Kim Stuart Email & Phone Number

Bedford, Tx

Director , Member and Provider Inquiry TeamDepartment reorganization to include hiring new employees and reposition of existing employeesDevelop and monitor departmental policy and processesEstablish and monitor budgetAnalyze/ update system configuration related to benefit administration and claim processing Monitor regulatory complianceSupported new business go-live to include:State readiness reviewSystem reconfiguration for enrollment and claim paymentReviewed and revised policies and processes

Created and monitored policies and processes compliant with state requirementsHired staff, developed and delivered trainingAssisted with system configuration related to benefit administration and claim paymentAssisted with design of service call queSupported operations after go-live to include:Enrollment loadEncounter DataState audits

Assisted team with design and deployment of a 200 seat service center, services Medicaid members in 11 states.Developed training modules designed to train team members on how to assist customers with questions related to medical benefits, enrollment, and claim paymentManaged day-to-day operations for a service center operating, 24 X 7, 365, servicing just over 1 million Medicaid members in 11 states.

Manager, Training and Process IntegrationDeveloped training modules designed to train team members on how to assist customers with questions related to medical benefits, enrollment, and claim payment.Redesigned workflow to accommodate increase in membership, previously supporting 30 thousand members, acquired 100,000 through company acquisition. Redesign included remapping phones ques to improve customer experience. Established productivity standards to measure efficiencies gained through redesign

Bs, Design Science; Design Science And Liberal Arts

Bachelor Of Science (Bs), Design And Applied Arts