Sandra Moore Email & Phone Number

Camp Pendleton North, California, United States

• Maintained several systematic tracking systems and prepared weekly analytical reports.• Executed processes and procedures for data mapping, and compliance. • Implemented a process improvement project to streamline existing system and fulfillment center functions.• Produced databases, queries, and reports for analyzing, summarizing, and root-causing failure data.• Developed Key Performance Indicators and scorecards to monitor productivity and operations fulfillment.• Present semi-annual healthcare performance reviews to primary care and specialty care clinic leadership regarding performance to targets.• Auditor and Data Quality analyst of Financial, Workload, and Labor Reporting.

Camp Pendleton North, California, United States

• Effectively analyze data to facilitate process improvement in support of the mission and operation.• Query and retrieve data analysis reports, cost-effective analysis, staffing, and clinic production. • Forecast expense and clinic production based on actual and historical data.• Processed raw data to create reports to assist with making better business decisions.• Review relative value units, productivity, targets, labor reporting, trends, access to care, eligibility, enrollments, appointment status and utilization, and direct and purchase care expenses. • Member of the Performance Planning committee responsible for implementing a 5-year business planning cycle and strategies. • Present monthly and annual performance and productivity presentations to leadership.

Camp Pendleton North, California, United States

• Excellent customer service to a diverse population. • Presented TRICARE briefings to town meetings and individuals. • Knowledge of TRICARE Health Care benefits and other Military Healthcare programs. • Thorough understanding of TRICARE claims processing, referral/authorizations, and enrollment.• Interact with TRICARE regional contractors to resolve claim issues.• Interact with customers and senior commanders in a professional and positive manner.• Ability to make immediate and accurate decisions in a quick-paced environment.• Administered yearly performance evaluations and set employee performance goals.• Interviewed and trained new hires on employee policy procedures.

Camp Pendleton North, California, United States

• Enrollment of eligible beneficiaries into the TRICARE Prime program.• Verify eligibility in the National Enrollment Database and Healthnet system. • TRICARE enrollments and disenrollments.• Communicate with subcontractors, and TRICARE regions to resolve claim issues.• Explain TRICARE Prime, Standard, Extra and TRICARE For Life. • Communicate with beneficiaries by telephone, in-person, and/or in writing to resolve issues.

Camp Pendleton North, California, United States

• Military Enrollment Services• Healthcare Benefits• Authorizations and Referrals• Healthcare Insurance

Rancho Bernardo Ca

• Healthcare authorizations and referrals• Customer Service Representative• Military Insurance• Military Enrollments

Master Of Business Administration - Mba, Global Management

Certification, Certified Nursing Assistant, A