Harper Woods, Michigan, United States
As a Healthcare Provider Contracts Administrator, I help optimize high-level care to members receiving care through our wonderful health plan. I leverage my customer service skills, confidentiality, and attention to detail to manage and coordinate the referrals, authorizations, and billing processes for HAP Medicare, Medicaid, commercial, and DSNP programs. I also collaborate with providers, patients, and other stakeholders to ensure quality and satisfaction. I have a Master's degree in Health/Health Care Administration/Management from University of Detroit Mercy, where I also earned two certifications in Ethical Leadership and Change Management. I have a true passion for healthcare reform, equity, quality, innovation, and technology, and I am always seeking to take on new challenges and learn new skills. I have a proven track record of business marketing and development, managing established and new relationships with community partners and competitors in the continuum of care for seniors community members, and increasing referral volume and revenue for the value-based care, skilled nursing rehabilitation, and health system sector.
Sr. Provider Engagement Specialist under the United Health Group and Optum umbrella helping optimize high-level at home care to members requesting urgent care and ancillary services in the comfort of their homes.
Business marketing and development for the skilled and rehabilitation sector of the Macomb county and Wayne County territory. Managing established and new relationships with community partners and competitors in the continuum of care for seniors in the community through education, sweet success, networking and social activities.
Explained NOMNCS, ran HETS, coordinated patient information and confidentiality with case management teams, attend and helped coordinate Medicare and Medicaid meetings, contacted patients and families for tailored services, attend webinars, helped assist with COVID-19 precautions such as temperature checks, provide proper PPE guidance, etc.