Mandy Dalton Email and Phone Number
Mandy Dalton's Location
Herriman, Utah, United States, United States
Mandy Dalton's Contact Details
Mandy Dalton work email
- Valid
- Valid
Mandy Dalton personal email
n/a
About Mandy Dalton
Self-motivated, analytical individual with great communication and leadership skills with 20+ years in the health insurance industry.
Mandy Dalton's Current Company Details
Mandy Dalton Work Experience Details
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Assistant Director, Payment IntegrityCambia Health Solutions Dec 2021 - PresentPortland, Or, Us
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Manager, Payment Integrity Support ServicesCambia Health Solutions Mar 2021 - Dec 2021Portland, Or, UsResponsible for managing activities of the Payment Integrity Support Services Team including planning, problem-solving, staff development, and communication. Responsible for leading the team with new and existing business processes to identify areas of opportunity and execute business unit objectives, supporting continuous improvement, assisting with the development and implementation of data quality and decision support systems/tools. Manage healthcare claims data research, Vendor Performance and Program Management, Invoicing and Billing, and Payment Integrity market research (policy, benchmarking, vendor capabilities, etc.). Identify strategies to align and effectively support operational data and metrics with changing business needs.
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Configuration ConsultantCambia Health Solutions Dec 2019 - Mar 2021Portland, Or, UsSupport, maintenance, and enhancement of existing systems, as well as the development, configuration, and delivery of new systems. Applies data analysis to provide solutions to increase efficiency and effectiveness of work processes. Works and consults with various stakeholders to define business requirements, understand application data requirements, configure and test applications and system functionality.
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Reimbursement Analyst LeadCambia Health Solutions Jul 2011 - Dec 2019Portland, Or, UsReview provider contracts, provide analysis and recommendation of implementation of Reimbursement Methodologies. Assist Reimbursement Analysts with day to day activities to ensure pricing system are current and accurate. Work closely with Business Support, Network Management, and Provider Enrollment to ensure negotiated payments with providers are implemented accurately and promptly. Research and address any contracted payment issues or errors. Research and analyze claim discrepancies and recommend corrective action.
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Pricing Reimbursement Analyst Ii/IiiCambia Health Solutions Sep 2007 - Jun 2011Portland, Or, UsSelf-motivated, analytical individual with great communication and leadership skills who seeks and enjoys responsibility. To obtain a position offering challenge, responsibility, and advancement opportunities while utilizing my knowledge and experience in reimbursement methodologies, network strategy/contracting, data analysis, reporting, configuration, testing, and project management.
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Project Administrator IiCambia Health Solutions Feb 2005 - Sep 2007Portland, Or, UsResponsible for reporting for Provider Services, Provider Contracting and Provider Reimbursement. Responsible for building pricing methodologies in current claims system. Participated in new claims system project, duties included building provider agreements, testing and implementation. Provided support for Provider Relations Consultants and Provider Contracting.
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Data Analyst I/IiCambia Health Solutions Apr 2001 - Feb 2005Portland, Or, UsResponsible for data analysis and reporting for Actuarial, Underwriting, Membership, Marketing and Business Intelligence. Participated in conversion mapping, testing, documenting and implementing new Data Warehouse. Worked with various departments in analyzing and implementing new Data Warehouse.
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System AdministratorWells Fargo Jan 1999 - Mar 2001San Francisco, California, UsParticipated in configuring, testing, documenting, implementing and supporting Loan Origination Systems. Worked with various departments in analyzing and implementing the needs of the end user. Configured, tested and created an installation plan and participated in the rollout of the systems nationwide. Worked with the Development team to design and test new desktop applications and acted as a liaison between Business owners and the Development team. Worked directly with the Business Owners to determine and process the needs of the end user. Created, documented, and participated in the software rollout to over 300 users. Maintained loan origination system, including programming new and existing forms and performing system updates. Provided third level technical support to business end users. -
Computer Support TechnicianWells Fargo Dec 1996 - Jan 1999San Francisco, California, UsFirst level telephone and on-site support for over 1500 end users. Trouble-shoot technical situations with desktops, laptops, printers and networks. Installed, maintained and trained end users on different desktop applications. Maintained database and distribution of information to other departments at corporate headquarters. Participated in conversion and rollout projects nationwide. Provided account administration for end users, including creating new accounts, changing passwords, and maintaining Access database of end user information.
Mandy Dalton Skills
Leadership
Auditing
Conflict Management
Team Building
Network Contracting
Requirements Analysis
Insurance
Medicare
Data Management
Hipaa
Data Analysis
Forecasting
Microsoft Sql Server
Data Governance
Business Analysis
Data Analytics
Healthcare
Team Leadership
System Administration
Process Improvement
Strategy
Outlook
Ppo
Provider Contracting
Emotional Intelligence
Microsoft Office
Budgeting
Microsoft Excel
Pl/sql
Pricing Strategy
Change Management
Training
Microsoft Outlook
Customer Service
Business Process Improvement
Healthcare Analytics
Sql
Teamwork
Project Management
Analytical Skills
Problem Solving
Health Insurance
Analytics
Continuous Improvement
Written Communication
Sql Server Reporting Services
Hospital Contracting
Access
Product Customization
Databases
Mandy Dalton Education Details
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Salt Lake Community CollegeGeneral Education
Frequently Asked Questions about Mandy Dalton
What company does Mandy Dalton work for?
Mandy Dalton works for Cambia Health Solutions
What is Mandy Dalton's role at the current company?
Mandy Dalton's current role is Assistant Director, Payment Integrity at Cambia Health Solutions.
What is Mandy Dalton's email address?
Mandy Dalton's email address is ma****@****nce.com
What schools did Mandy Dalton attend?
Mandy Dalton attended Salt Lake Community College.
What skills is Mandy Dalton known for?
Mandy Dalton has skills like Leadership, Auditing, Conflict Management, Team Building, Network Contracting, Requirements Analysis, Insurance, Medicare, Data Management, Hipaa, Data Analysis, Forecasting.
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