Tabitha White Email & Phone Number

United States

Texas, United States

As a Health Plan Manager (HPM) of growth and strategy, ensure that the day-to-day functions for a high-volume health plan with over 3 million lives that consists of Medicaid, Medicare, and Marketplace lines of business (LOB) is maintained. This includes promoting retention, strategically analyzing data to promote engagement and identify areas of opportunity for cost savings for the Telehealth programs offered. Additionally, hold client facing monthly meetings, quarterly business reviews (QBRs) and meetings with Joint Operating Committees (JOCs) to review utilization, engagement, clinical outcomes, discuss goals and review direct marketing campaign options for Telehealth services. Set Key Performance Indicators (KPIs) for Health Plans to benchmark success. Collaborate with internal partners cross functionally as well as stakeholders to produce a successful launch of services on the go-live date.

Irving, Texas, United States

Advanced to a Benefit Relationship Manager (BRM) role consulting one of the largest clients within the Health Plan segment. Responsible for the strategic documentation and onboarding of prescription benefit plans for the client. Translates the intent of the client's needs to internal teams as it relates to coding and quality. Acquired leadership experience by managing project groups to ensure a successful launch of the client’s prescription benefit plan. Maintained relationships and service to clients by adhering to contractual obligations for over 300 employer groups and performing outbound calls to maintain client retention, offer new programs and insure the plan design meets the needs of the client. Partner with CVS Health Client Relations team for overall day to day needs. Assist in formulating business-development strategies, upselling programs and securing renewals with the Strategic Account Executives. Work with clinical pharmacists/ advisors to secure Formulary and Drug Utilization Management elections for the client. Also, will travel to the client’s home office and give PowerPoint presentations introducing current and new programs that are cost effective to the client.

Irving, Texas, United States

Responsible for managing one of the top TPA clients within the companyExperienced client-facing when welcoming new business and during the client’s renewalOrganize weekly conference calls for the book of businessTroubleshoot issues resulting in claim rejections for member prescriptionsPlaced overrides/prior authorization on plansImplemented new and existing plans based on plan design and client intentAssist in training new account managersSubject Matter Expert for Specialty Operations and Specialty PharmacyTeam with Strategic Account Executives when winning new business and selling new programs

Irving, Texas, United States

Process Rx/Recap claims as well as third party claims for payment.Inbound/Outbound calls to members advising of co pay cost for prescriptions and tie schedule shipment of orders.Assist in training of new colleagues.Generate daily reports of pending and new prescription request.Utilize knowledge of a client’s contract with CVS Caremark for proper compliance and performance guaranteed requirements.Able to troubleshoot reimbursement issues with a payer through research.Properly clear diversions received to ensure timely shipment of orders.Partner with doctors' offices to obtain necessary patient information, including ICD.9 codes and to verify dosages of drugs for clients.Perform insurance verification for members who need prescriptions filled by a specialty pharmacy.

Master Of Arts - Ma, Applied Psychology

Bachelor'S Degree, Psychology

Associate Of Arts - Aa

Associate Of Arts - Aa, Biology/Biological Sciences, General