holds Diploma Of Education, General Business, 3.0 from Blanchester High School.
Julia Stanforth is listed with skills including Customer Service, Call Centers, Quality Auditing, Management, Customer Experience, Team Leadership, Team Management, and Crm.
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