Kit Tran Email & Phone Number

Managed clients on service deliveries, renewal rate negotiations, contract management and compliance, triaging and problem resolution, training and sales presentations, support on new group implementations, oversight of reporting, and internal coordination with Optum on behalf of the health plan.• Managed and retained an independent health plan in Texas for over three years, in critical time period. • Proposed and implemented a new process for handling non-contracted nursing home claims, significantly improving claims utilization for client.• Maintained a client relationship which successfully improved revenue and membership growth, and selling additional services.• Recommended, applied, and maintained a new process to distribute customer report updates to UHG departments via Microsoft SharePoint, increase organizational efficiency and effectiveness.

Represented clients internally and coordinated with other UnitedHealth Group functions and teams, to implement client systems, complete projects, and address ongoing service needs.• Collaborated with and supported the Public Sector Medicare Retirement team on claims and benefits escalations to find and solve root cause issues.• Generated, compiled, and modified client reports using various UnitedHealth Group systems and tools.• Presented and assumed additional responsibilities to support the Public Sector Medicaid team resulting in a UnitedHealth Group Spot award.

Provided a wide range of support for new site developers including analyzing, recruiting, producing contracts and amendments to potential providers.• Negotiated rates and generated single case agreements to out of network nursing facilities for Medicare Complete, Medicaid, and Commercial products.• Assisted potential providers through network operations credentialing process.

Provided support to clients and team members pertaining to medical insurance claims, benefits, and eligibility. • Developed and mentored new hires and served as the subject matter expert with functional and technical questions. • Analyzed enhanced features, determining usability in Intelligent Desktop. Wrote and executed user acceptance testing plans.

Provided support for out of network client recruitment activities.• Compiled and maintained an extensive client database.• Coordinated and executed provider recruitment strategies.

Certified Professional Project Manager, Project Management

Bachelor Of Science (Bs), Management Information Systems, General

Bachelor'S Degree, Chinese Language And Literature

Education record

Completed eight week Immersive International Chinese Language Program.