Lydia F. Saunders
Goodyear, AZ 85338
Email: abijkq@r.postjobfree.com
CAREER SUMMARY
Counseling professional: career path in counseling/healthcare services,
human resources administration and business operations.
CORE COMPETENCIES
Counseling ( Claim Adjudication/Resolution ( Human
Resource Management Regulatory Compliance ( Pharmacy
Analysis ( Client Services
PROFESSIONAL EXPERIENCE
Thunderbird Treatment Center, Glendale, AZ May-2009- Present
Substance Abuse Counselor
Maintain a caseload of over 300 individuals in an out -patient facility for
adult substance abuse clients. Conduct intake assessments, ongoing therapy,
treatment planning, case management, crisis intervention and transition
adjustment. Provide small group, individual and family counseling. Prepare
and maintain well-written clinical records accurately and thoroughly as
required Arizona Behavioral Health Board.
SAGE Counseling, Inc, Mesa, AZ November-2009-
Present
Counselor
Perform screening and intakes for City of Phoenix Diversion program,
DUI, Domestic Violence, Substance Abuse, Anger Management, and Underage
Drinking Program. Responsible for group counseling for clients dealing
with Domestic Violence and Substance abuse. Counseling
Is performed in several locations which includes but is not limited
to relapse prevention, styles of communication as well as following several
models to provide clients with coping skills. Communication with parole
officers is sometimes needed.
WOLTERS KLUWER HEALTH, Phoenix, AZ 2001 - 12-31-2009
Client Service Analyst
Lead analyst of a Rebate Pharmaceutical and Data Resource company
servicing major Pfizer account. Processed and train personnel to service
managed care, commercial and Medicare Part D contracts. Provide client
with pertinent market share data to assist with financial analysis of
rebate payments. Train personnel in diversity, team building, and
customer service and data retrieval tools. Comply with all state and
federal regulatory guidelines for Pharmaceutical market definitions.
Perform market trend and data analysis for specific ad hoc request for
clients.
Accomplishments:
. Saved managed care clients over $51 Million annually in rebate
revenues through reduction of data reporting requirements and
increased quality measures resulting in decreased turnaround time
of rebate payments.
. Lead diversity training for over 500 employees which improved
overall employee moral and employee satisfaction by 70%.
. Counsel large groups in team building and performance
measurements tools.
MAYO HEALTH PLAN ARIZONA, Scottsdale, AZ 1994 - 2001
Health Services Coordinator
Led the creation and operational set up of an MSO that managed more than 3
internal network offices with over 2000 physicians and approximately
100,000 covered lives in the state of Arizona. Participated on the Medical
Management Board along with the Director of Pharmacy and Medical Director
for drug formulary selection and pre-certification requirements. Oversaw
telephonic and internal operations with involvement in claims management,
authorizations, case management, provider and health plan relations, and
quality management. Created grievance Access database for disposition of
high dollar claims and follow up response. Supervised three (3) clinical
case managers and two (2) claim processors.
MAYO HEALTH PLAN ARIZONA cont.
Accomplishments:
. Instrumental in development of automated voice recognition
response for pre-certification and out of network procedures.
. Designed and developed high dollar claim adjudication tracking
and approval process for quicker claim processing.
MAYO ARROWHEAD PRIMARY CARE CENTER, Glendale, AZ
Patient Service Representative
Managed administrative, payroll and human resource operations in business
office. Supervised the front office staff, medical records and
scheduling. Trained new clinical and non-clinical staff on company
policies, procedures and systems. Assisted physicians and office staff
with technical problem resolution.
Accomplishments:
( Trained 3 new on-site physicians to the Mayo Clinic office
procedures.
( Implemented paperless process for clinic which greatly impacted
facility operations
And developed care coordination procedures while decreasing
scheduling errors and
missed appointments.
MAYO CLINIC SCOTTSDALE, Scottsdale, AZ
Triage Consultant
Conducted comprehensive professional assessments of patients needs for core
scheduling of Mayo specialty areas in a call center. Demonstrated a
comprehensive understanding of the specialty areas and patient entitlement,
and delivering services within the defined parameters, displaying a strong
customer focus with all patients. Counsel patients regarding course of
action once diagnosed.
EARLIER CAREER 1988 - 1993
SMITH HOSPITAL, Valdosta, GA
Assistant to Hospital Director/CEO
Responsible for the Direction and management of Personnel Department.
Oversaw the design, development, and maintenance of policy manuals, job
descriptions, performance evaluations, and personnel forms and personnel
records. Maintained employee deductions, payroll and administration of
benefits, including pensions, annuities, health insurance, life insurance,
and dental insurance. Determined staffing requirements and tracked annual
workforce turnover rates. Counsel employees regarding job poor job
performance provide training plan.
Army & Air force Exchange Service (AAFES), Misawa, Japan
Supervisor Jewelry Department
Provided customer service through leadership and supervision of 6 fine
jewelry sales associates. Participated in sales support and training
necessary to meet sales objectives.
EDUCATION
Bachelors of Science, Business Management, Western International
University, May, 2001
Masters of Arts inhuman Resources-Substance Abuse Counseling, Ottawa
University, Currently enrolled
COMPUTERS SKILLS
Computer literate with database management systems. Advanced proficiency
with Microsoft Word, Excel, PowerPoint, Access and mainframe computer
systems (SQL, JCL and SAS), Phast and Outlook.