- Works with data exchange partners and internal teams to develop integrated accumulations and ensure the accuracy of integrated accumulations at Capital Rx- Serves as a point of coordination for accumulation issue identification and issue resolution with internal teams and external integration partners- Identifies and triages accumulation issues and support the resolution of all errors related to transferring, loading, and management of integrated accumulation data- Proactively monitors system status and accumulation management data to quickly identify potential abnormalities that might impact quality and accuracy- Ensures that all issues and errors are resolved using designated operating standards and within defined service levels- Assists with the validation of accumulation data integrity through regular audits and reconciliation processes- Participates in projects with accumulation impacts including vendor changes, client migrations, and client add-on requests

- Manage and maintain accuracy of our database containing eligibility, accumulator, and Rx claims data for over 750,000+ lives- Responsible for the integration of any new vendor relationship using Electronic Data Interchange and file layouts for eligibility, accumulator, claim detail, and other files by obtaining EDI file specifications, file encryptions and transmission information from vendor- Solid technical understanding of different file types (fixed width, delimited, 834, etc.)- Computer proficiency and technical aptitude with the ability to utilize various connectivity solutions (FTP/Secure FTP, Webfolders (WebDAV), VPN), and use of MS Office applications- Build and maintain relationships with Liviniti’s partners and other vendors; serve as liaison to bridge gaps between system partners and internal outward-facing staff- Document and provide scope of work to all parties involved in all stages of integration, noting customizations, routing rules, data mapping, etc. to ensure seamless integration process on client side- Research, analyze, and understand data elements in Liviniti systems, as well as inbound and outbound vendor systems- Develop mapping and translations between data elements for file feeds- Coordinate and test EDI feeds with external vendors and internal file developers- Maintain extensive knowledge of claims adjudication system requirements- Assist with all production EDI issues- Work on assignments that are complex in nature in which judgment and initiative are required in resolving problems and making recommendations- Abide by all obligations under HIPAA related to Protected Health Information (PHI)- Attend, complete, and demonstrate competency in all required HIPAA Training offered by the company

- Managed the Prescription Benefits Manager Department (Over $5 million in book of business)- Lead all process improvement projects from the initial analyzing, budgeting, planning & design phases, through testing & implementation phases, and finally the post-implementation review phase- Conducted in-depth research and analysis of large, complex data sets to identify trends, forecast emerging issues/opportunities, determine affected areas, estimate the impact, and recommend best practices leading to resolution.- Oversaw the successful installation of all functional requirements related to the implementation of assigned new and existing clients by ensuring every phase and feature of a solution was audited and tested, and that any potential issue was identified and corrected before the solution went live- Interfaced with external PBM partners and internal IT Department to coordinate ongoing electronic file feeds, data exchanges, reporting, and SQL queries- Provided expertise, consultative guidance, and served as an advocate for our external client to ensure PBM partners are meeting/exceeding service level requirements- Acted as intermediary dealing directly with external Prescription Benefit Managers to resolve customer complaints/issues.- Lead the review process for new and renewing vendor contracts through final execution to ensure the current terms are compliant with government regulations and the external client's requirements- Maintained client facing website containing member data and resources- Managed and maintained accuracy of our database containing eligibility, accumulator, and Rx claims data for over 500,000 lives- Managed full software life cycle of new PBM eligibility database system to increase automation and reduced manual intervention errors by over 33%- Maintained professional and technical knowledge by attending educational workshops, reviewing professional publications, and establishing personal networks

· Hired as a manager trainee, promoted to assistant manager in 6 months, then promoted to branch manager 9 months later, over 1 year faster than the standard timeframe· Won multiple Corporate Exceptional Achievement Awards as a top ranked branch in the core areas of fleet growth, profits, and customer satisfaction· Formulated and implemented a comprehensive business operational plan strategy resulting in an increase of over 36% in branch revenue· Directed overall fleet strategy for the branch resulting in a fleet growth of over 27%· Created new processes and increased customer service satisfaction scores by over 21%· Planned, created, and led training programs on staff development to enhance branch performance· Mentored 3 employees who received promotion to Assistant Manager and 2 Assistant Managers who received promotions to Branch Manager

• Consulted in the opening of two different restaurant concepts, including menu & recipe creation, interior restaurant design, and the development of employee training materials & guidelines• Supervised both front-of-house and back-of-house managers & employees to ensure store compliance with company and government regulations and guidelines• Responsible for employee training & evaluation, developing & maintaining budget, creating weekly scheduling, administering store payroll, and producing P&L reports• Consistently exceeded daily, weekly, and monthly sales goals while lowering cost and employee turnover• Improved mid-week revenue over 25% by implementing new specials and promotions which was adopted companywide after the single store success• Negotiated vendor/supplier contracts to control inventory cost• Created marketing campaign in various electronic and print media outlets to increase the brand’s awareness