Provider Contract Modeling, Rate Analytics, Excel Template Design, Compliance Audits, System Negotiation Analysis

Provider Contract Modeling, Rate Analytics, Excel Compliance Audits, Custom Rate Structure Review

Utilize various business intelligence tools such as; SQL Management studio, Knime Analytics Platform/Altryx, Microsoft Excel and etc to ensure licensing compliance across the Optum organization. Analyze raw data to determine gaps between the Partner in Active Licensure (PAL) system and the DataMart to ensure accuracy of all reporting activity. Play an integral role in OptumRx monthly audits by developing reports which identify expiring licenses, new and existing license disciplines, and Primary Source Verification image files. Construct and manage the Client Request for PAL System Modification process. Collaborate with HR to ensure required clinical licensure is verified upon hire to meet organizational licensure standards.

• Developed a clinician on-boarding process using Six Sigma process building methodology• Collaborate with cross-functional teams to coordinate a department deployment• Manage a working project plan for key accounts • Created communications for large audiences to ensure licensure policy compliance • Designed and updated End-User Web training for each licensure system P.I. release• Generated various reports by using complex data models• Performed User Acceptance Testing for PAL prior to each P.I. release

• Provide consulting services for multiple channel partners• Generate creative solutions for client issues• Communicate new product changes to an assigned client base• Establish long lasting relationships with distributors and end-users• Maintain daily in-bound call metrics• Support RSM with daily sales needs such as quotations, complaints, and product questions• Enter domestic/international orders within the assigned territory into ERP system• Assisted in generating over $8 million in revenue in 2014

• Implemented creative sales and marketing solutions• Provided superior customer service to new and current end users• Communicated new sales strategies to the sales team• Handled customer escalations daily• Marketed AT&T service plans to meet and exceed monthly sales goals by 150%• Maintained certification to open and manage commercial accounts

• Maintained proper cash limits, cashed checks, and accepted deposits• Issued cashier’s checks, money orders, cash advances, and funds transfers• Identified customer’s individual financial needs• Opened and closed customer accounts per banking policy guidelines• Tasked with a variety of secretarial duties while providing prompt, courteous, and accurate customer service

• Provided consultation services for customers• Trained new employees• Evaluated sales associates monthly performance• Managed company inventory.