Susan Eccles Email & Phone Number

Colorado, United States

• Responsible for a team that remediates and or validates provider data from a third-party vendor via outbound calls.
• Team is responsible for ensuring the accuracy of data updated or already validated in source systems.
• Daily reports and monitoring of each state compliance is adhered to.
• Responsible to testing new automation tools to ensure accuracy.
• Team went from manual spreadsheets barely making a 6 day turn around time to same day turn around time with automation.
• Work with external business partners to ensure data accuracy is entered correctly into Cigna systems.

United States

• Responsibilities included being responsible for all quality and training aspects of the Directory Compliance team.
• Team was responsible for end-to-end audits from the third-party vendor through the correct updates to online provider directories.
• Collaborated with legal partners to ensure the intent of the law was being adhered to
• Managed a team onshore and offshore to ensure quality was being adhered to
• Quality metrics improved from 71% to 95%.
• Trended data and identified root causes.

United States

• Develop Corrective Actions Plans and coordinate with compliance department to ensure activities are monitored and adhered to
• Responsible for intake items and for securing funding of projects
• Track and monitor various LMI activity and analyze risk for compliance activities.
• Work on responses for Department of Insurance Complaints or inquiries.
• Respond for Request for Inquiries from various legislative areas.
• Managed all US states for risk and compliance.

United States

• Worked on various/ potential DSA's which include product development, Network Adequacy requirements, Medical Management, Delegation, Sales, U/W, Pricing, Customer Service, Billing, and Reporting
• Created implementation plan for Qani platform for Hospital Verticals
• Assisted in developing several SOPs for cross platform work and reporting.
• Managed six different DSA with various needs and agreements.
• Decreased turn around time from 36 days to nineteen.

Greenwood Village, CO

• Business Readiness Lead for Facets platform
• Created templates and tracking tool to ensure BR activities were identified and completed on time.
• Led cross functional work groups to determine best practices and made decisions on those items.
• Partnered with external business units to ensure deliverables were completed and evaluated prior to go live.
• Worked on warranty items after projects went live.
• Developed interim manual process until IT enhancements could be put into place.

Master Of Business Administration - Mba, Summa Cum Laude

Activities and Societies: Deans List

Bachelor Of Science - Bs, Athletic Training/Trainer

Bachelor Of Science - Bs, Biology, General