Regina Walker work email
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Regina Walker personal email
Dynamic, flexible and responsive healthcare operations leader with solid experience and multiple successes in policy writing and process improvement. Possesses strong vision, research skills, organization management, and communication skills, both written and oral. Streamlines processes and implements strategic solutions that increase accuracy and productivity while generating revenue for the organization. Strong professional skilled in Operations Management, Medicare/Medicaid, and Managed Care.
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Manager, Business OperationsCigna-Healthspring Feb 2017 - May 2019Nashville TnManaged delegated operations for First-Tier, Downstream, and Related Entities (FDRs) that service over 400K Medicare Advantage members across the entire Cigna-HealthSpring footprint.- Led functional delegation and oversight for high-risk Medicare Advantage FDRs as well as Medicaid FDRs. - Served as claims functional lead across 200+ FDRs and collaborated with internal business partners for alignment and compliance of regulatory requirements. - Oversaw project to implement a revised methodology for FDR calculation and application of Member out of pocket (MOOP) maximums, adjustment and/or reconciliation in accordance with regulatory requirements. - Oversaw encounter reconciliation of 1.5 million missing historical encounters from assigned FDRs for years 2014-2017 to correct Member Out of Pocket (MOOP) calculations and generate corrected explanation of benefits (EOBs). This included development and communication of reporting requirements, exclusions, and internal file edits.
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Manager, Provider EnrollmentSaint Thomas Physician Services Jun 2013 - Feb 2017Greater Nashville Area, Tn- Collaborated and coordinate with practice managers, division directors, Corporate, Revenue Cycle Services Executives and Staff to develop, implement and refine effective and efficient policies and procedures that maximize cash receipts.- Oversaw team management for the enrollment and re-enrollment of 2000+ providers with over 30 payers -
Director, Healthcare OperationsAmerigroup Corporation Mar 2008 - May 2012- Served as an account manager for $3.1 million business with transportation vendor; Oversight of provider credentialing, enrollment and termination processes; and collaboration with matrix partners for provider data quality - Provided recommendations for pharmacy, member services, provider network, finance, managed care compliance and industry quality measures. -
Director Of Quality Monitoring And ReportingSchaller Anderson Sep 2004 - Sep 2007- Developed and implemented audit procedures for compliance with identified standards and regulations for the Quality Improvement, Quality Monitoring, and Data Reporting departments. - Monitored and evaluated client staff performance based on established benchmarks and performance indicators while translating business requirements into functional objectives. - Identified deficiencies in workflow processes and provided recommendations for training and development and/or corrective action plans.
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Director Of Client ServicesSchaller Anderson Jun 2001 - Sep 2004Managed the in-house IS dept and the resources needed to provide local database support to clients; led system enhancement process for customized applications. Monitored all incoming data report requests, specifications, and delivery of final product to all clients and determined proper procedures for report generation. Monitored daily operations of the 250+ member client helpdesk and analyzed the performance and productivity of customized software and recommended necessary enhancements and version upgrades.
Regina Walker Skills
Regina Walker Education Details
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Multi/Interdisciplinary Studies -
Management Of Human Resource
Frequently Asked Questions about Regina Walker
What is Regina Walker's role at the current company?
Regina Walker's current role is Dynamic, flexible and responsive healthcare operations leader with solid experience and multiple successes..
What is Regina Walker's email address?
Regina Walker's email address is re****@****ing.com
What schools did Regina Walker attend?
Regina Walker attended Regent University, Faulkner University.
What are some of Regina Walker's interests?
Regina Walker has interest in Education, Health.
What skills is Regina Walker known for?
Regina Walker has skills like Operations Management, Provider Relations, Hmo, Software Documentation, Healthcare, Ehr, Managed Care, Strategic Planning, Spiritual Counseling, Medicaid, Credentialing, Medicare.
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Regina Walker
Mom✨Co-Founder Of Millionaires On Fire 🔥Helping 1000 Families Build Generational Wealth By Learning Financial Literacy✨United States -
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4yahoo.com, yahoo.com, aircoservice.com, hilti.com3 +191874XXXXX
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Regina Walker
Somerville, Ma
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