Michele Phillips Email & Phone Number

Texas, United States

North Carolina

• Account Manager: Implements, builds and fosters productive relationships with participating physicians of all specialties and practices in (7) counties servicing a high volume (100’s) of accounts
• Manages and optimizes work processes: prioritizes daily operations and administration of contractual provider relationships in a managed care environment, ensuring all relationships are positive and maintained
• Drives Solutions / Action Oriented: Significant improvement made in state Medicaid cases from dozens of cases to (0)
• Leads face to face & virtual monthly and quarterly meetings with providers (40+ a month) utilizing clear objectives and agendas
• Initiated 400+ cases to provider data management team to improve efficiency, network adequacy and resolution to providers
• Effective communicator: Impeccable follow up to providers 100% within 24 hrs of outreach to me, collaborates with internal teams to address any challenges

Raleigh, North Carolina, United States

• Implemented Medicaid LTSS Provider Relations program for the state servicing 19 specialties. Trained and educated new LTSS providers as liaison to the plan
• Key point of contact for Care Management Team and NC providers: Provide ongoing support via routine scheduled visits, orientation presentations, educational training for claims/billing and clinical teams
• Presented educational In Services presentations to providers throughout the state with Care Management: To strengthen partnerships & LTSS program throughout Eastern NC servicing 50 counties in 3 regions
• Exceptional problem solver: Sourcing root causes with claims, care management and contract issues when complex provider issues need to be addressed
• Ensure providers are well maintained and supported, while managing multiple provider relationships for the entire state since Medicaid transition of care
• Provider Data Integrity and Credentialing: Conduct Director provider review on lines of business, initiate and communicate requests to add or terminate providers, liaison to contracting and provider data management

Raleigh-Durham-Chapel Hill Area

• Provided personal care services and companionship to several long term clients assisting with activities of daily living through various home health care agencies
• Reported required information and communicated effectively with family members about daily changes / updates and patient needs
• Identified risk factors and improved environments for optimum safety to reduce falls, choking, etc.
• Specialized in Hospice care, Alzheimer disease, Dementia and Parkinson’s disease

Raleigh-Durham, North Carolina Area

• Trained department supervisor, new hires and nurses on PCS assessment scheduling new orientation to NC Medicaid PCS policies, procedures and protocols
• Responsible for the largest volume region accounting for an average of 395 Medicaid patient assessments monthly and an independent assessment team of 6 registered nurses
• Liaison to large and small home health providers and group homes for new admission and on-going annual PCS patient assessments for 3 large sub-regions within NC
• Educated home health providers on Medicaid and PCS policies to ensure state compliance and provide necessary resources for access to various Medicaid programs
• Processed formal provider and beneficiary complaints and escalations
• Conducted avg of 76 outbound calls daily to schedule assessments, managed patient inquiries, answered and educated Medicaid beneficiaries, physicians and social workers on the PCS program, and researched eligibility.

• Coordinated public relations, branding, promotions, client relationships, event planning and content writing for various organizations
• Developed and implemented a new internship for UNCG Communication Studies Department to promote the department’s presence and brand to the community
• Recruited and trained new hires, created SOP manual for department internship
• Planned, managed, marketed and executed ten successful events such as meet and greets, holiday parties and workshops for faculty and students to increase UNCG’s Communication department’s presence and branding to new &.
• Worked to promote client relationships and promotional events, gallery showings, art competitions and gala to increase attendance and community awareness
• Directed & managed volunteers and produced the grand opening gala event for ReStore of Apex, exceeding all sales and marketing targets to 160% of plan

Greensboro/Winston-Salem, North Carolina Area

Graduated magna cum laude with a BA in Communication and Media Studies. I went back to school part time then full time to finish my education.

Greensboro/Winston-Salem, North Carolina Area

Recruited to implement and develop an internship for UNCG's Communication Studies Department. - Planned, marketed, managed and executed ten (10) successful events to include: Meet & Greets, Fall Open House, Honor Society Induction and various workshops to build the department's brand and presence to attract transfer and new students to the community- Wrote.

Raleigh-Durham, North Carolina Area

• Directed a team of volunteers, sourced sponsors and coordinated all of the catering and entertainment for the grand opening gala of Apex ReStore
• Provided exposure to vendors on all radio and television advertising in the weeks leading up to the grand opening
• Marketed and initiated partnerships within the community, chamber of commerce members and ReStore, accomplishing goal to spread Habitat’s mission and purpose to the community before opening day
• Exceeded all sales and marketing targets to 160% of plan!!

Raleigh-Durham, North Carolina Area

- Developed an in-patient Hospitalist program from six (6) initial contracts to thirteen (13) hospital contracts in NC, SC, GA, KY, TX, AZ- Recruited and trained new hires for the department- Managed schedules for all physicians in each contracted state according to hospital guidelines for Hospitalist requirements to be met- Planned and promoted hospital.

Dallas, Texas, United States

- Managed 15 trade shows including exhibit presence, speaker opportunities, marketing media and public relations opportunities, advertising and sponsors, and followed up with key clientele- Targeted and researched national exhibition opportunities for OB/GYN conferences, women's expos and insurance forums to market treatment for uterine fibroids- Main.

Bachelor’S Degree, Communication And Media Studies

Activities and Societies: Alpha Lambda Delta Honor Society, Lambda Pi Eta Honor Society, University Marshal, Dean's List, Chancellor's.

Part Then Full Time, General Studies

Education record