Tesa Bauer Email & Phone Number

Remote

As a Lead, Benefits Configuration I support cross-functional teams during implementations.-Manage team members in the delivery of benefit configuration, testing and documentation aspects of the plan build and maintenance responsibilities.-Manage employee performance through defined performance metrics-Provide ongoing feedback and coaching to ensure performance targets are met-Provide appropriate levels of directions and support to team members as neededParticipate in initiatives to support process/workflow, improvements, leverage new system capabilities and consistently institute best practices-Provide leadership support to team members for escalations and complex configuration requests.-Communicate to leadership on project status, escalating issues and drive changes to improve workflow efficiencies

Green Bay, Wisconsin, United States

While acting as Manager, Plan Build, my day-to-day responsibilities are the following:Overseeing daily operations to ensure smooth running of daily activities; orchestrating staffing, scheduling, and inventory management across various commercial business platforms; identifying necessary system modifications to support new products, services, and efficiency enhancements; compiling, reviewing, and formulating responses to audit inquiries as part of Sarbanes-Oxley Compliance for quarterly audits; offering guidance to internal and external business partners, while facilitating understanding of plan builds; offering assistance to staff in overcoming challenges and solving problems; conducting in-depth analysis and ensure implementation of essential changes for health plans in response to market product design, legislative, and regulatory requirements.Below are my notable accomplishments:• Delivered builds with a remarkable 97%+ accuracy rate.• Resolved issues promptly and collaborated effectively with cross-functional teams.• Provided invaluable guidance to diverse onshore and offshore teams in various medical insurance segments.• Fostered strong customer relationships through impactful communication and efficient Plan Builds execution.• Achieved operational excellence by enhancing team performance, driving continuous contributions, and implementing Human Capital strategies.• Realized $11,000 in cost savings and ensured precise payments for True ER services and spearheaded federal surprise act-compliant ID card changes in commercial business.

I served as a consultant and was accountable for:Assuming leadership and mentorship roles for diverse teams and business divisions to drive enhanced performance and outcomes; acquiring business requisites through the spectrum of methodologies, such as Process Metrics, Systems Analysis, and more, resulting in comprehensive and precise project development; spearheading process enhancements and maintaining proactive interdepartmental communication to ensure timely responsiveness to customer demand; acting as an intermediary responsible for Doctor on Demand and Product Database verification and benefits validation, while contributing to increased efficiency and accuracy.My key successes during this role were:• Achieved project advancement by communicating in various presentation settings on mid-sized projects.• Strengthened project goal attainment through cross-functional collaboration.• Ensured equitable healthcare access and industry compliance by implementing Mental Health Parity at Humana.

Green Bay, Wisconsin Area

I performed as a Project Manager, and my responsibilities included:Defining project scope, goals, and deliverables; communicating project expectations to team members; offering leadership and guidance to team members; monitoring and managing project risks throughout the project lifecycle; regularly updating stakeholders on project progress; coordinating and tracking project tasks and activities; defining and implementing quality standards for project deliverables; maintaining project documentation, including project plans, status reports, and meeting minutes; identifying opportunities for process improvement and implementing best practices in project management.My key successes during this role were:• Monitored and boosted team accomplishments.• Executed project planning and strategy by defining scopes.• Fostered collaboration between business and development.• Effectively communicated project progress to stakeholders.• Enhanced project clarity by ensuring well-defined project goals.

As a Product Build Supervisor, I was responsible for:Spearheading Commercial build team responsible for system programming dedicated to claims adjudication; overseeing and suggesting enhancements to enhance team efficiency; conducting business trips to India to facilitate assertiveness training techniques aimed at enhancing partnerships with business associates; utilizing Process Metrics to evaluate and improve processes; managing and prioritizing multiple tasks and responsibilities; offering continuous training, development, and inspiration for the workforce.The following are my renowned contributions:• Optimized ID card process within Account Installation.• Boosted team competence and product quality by delivering training to offshore staff in Product Build.• Demonstrated proficient understanding of plan development procedures and service level agreements.• Spearheaded ASO/Custom Build team launch, resulting in streamlined operations and improved efficiency.• Introduced system enhancements for offline grids, aligning operations with customer service needs and enhancing user satisfaction.

Green Bay, Wisconsin, United States

My responsibilities are the following while performing Various Roles:Effectively coordinating, auditing, and providing support to teams consisting of approximately twenty-four associates to ensure seamless operational performance; leading proficient team responsible for engaging with providers and members to rectify missing and erroneous information on submitted claims; conducting thorough examinations of providers and members in response to billing irregularities, while offering added layer of scrutiny to ensure financial integrity; investigating providers and members when billing inconsistencies called for added review.My key highlights in this role include:• Ensured vital information integrity with precise Data Entry proficiency.• Elevated healthcare financial transaction accuracy through efficient Medical Claims Processing.• Improved team competency through Claims Training, resulting in streamlined claims processing.

Associate’S Degree, Organizational Leadership

Received Associate Degree May 2017

Education record