Sunshine Swann

Sunshine Swann Email and Phone Number

Process Improvement encompases working smarter not harder. @ Anthem, Inc.
indianapolis, indiana, united states
Sunshine Swann's Location
Charlotte Metro, United States
Sunshine Swann's Contact Details

Sunshine Swann work email

Sunshine Swann personal email

n/a

Sunshine Swann phone numbers

About Sunshine Swann

Forward thinking and highly dedicated individual with an extensive background in Business Continuity best practices. Highly experienced in Communications, Customer Service, and Project Support. Functioned as SME in Member Services, Provider Services, Claims adjudication, Grievance Specialists, Medicare Outreach, Business Information Analyst, Medicare Letters, systems, and Process Improvement. Pre/Post socialization of new market implementations. Experienced Clinical Consultant with a demonstrated history of working in the hospital & health care industry. Skilled in Provider Network Development, Functional Specifications, Leadership, Business Development, and Business Process Improvement. Strong consulting professional

Sunshine Swann's Current Company Details
Anthem, Inc.

Anthem, Inc.

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Process Improvement encompases working smarter not harder.
indianapolis, indiana, united states
Website:
antheminc.com
Employees:
45946
Sunshine Swann Work Experience Details
  • Anthem, Inc.
    Provider Contract Consultant
    Anthem, Inc. May 2022 - Present
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  • Anthem
    Process Improvement Manager
    Anthem Nov 2021 - May 2022
    Accelerate end-to-end executions. Achieve operational governance and support new Clinical Operational structures Delegate Vendor Onboarding Letter Support. Capture the E2E workflows. Drive efficiency to ensure successful migration partnerships.Perform deep dive reviews.Commercial/GBD systems and/or process trainings.Dual eligibility project implementation by operationalizing onboarding processes.Perform enterprise regulatory reviewsMedicare Product Launch Pre/Postproduction. Medical Operation Committee Administration.
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  • Anthem, Inc.
    Clinical Program Consultant
    Anthem, Inc. Mar 2018 - Nov 2021
    Responsible for Disaster Declarations Notifications socialization waiver implementation all LOBs. Member/Provider Communication Letter onboarding. Responsible for Improving personal effectiveness and operational efficiencies. Participate in Enterprise Strategic Initiatives by Collaborating with others to achieve and implement strategic initiatives. Support of Site Of Service Initiatives.  Systems SME rectification of authorization errors and authorization entry corrections.Medicare UM letter communications governance. Support enterprise Culture/Talent behaviors to ensure company achieves strategies and upholds mission of core values.
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  • Anthem, Inc.
    Process Improvement Coordinator
    Anthem, Inc. Aug 2015 - Mar 2018
    Responsible for team business continuity documentation, planning and processes. UM SharePoint data administration. UM letter governance and system implementations of MA letters into GBD production productions systems. Anthem NCQA affirmative statement communications to associates, members and providers.UM Letter management- approval process and system productions governance enterprise wide by ensuring communications are compliant with regulatory directives and state/federal laws and policies. Responsible for the documentation of process workflows and identification of implementation risk areas. Vendor implementation interfacing clinical programs. Responsible for Tracking program authorization performance results, correcting system errors and modifications as needed. UM Operations Privacy Compliance Implementations.
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  • Amerigroup / Anthem
    Buisness Analyst L
    Amerigroup / Anthem Dec 2013 - Mar 2015
    Responsible for Business Continuity documentation, planning and processes.SharePoint site data administration. UM letter governance and system implementations of Medicare letters into productions systems. Process workflows and identification of implementation risk areas. Vendor implementation interfacing with clinical programs monitoring vendor progress and identifying risk and risk areas. Responsible for Tracking program authorization performance results, correcting system errors and modifications as needed. Service ticket resolution regarding system processes and TAT performance. Program monitoring, analyzing business best practice requirements

Sunshine Swann Education Details

Frequently Asked Questions about Sunshine Swann

What company does Sunshine Swann work for?

Sunshine Swann works for Anthem, Inc.

What is Sunshine Swann's role at the current company?

Sunshine Swann's current role is Process Improvement encompases working smarter not harder..

What is Sunshine Swann's email address?

Sunshine Swann's email address is su****@****oup.com

What is Sunshine Swann's direct phone number?

Sunshine Swann's direct phone number is +172732*****

What schools did Sunshine Swann attend?

Sunshine Swann attended University Of Phoenix.

Who are Sunshine Swann's colleagues?

Sunshine Swann's colleagues are Randy T., Arlisa Vanover, Felicia Knapper, Rn, Bsn, Ba, Pahm, Adrianna Roman, Lovely Johnson, Cate Sittig, Rn, Bsn, Ccds, Ron Green.

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