Melanie Wiley

Melanie Wiley Email and Phone Number

Regulatory Change Management-Compliance Specialist @ Centene Corporation
New Iberia, LA, US
Melanie Wiley's Location
New Iberia, Louisiana, United States, United States
Melanie Wiley's Contact Details

Melanie Wiley work email

Melanie Wiley personal email

n/a
About Melanie Wiley

Experienced Executive Director with a demonstrated history of working in the mental health care industry. Skilled in U.S. Health Insurance Portability and Accountability Act (HIPAA), Quality Assurance, Healthcare Information Technology (HIT), Management, and QuickBooks. Strong administrative professional with a Bachelor of Science (BS) focused in Psychology from Southern University and Agricultural and Mechanical College at Baton Rouge.

Melanie Wiley's Current Company Details
Centene Corporation

Centene Corporation

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Regulatory Change Management-Compliance Specialist
New Iberia, LA, US
Melanie Wiley Work Experience Details
  • Centene Corporation
    Regulatory Change Management-Compliance Specialist
    Centene Corporation
    New Iberia, La, Us
  • Louisiana Healthcare Connections/ Centene Corporations
    Compliance Specialist
    Louisiana Healthcare Connections/ Centene Corporations Jul 2024 - Present
    New Iberia, Louisiana, United States
  • Louisiana Healthcare Connections
    Behavioral Health Provider Network Specialist Ii
    Louisiana Healthcare Connections Jul 2022 - Jul 2024
    New Iberia, Louisiana, United States
    • Perform health plan provider orientations and conduct ongoing educational outreach with a focus on improving quality and financial outcomes within the provider network. Act as liaison between providers and the health plan to enhance the business relationship.• Conduct initial provider orientations as well as ongoing educational outreach• Educate providers regarding policies and procedures related to referrals, claims submission, credentialing documentation, web site education, Electronic Health Records, Health Information Exchange, and Electronic Data Interface• Enhance account relationships by investigating, documenting and resolving provider matters and effectively handling and responding to account changes and correspondence.• Engage providers and educate them on LDH’s PIP’s• Complete LDH projects as assigned• Create and communicate milestone documents, dashboards and success or improvement metrics• Act as a liaison between the provider and the health plan ensuring a coordinated effort in improving financial and quality performance• Provide information and status updates for providers regarding incentive agreements• Conduct site visits weekly, meet department metrics• Perform other contracting duties as requested, including but not limited to recommending changes to pricing subsystems, submitting changes to provider related database information and assisting in the completion of special projects
  • Biltmore Health Services Inc
    Executive Director
    Biltmore Health Services Inc Aug 2021 - Feb 2022
    Lafayette, Louisiana, United States
  • Biltmore Health Services, Inc.
    Operations Manager
    Biltmore Health Services, Inc. Jun 2016 - Feb 2022
    Lafayette, La, United States
    God first, Hard working, dedicated to making sure the business runs at its best
  • Biltmore Health Services
    Office Administrator
    Biltmore Health Services Jul 2015 - Feb 2022
    Lafayette, La
  • Premier Community Services, Llc
    Quality Assurance Manager
    Premier Community Services, Llc Jul 2014 - Jun 2015
  • Caring Touch Home Care
    Administrator
    Caring Touch Home Care 2012 - 2014
  • Ageless Healthcare
    Human Resource Manager
    Ageless Healthcare Oct 2011 - Oct 2012
  • Premier Community Services, Llc
    Program Director
    Premier Community Services, Llc Nov 2010 - Oct 2012
  • Xerox
    Program Specialist
    Xerox Oct 2008 - Oct 2010

Melanie Wiley Skills

Billing Systems Microsoft Office Quickbooks Locet Mds Typing Human Resources Hipaa Healthcare Information Technology Healthcare Hospitals Leadership Management Microsoft Excel Quality Assurance Research

Melanie Wiley Education Details

Frequently Asked Questions about Melanie Wiley

What company does Melanie Wiley work for?

Melanie Wiley works for Centene Corporation

What is Melanie Wiley's role at the current company?

Melanie Wiley's current role is Regulatory Change Management-Compliance Specialist.

What is Melanie Wiley's email address?

Melanie Wiley's email address is mw****@****ces.com

What schools did Melanie Wiley attend?

Melanie Wiley attended Capella University, Southern University And Agricultural And Mechanical College At Baton Rouge.

What skills is Melanie Wiley known for?

Melanie Wiley has skills like Billing Systems, Microsoft Office, Quickbooks, Locet, Mds, Typing, Human Resources, Hipaa, Healthcare Information Technology, Healthcare, Hospitals, Leadership.

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