Karry Donnelly
Objective
Washougal, Washington
98671
To develop and be a part of a sucessful team using process improvement technics and
motivational coaching to meet organizational goals.
Work Experience
Network Relations Supervisor
6/2006 - Present CareOregon, Portland, OR
• Manage as well as hire, as appropriate, network relations staff for the largest
managed care Medicaid/Medicare plan in the state of Oregon. Responsible for
creating and facilitating internal training for the NR team as well as orienting new
staff from other departments. Attend conferences and other pertinent forums in
order to disseminate needed information to my team. Multiple collaborative efforts
with all departments as well as state agencies to remain compliant with various
policy and procedures. Prepare and maintain provider information/education using
company website, newsletter & direct mailings
Sr. Provider Relations Representative
5/2004 - 5/2005 CareOregon, Portland, Oregon
• Operated in same role as previous position with the added responsibility of
establishing and producing a streamlined training program for provider education
and disseminating to the PR team. Major projects other then below included
revision of current provider manual which involved all departments within the
organization and took approximately a year to complete.
Provider Relations Representative
4/2001 - 4/2004 CareOregon, Portland, Oregon
• Obtain contracts to develop a comprehensive network of providers to ensure
member access to quality care. Maintain relationships with internal and external
customers by providing direct training and education to associates and staff.
Respond in a timely manner to customer needs for assigned territories through
various communication means such as personal site visits, e-mail, phone,
documents and education materials. Primary point of contact for all issues and
concerns. Enlist and solicit team members in processes and problem solving tasks.
Provide accurate information and data to the provider community and present this
in a professional fashion. Maintain electronic data as well as paper files. Knowledge
of the full picture regarding regulations and polices at the State and County levels
and communicating such to stakeholders.
Certified Medical Assistant/Referral Coordinator
6/1999 - 3/2001 Southwest Washington Medical Center, Vancouver, Washington
• Provided education and training for family medicine residency program regarding
the basis of managed care and various health plan requirements. Primary point of
contact for residents and patients with referral processing needs. Created and
maintained referral data base for tracking and reporting purposes. Processed a
high volume of referral requests and authorizations for outpatient and inpatient
procedures. Attended seminars and work shops on health plan requirements to
keep staff informed. Provided nursing coverage during absence periods for both
stations. Involved in various community activities to promote health and wellness.
Education
5/1995 Apollo College, Portland, Oregon
• One year medical assisting course to include all aspects of medical practice, front
and back office skills. Maintained 3.6 gpa and obtained certfied degree within one
year.
Mt. Hood Community College, Gresham, Oregon
• Some College Coursework Completed
• Enrolled in 2 year associate degree program majoring in Business Administration.
Completed first year of program.