Responsible for managing the appeal and grievances process for Medicare and Medicaid Long Term Services and Support covered individuals by performing research and investigative analysis and carrying out a compliant and ethical appeal process.Provide Quality of Care services by performing analysis of documentation in Epic and task facilitation while maintaining federal and state compliance standards and regulations including HIPAA, PHI, and PII.Achieved a 96% customer service satisfaction rating in adherence to SLA by leveraging effective communication techniques and providing insight of service processes and procedures with an intent to de-escalate situations and address customer concerns.Display continuous improvement by reducing appeal error rate by 12% month over month utilizing streamlined document management and workflows in Microsoft SharePoint.

Launched and managed a results-oriented logistics and transportation startup, overseeing all daily operations: marketing, accounting, and financial forecasting with a goal of increasing revenue by 15% quarter over quarter.Increased operational efficiency and achieved weekly financial objectives for multiple small fleet owners by providing business-to-business dispatching, route planning, back-office support, and administrative services.Optimized on-time deliveries and maximized truck utilization by managing truck driver schedules, coordinating with carriers and brokers, and ensuring efficient product pickup and delivery reducing delivery delays by 21%.

Managed a center of over 35 staff members in a regulated environment across five cross-function teams to ensure compliance, integrity, confidentiality, and safety of employees, plasma donors and the medication recipients.Exceeded stakeholder expectations by functioning as the lead quality representative for regulatory audits including CLIA, FDA, GHA and internal, achieving a mitigation rate of 87% for identified findings through implementation of Corrective and Preventative Actions (CAPA).Managed deviations utilizing risk management and data analysis process using TrackWise to conduct data-based investigations determining the root cause and associated risk to develop CAPA and introduce process improvement initiatives.Served as the on-site IT liaison, providing first-line support for disaster recovery, business continuity, and level-one service desk function providing technical troubleshooting support for hardware, networking, and application tickets submitted via ServiceNow with a resolution rate of 77%.Leveraged HRIS Workday to streamline the talent management process, including benefits administration, compensation management, time and attendance tracking, and full-cycle recruiting resulting in an 89% retention rate.

Lead and develop staff to ensure that we hold our company’s standard of producing exceptional quality products at maximum efficacy while maintaining compliance of all governing regulatory agencies.Collaborated with quality management in collecting and analyzing data to support continuous improvement resulting in improved customer/donor service, product yields and financial results.Ensured the center is “inspection ready” at all times by managing adherence to Standard Operating Procedures (SOPs), compliance policies and the quality system, by performing monthly walkthroughs, tabletop and simulation exercises then enforcing necessary remedial actions.Developed and implemented a Business Continuity Plan (BCP) / Disaster Recovery Plan (DRP) complying with ISO 27701 to increase our site’s resiliency against power and network outages in the event of a disruption.

Assisted the following departments: Employee Relations, Diversity and Inclusion, Workers’ Compensation, and Records Management, Payroll and Time and Labor.Utilized analytical tools such as, Microsoft Excel dashboards and benchmarking to provide department leaders across the university with actionable insight from people data to build a strategic advantage, mitigate risk, and create a return on investment on personnel.Sustained an Affirmative Action program which ensures that the university complies with all federal laws and regulations including, FMLA, ADA, EEO and also promote diversity and inclusion through the organization.

Build and maintain relationships with local, national and global companies to recruit and hire Florida A&M University students and recent graduates for internships and full-time job opportunitiesConnect employers and organizations to students through campus branding opportunities such as, information sessions, forums, and classroom visits to meet campus recruiting goals and optimize company’s ROIAssist Accounting, Finance, Supply Chain, Business Management, and Marketing students with internship search, job search, and other career related topics including salary negotiation, resume assistance, interviewing tips and deciding on job offers

Ensured the office runs effectively, updated staff calendars, keeps record of employee recruitment and job listings. Serves as liaison between top-management and employees by communicating decisions and helping to resolve work related matters.Worked alongside Office Manager using the ADP HR information system to monitor payroll, track employees’ time and ensure accuracy with scheduling; develop and implement effective retention programs and strategies, training and work-life balance to improve job satisfaction and enhance employee motivation.Analyzed workforce metrics and meets with HR Coordinator to determine employee turnover rate, absenteeism, and training effectiveness in order to measure organizational performance.Managed the full cycle recruiting process, including posting job ads online pre-employment background checks, interviewing candidates, onboarding new associates and guiding them through documents such as I9, direct deposit, W4, and contracts.Assisted with the organizing, sorting, and distribution of enrollment packets; verifying payroll accuracy; and printing payroll inserts, paystubs, and organized payroll checks for distribution.

Handled a variety of phone calls from providers, attorneys, insurance companies and patients. Validated requests for protected health information according to the VA and HIPAA. Worked directly with veterans, external health care facilities, and legal and business entities to process medical records requests Handled member inquiries; acquired knowledgeable in medical terminology, stayed abreast of current VA regulations, guidelines and standards for state and federal law.Shadowed Claims Specialist to understand how to facilitate member health information through all caregivers, insurance companies, billing departments and the VA policies and procedures.

Enhanced, developed, and implemented initiative programs that addressed public health concerns in order to improve the overall health of the community. Presented at events regarding risk-reduction and community health modalities to reduce individual and community risk.Worked collaboratively with DOH and Program Manager to implement and execute the community education plan; completed performance reviews, utilizes performance improvement procedures as appropriate, and adheres to the hospital/company policies.Provided support group facilitation, on topics regarding health conditions impacting the organization’s services and strategies to engage members of targeted and impacted populations in care