Installation Coordinator

Execute the mechanics of a North American Duplicate Bridge Championship. Provide hospitality, remarkable customer service, and cater to the needs of 30,000-65,000 worldwide & national competitors. This constitutes many diverse levels of event planning including:• Daily setup, layout, and tear down of the tournament playing area.• Prepare and maintain playing area for various different tournament rounds.• Arrange duplicate bridge boards, for each unique tournament game.• Provide necessary computer hardware to facilitate electronic scoring.• Picking up and categorizing entry forms.• Move boards during play to ensure timely match completion.• Assist tournament directors amid tournament play.• Provide score slips after each round of play.• Collect participant’s results.• Post tournament game results.• Renew player's supplies as needed.• Redistribution of bridge boards for future tournament matches. • Recruit and staff caddies for national tournaments. • Hold caddy training/orientation. • Create and maintain caddy schedule for a variety of tournament sessions. • Monitor caddy hours to keep staffing costs within budget.• Keep daily financial expense records, and file necessary paperwork.

- Managing IT initiatives and collaborating with in-house technical staff- Support new technology implementation- Provide assistance with technical issues- Understanding customer requirements and business objectives- Providing strategic advice on using technology to achieve goals- Design IT systems and networks ensuring the right architecture and functionality- Train users in new and existing IT systems- Revise existing systems and suggest improvementsAlso worked as: Dump Truck Driver, Skid Loader Operator, Asphalt Roller Operator, and Asphalt Laborer

Gained extensive knowledge of network operating systemsCisco Network Administration and Maintenance

• Analyze pharmacy invoices and conduct wholesaler reviews.• Perform pharmacy claims evaluations, identifying non-compliant pharmacies.• Prepare and communicate pharmacy audit findings and generate reports.• Financial recovery greater than $1M for fraudulent, wasteful, and abusive pharmacies.• Cultivate positive relationships with network pharmacies especially amid financial rectification.• Track audit activities for accurate data analysis and internal reporting.• Ensure proper adjudication of claims for the Center for Medicare and Medicaid Services.• Calculate client’s weekly claim amounts ($5M-$20M), for billing/invoicing.

I will work closely with the Account Manager and/or Medicare Product Team/Install Team to gather client intent and requirements, using appropriate tools (Siebel, BA, etc). I also support account managers to resolve issues and answer client questions, relating to configuration, quality control outcomes or testing output.* Complete configuration of implementation or renewal activity with account team where appropriate* Support implementation and plan change* Document and complete paperwork for plan changes and new products* Complete required peer QC of configuration* Submit Client profile / Client Benefit Management updates* Submission of all CBA required BA modules* Assist in open enrollment check-out process (if applicable)* Update and attend weekly tracking update meetings* Address and act as subject matter expert for any requirements for assigned areas* Attend reliability meetings as needed* Follow service standards and standard operating procedures* Mentor new hires* Monitor fields communications* Experience with multitude of different company systems* Experience with claim processing* Exude Strong PC Knowledge* Ability to organize projects and demonstrated time management skills* Great written/verbal communication skills* Self-motivated, self-starter* Exemplary interpersonal and presentation skills* Customer service orientationClient Services meets the market needs for speed, flexibility and reliability, while driving and influencing best operational practices to make Express Scripts the most competitive and effective Prescription Benefit Manager. Client Services includes Client and Benefit Administration, Manual Claims Processing, Eligibility, Quality Control, Implementation and the Client Service Center. These centralized functions support the client life cycle throughout the enterprise to help Express Scripts get it right the first time to increase client satisfaction and reduce waste and the cost of rework.

The Benefit Quality Assurance (QA) Analyst is responsible for the accurate and timely testing and analysis of new and revised benefit plans as well as project testing for new or updated programs. Plan design and project specifications are reviewed for overall integrity, quality, effectiveness, and claim adjudication accuracy within defined time-frames. This position also ensures that company standards, processes, and contractual requirements are adhered to and achieved.Responsibilities:-Collaborate with other roles to develop and maintain test scenarios for project and benefit testing (includes but not limited to Utilization Management, Specialty, new client offerings).-Provide guidance to the Commercial Benefits team in the identification and adoption of operational best practices, project collaboration, and issue resolution. -Share expertise in cross-functional projects to ensure corporate standards are followed and appropriate processes occur with new benefit offerings.-Identify and concisely document system problems. Resolve set-up issues and/or escalate system defects with a sense of urgency to avoid member disruption.-Achieve and adhere to company standards, processes, and contractual requirements are adhered to and achieved.-Provide support and applicable testing around system capabilities.-Create, maintain and adhere to all documentation.-Become subject matter expert on applicable internal tools and applications.-Other duties as assigned.