Melissa Frandsen, Msm

Melissa Frandsen, Msm Email and Phone Number

Business Analyst IV - Claims Operations @ Centene Corporation
Eureka, MO, US
Melissa Frandsen, Msm's Location
Eureka, Missouri, United States, United States
Melissa Frandsen, Msm's Contact Details

Melissa Frandsen, Msm personal email

n/a
About Melissa Frandsen, Msm

For the longest time, I told myself that I could never be a stay-at-home parent. I was too dedicated to the work I poured into at my office job each day with my team. I prided myself in the millions I was able to save our company and Health Plans, and I was thrilled to challenge myself on how to make a process faster and more efficient. After I had my first daughter in June 2020, I leaned into my new role as "Mom." My maternity leave came and went in a blink, and I was eager to get back to the daily grind again. I poured into the work that I loved each day, but I soon started to realize I wasn't pouring into my daughter. With Covid running rampant still and unreliable daycare, I decided it was best for me and my daughter to focus my time and attention on her. In April 2021, I said goodbye to the best team and company to pursue being a Mom full-time. It was a dream to be able to teach and mold my daughter during that 2 year period in our lives. When it became time for her to enter preschool, I was energized to re-enter the workforce and hopefully find a place back at Centene. I am now on an amazing team at Centene working as a Business Analyst III in the Business Technology Solutions department. I am working in an IT world I never thought I would dip my toes into, however, it has given me so much new experience into all things Agile and Scrum.I have learned a lot throughout my professional career, but there are two things that really stand out:1. Negotiating with a three-year-old is much more difficult than with a group of Executive leaders.2. Never say never.

Melissa Frandsen, Msm's Current Company Details
Centene Corporation

Centene Corporation

View
Business Analyst IV - Claims Operations
Eureka, MO, US
Website:
centene.com
Employees:
33823
Melissa Frandsen, Msm Work Experience Details
  • Centene Corporation
    Business Analyst Iv - Claims Operations
    Centene Corporation
    Eureka, Mo, Us
  • Centene Corporation
    Business Analyst Iii - Business Technology Solutions
    Centene Corporation Apr 2023 - Present
    Eureka, Missouri, United States
    I led the Encounters team through the largest migration in the history of the Pharmacy Benefits Management (PBM) industry in 2023. I managed the transition of the Encounters IT jobs to incorporate the transition to Express Scripts (ESI) from CVS and to ensure both PBMs were set up for ESI's 1/1/2024 go-live date. This migration is part of a $35 billion per year contract with ESI that makes Centene its largest customer.I also provide direct support to the Product Owners (POs) on the Encounters Team and work as a liaison between the Developers and Encounter Business Owners (EBOs) to ensure Jira user stories are submitted and concise. I partner with leadership to pull reports in Jira to focus on the highest priority user stories and to ensure the development team has the details they need to complete the technical work.
  • Self Employed
    Household Manager
    Self Employed May 2021 - Apr 2023
    Eureka, Missouri, United States
    I am accountable for the day-to-day operations of my household which include creating and balancing our budget, paying bills, and identifying cost-saving opportunities in daily, weekly, and monthly expenses. I worked closely with my child each day to teach developmentally appropriate lessons and prepare her for preschool.My successes included spearheading a 5-month full home renovation project which included ordering supplies, hiring and managing contractors, and ensuring the budget was not exceeded.
  • Centene Corporation
    Business Analyst Ii - Payment Integrity
    Centene Corporation Nov 2018 - Apr 2021
    Chesterfield, Mo
    I managed the DRG post-pay audit process for 5 health plans which involved extensive data analysis on a daily, weekly, and monthly basis in order to achieve maximum potential savings. I helped launch administrative denials for 2 health plans where provider response was lacking in order to increase participation in the audit program. Overall, I was able to achieve $26.4M in savings in 2019 and $33M in savings in 2020.
  • Centene Corporation
    Project Coordinator Ii - Payment Integrity
    Centene Corporation Jul 2018 - Nov 2018
    Chesterfield, Missouri
    I managed the medical record invoice process for the DRG post-pay audit process for 23 health plans. This involved initiating trend reporting of paid medical record invoices and coordinating with providers to get their records sent in for audit resulting in a $567K savings. When I started in the position, the medical record invoice backlog was 6 months behind. I was able to clear this backlog in 2 months and was promoted just 4 months after the start of this position due to my various successes.
  • Centene Corporation
    Provider Data Management Analyst I
    Centene Corporation Apr 2017 - Jun 2018
    Town And Country, Missouri
    I was in charge of enrolling providers and practitioners into the provider data management system. I consistently exceeded the enrollment production goal of 10 per day by averaging 20 or more enrollments per day. Because of this, I was asked to assist in the implementation of a new enrollment system to identify barriers and recommend potential business solutions. I also mentored new enrollment team members by leading training classes and performing quality audits to ensure top performance.
  • Mtm, Inc.
    Team Lead, Credentialing
    Mtm, Inc. Feb 2016 - Apr 2017
    Lake Saint Louis, Missouri
    I led a team that managed the payee credentialing side of the medical transportation industry. This team was new, and I was asked to lead it due to my extensive knowledge of the credentialing system and process. In the first month of the position, my team was able to decrease the credential approval time frame from over 50 calendar days to under 7 calendar days. I also managed departmental projects which included creating and documenting business process manuals for the team to reference and train with.
  • Mtm, Inc.
    Appointment Validation Specialist
    Mtm, Inc. Aug 2014 - Jan 2016
    Lake Saint Louis, Missouri
    I was responsible for determining if members were eligible for gas mileage reimbursement for medical appointments, and I was consistently a top performer in our department and held the lowest error rate. I was placed in charge of training the entire department on the new credentialing application and all credentialing rules and regulations. My successes included achieving the highest productivity in credentials completed for 5 consecutive months and achieving the highest performance review score in a team of 30.
  • Mcdonald'S Corporation
    Zone Manager
    Mcdonald'S Corporation Jan 2008 - Aug 2015
    Crestwood, Missouri
    I managed a team of 8 employees during lunch and dinner shifts and motivated the team to hit respective customer count goals and targets. I would delegate daily manager checklists to myself and my team to complete before rush times and provide verbal feedback on productivity to the Store Manager. My biggest accomplishment during my time at McDonald's was being promoted from a Crew Employee to Zone Manager while I was working part-time on weekends during my undergraduate studies.

