Melanie Wiley Email and Phone Number
Melanie Wiley work email
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Melanie Wiley personal email
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.
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Regulatory Change Management-Compliance SpecialistCentene CorporationNew Iberia, La, Us -
Compliance SpecialistLouisiana Healthcare Connections/ Centene Corporations Jul 2024 - PresentNew Iberia, Louisiana, United States
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Behavioral Health Provider Network Specialist IiLouisiana Healthcare Connections Jul 2022 - Jul 2024New 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 -
Executive DirectorBiltmore Health Services Inc Aug 2021 - Feb 2022Lafayette, Louisiana, United States -
Operations ManagerBiltmore Health Services, Inc. Jun 2016 - Feb 2022Lafayette, La, United StatesGod first, Hard working, dedicated to making sure the business runs at its best
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Office AdministratorBiltmore Health Services Jul 2015 - Feb 2022Lafayette, La
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Quality Assurance ManagerPremier Community Services, Llc Jul 2014 - Jun 2015
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AdministratorCaring Touch Home Care 2012 - 2014
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Human Resource ManagerAgeless Healthcare Oct 2011 - Oct 2012
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Program DirectorPremier Community Services, Llc Nov 2010 - Oct 2012
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Program SpecialistXerox Oct 2008 - Oct 2010
Melanie Wiley Skills
Melanie Wiley Education Details
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Health/Health Care Administration/Management
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.
Not the Melanie Wiley you were looking for?
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2generalcable.com, prysmiangroup.com
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Melanie Wiley
Auburn, Al5mathesoninc.com, apple.com, schnitzersteel.com, apple.com, ehealthinsurance.com -
Melanie Wiley Gail
Md/Phd Candidate Using Neuromodulation In Neurodevelopmental DisordersCharleston, South Carolina Metropolitan Area -
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