Susan Brown Email & Phone Number

Castle Rock, Colorado

Remote

Led the Payment Integrity Investigation and Validation Team with the development and implementation of process improvements, investigation and validation of vendor concepts, Works cross functionally to identify improvements with workflows and opportunities. Partnerships with other areas and vendors to effectively meet strategic commitments. Demonstrated.

Remote Worker

Led the Payment Integrity Investigation and Validation Team with the development and implementation of process improvements, investigation and validation of vendor concepts, Works cross functionally to identify improvements with workflows and opportunities. Partnerships with other areas and vendors to effectively meet strategic commitments. Demonstrated.

Remote

Supervises a team of 18 Investigators and a resource for Subrogation and Other Party Liability professional and support staff. Oversees and coordinates team activities to achieve business objectives by ensuring consistent standards, measurements, processes, reporting is developed and implemented to maximize savings in all situations where another party is.

Salt Lake City, UT

Investigate complaints of fraud and abuse from subscribers, providers, internal and external sources. Conducts, coordinates and leads highly complex external audits and investigations. Participates in post audit exit interviews with providers and post-audit education to providers to correct discrepancies. Equitable contributions to the investigative unit.

Salt Lake City, UT

Manage a startup vendor project from start to finish. Created and implemented policy and procedures for the DME Vendor Project. Created a tracking system of the project. Implemented a procedure of claims adjustments was implemented throughout the department. Created an environment of a productive problem solving relationships between the Vendor, Provider.

Salt Lake City, UT

Manage all research data obtained from studies. Managed and maintained flow of the research studies. Coordinates and populated the research data entry into the Neonatal Research Network as well as data forms for other research databases. Prepared and maintained protocol of all research and regulatory binders. Work with medical personnel to ensure.

Tacoma, WA

Provide support and education for the TRICARE providers in the state of Washington. Assist with contracting for TriWest. Research and resolve provider issues with claims, billing or contracting. Advocate for the providers. Maintain retention of the contracted providers. Participate in TriWest provider seminars, PSAEC meetings held on military bases and.

Portland, OR

Administrative duties include: Data entry (including InterPlan). Create and maintain files, spreadsheets and logs. Attend the RFI Conference Call meetings, take notes, compose the minutes and email out to the RFP Coordinators. Assist the Bid Coordinators in preparing bids by making tabs, populating and collating the bid binders. Booking travel and.

Bellaire, TX

Planned all marketing events, conferences and conventions for the United States office. Prepared and maintained the budget for the department. Located National and International events that would market our company to result in increased sales. Worked with in budget. Composed all correspondences for the marketing/sales department. Responsible for all.