Melissa Frandsen, Msm Skills

Time Management Cashiering Customer Service Food Service Teamwork Powerpoint Microsoft Word Cash Register Social Networking Restaurants Customer Satisfaction Microsoft Office Microsoft Excel Data Entry Facebook Food Employee Training People Skills Social Media Food Safety Leadership Management Public Speaking Project Management Business Process Improvement Data Analysis

Melissa Frandsen, Msm Education Details

Frequently Asked Questions about Melissa Frandsen, Msm

What company does Melissa Frandsen, Msm work for?

Melissa Frandsen, Msm works for Centene Corporation

What is Melissa Frandsen, Msm's role at the current company?

Melissa Frandsen, Msm's current role is Business Analyst IV - Claims Operations.

What is Melissa Frandsen, Msm's email address?

Melissa Frandsen, Msm's email address is mf****@****inc.net

What schools did Melissa Frandsen, Msm attend?

Melissa Frandsen, Msm attended Greenville University, Greenville University, Greenville University, Clayton High School.

What are some of Melissa Frandsen, Msm's interests?

Melissa Frandsen, Msm has interest in Social Services.

What skills is Melissa Frandsen, Msm known for?

Melissa Frandsen, Msm has skills like Time Management, Cashiering, Customer Service, Food Service, Teamwork, Powerpoint, Microsoft Word, Cash Register, Social Networking, Restaurants, Customer Satisfaction, Microsoft Office.

Who are Melissa Frandsen, Msm's colleagues?

Melissa Frandsen, Msm's colleagues are Reicina Coleman, Adan Hernandez, Pahm, Mhit, Jenelle Barry, Alexandria Cotto, Jayakumar Sundaram, Lisa Heverly, Brian Lewis.

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