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Manager Quality Assurance

Location:
Atlanta, GA, 30349
Posted:
October 01, 2010

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Resume:

Tanisha Stewart

PO BOX ******

Atlanta, GA *****

256-***-****

abj9bk@r.postjobfree.com

Career Summary

Goal-oriented professional with vast experience in administrative roles

ranging from healthcare, production manufacturing, and transportation

industries. Proven team player with the ability to perform with little

supervision. Consistent promotions at each company employed.

Technical Skills

Microsoft Word, Access, Excel, PowerPoint, WordPerfect, Quark Express

(Mac/PC), PageMaker, Freehand, Illustrator 6.0, 8.0 (Mac/PC), Photoshop

4.0, Kronos, ADP, Sentry Navigator, Consice; Docuzap; some HTML

Professional Experience

APS Healthcare - Atlanta, GA June, 2007 -

February, 2010

Quality Improvement Coordinator -

Perform a variety of duties to promote the Quality Management program

and plan. I monitor multiple operations to help ensure organizational

compliance with HIPAA, URAC standards, the state contract, and APS

policies and procedures.

. Coordinate the collection, tracking, investigation, and resolution of

customer complaints. Coordinate the monitoring of PHI storage and

HIPAA compliance, including the coordination of PHI sweeps, reporting

and tracking of compliance, and the training of staff on HIPAA

compliance.

. Coordinate monitoring of staff compliance through silent monitoring

and documentation audits, to include auditing, reporting, and

analyzing findings.

. Participate in the development, coordination, and management of

department Quality Improvement projects, including coordinating and

leading meetings, identifying process barriers and solutions,

monitoring and analyzing data, and ensuring implementation of

identified interventions.

. Assist with the coordination of external and internal audits,

including the preparation of materials, auditing of records, and

training of staff.

. Assists in the development of Core QI documents, including research

and data gathering for the QI Program Description, Annual QI

Evaluation, QI Work Plan, and Desk Level Policies and Procedures.

Utilization Management Coordinator/Administrative Assistant -

Responsible for performing prior authorizations for medically related

services, such as non-emergency medical transportation, and processing of

appeals. Provided administrative assistance to manager in preparing charts,

reports, and supporting staff with technical needs.

Performed daily review activities of prior authorization requests to

ensure appropriate and timely review of requested services.

. Coordinated requests for additional information to complete the review

process.

. Coordinated the review and timely response of appeal requests to

review decisions.

. Followed departmental work flows, monitor production standards,

response times and other established metrics to ensure contractual

requirements are achieved.

. Performed administrative duties such as Excel Spreadsheets, Power

Point, order supplies, answer phone calls, etc.

Conway Forwarding - Atlanta, GA February, 2005 -

June, 2006

Quality Assurance Representative -

Met and spoke with transportation vendors providing them with partnership

packets. Set up and registered vendors in the company's software (Sentry).

. Answered incoming phone calls and answered inquiries.

. Mailed, emailed, recorded Partnership Packets for potential vendors.

. Set up vendors in Sentry gathered from Partnership Packets.

. Entered/updated tariffs (rates) into Sentry; data entry of daily

Scorecard Summary using Microsoft Excel.

. Oversaw receptionist duties when needed; Designed layout for weekly

newsletter using Microsoft Word 2000.

KTH Leesburg Products LLC - Leesburg, AL November, 2001 -

June, 2003

Administrative Support Staff

Provided administrative support to the Human Resources Manager and Human

Resources Staff. Also provided administrative support in the daily

operations of the office which included the President and Vice President.

In charge of providing temporary employees with all necessary uniforms,

equipment, and documents.

. Set up Interviews for Production Associate Training Classes and check

References of prospective employees over the phone.

. Assisted in pay roll (Kronos/ADP), attendance records, file all

employee information; assisted new employees in uniform try-on, record

locker assignments, and issue locker keys.

. Reserved meeting rooms, keep records of First-Aid supplies, and the

medicine cabinet.

. Logged in all job applications into Microsoft Access; set up

proxima/laptop for new employee training. Assisted in daily back-up of

all computers.

. Designed and post signs throughout the facility.

. Lead plant tours for new associates and temporary associates.

Education

American Intercontinental University

Master of Business Administration - Marketing

5/07 - 6/08

The University of Alabama

B.A. - Arts (Graphic Design)

8/96 - 5/01



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