Sandy Meyer Email & Phone Number

Louisville, Kentucky, United States

Participates in the design, development, implementation, modification and evaluation of health care information systems. Recommends automated and manual solutions to enhance system functionality. Participates in Project teams associated with the development and implementation of clinical systems.Interacts with end-users as required to assist in problem.

Participates in the design, development, implementation, modification and evaluation of health care information systems. Recommends automated and manual solutions to enhance system functionality. Participates in Project teams associated with the development and implementation of clinical systems.Interacts with end-users as required to assist in problem.

Louisville, Kentucky Area

Participates in the design, development, implementation, modification and evaluation of health care information systems. Recommends automated and manual solutions to enhance system functionality. Participates in Project teams associated with the development and implementation of clinical systems.Interacts with end-users as required to assist in problem.

Louisville, Kentucky

1. Responsible for coordination of Medical Management activities and documentation for achieving successful compliance of UM NCQA standards inclusive of pharmacy standards and applicable QI standards. Maintains updated roadmap and supporting documentation for Medical Management.2. Responsible for coordination of Medical Management activities and.

Louisville, Kentucky Area

Adapt, improve and automate processes and procedures to ensure the Plans compliance with all Health Care regulations around enrolling and maintenance of UFCW Union Employees Benefits.

Louisville, Kentucky Area

• Accountable for developing and maintaining key relationships and work with assigned areas to optimize business results.
• Serve as the expert in clinical data reporting for CMS
• Provide regular, comprehensive summaries of critical data to monitor compliance with regulatory and accreditation requirements and processes.
• Complete ad hoc searches as required for development of metrics to support regulatory and accreditation requirements and processes.
• Represent the Clinical Strategies HGO and HSO regions to internal and external audiences (i.e. auditors) as required.
• Coordinate and facilitate Structure and Process measure reporting for CMS, regulatory and accreditation requirements.

Louisville, Kentucky Area

Process owner of the Automated Agent Contracting for the Medicare Channel. Subject Matter expert during Spirit Project 12812 (ACE) Automated Agent Contracting Electronically which included testing and implementation. Business Owner of (MRMS)Medicare Relationship Management System for MarketPoint Sales. Adapt, improve and automate processes and procedures.

Louisville, Kentucky Area

Adapt, improve and automate processes and procedures to ensure Humana's compliance with all CMS and DOI regulations around agent licensing, contracting and certification. Manage large volumes of Data to provide reporting related to licensing, contracting and certification. Assist with ongoing Quality Assurance efforts. Implemented an Access Database for.

Louisville, Kentucky Area

Accountable for developing and report metrics for ID Cards, SPAP and Returned Mail using MS Access. Generate comparative analyses of actual results to expected results, perform testing of new applications as they relate to enhancements and system issues. Partner with Information Technology department and business areas during the design of system.

Louisville, Kentucky Area

Responsible for running Geographic Reports for Humana’s Sales Force including Census Overview, Network Geographic Footprint Match, Accessibility Reports, Service Area Zip Code lists and maps, Provider file/directory requests using MS Access. Experienced using MS Access to perform tasks such as: run reports, import & link tables, export data, create.

Louisville, Kentucky Area

Responsible for the Purchasing Procurement for The CGO including the work at home associates. Accountable for budgetary costs for each UDN within the CGO. Planned and built an ACCESS database for the supplies that are ordered in each UDN. Responsible for communications around change in processes of the support staff. Multiple level of involvement on.

Louisville, Kentucky Area

Experienced in credentialing verifications in-house and thru the use of a CVO utilizing NCQA and URAC standards including licensure, training, malpractice insurance, claim inquiry, hospital affiliation verification, NPDB (National Practitioner Data Bank) and work history. Experienced in utilizing a state-of-the-art electronic system to manage a large.

Various

USMC Veteran

Associates Degree - Computer Information Systems, Computer And Information Systems Security/Information Assurance

Computer Information Systems

Education record