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Manager Management

Location:
Brandon, FL, 33510
Posted:
April 14, 2010

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Resume:

Nicole Ball

*******@***.*** **** Misty Valley

Drive. Brandon, Florida 33510 . 312-***-****

SUMMARY:

PROGRAM MANAGEMENT...

Management experience interfacing with managers, employees and support

staff in multiple departments. Serve as liaison between corporation,

vendors, and workforce. Identify areas for improvement, prioritize

projects, develop budgets, create presentations, and coordinate all areas

through implementation. Oversee the implementation of new automated

systems.

PROCESS IMPLEMENTATION...

Possess a proven ability to anticipate unique requirements or potential

roadblocks in all situations. Continually develop back-up plans to minimize

downtime and deliver exceptional results; streamlining communication and

implementation channels to quickly/effectively meet client and

organizational needs.

RESOURCE MANAGEMENT...

Able to adapt to all emergent situations, directing resources where

required to meet goals. Maintain a well organized team, cross training all

staff to be the most effective. Cultivate awareness and self actualization

of personnel, building increased investment in operations by all staff.

TEAM LEADERSHIP...

An able mentor trainer and leader: motivate staff to exceed organizational

goals and expectations. Capitalize on staff strengths and provide an

atmosphere of empowerment and trust in order to develop a team environment.

Manage teams through fostering a cooperative and creative environment,

ensuring innovative and practical solutions to operational problems. A

strong commitment to professional employee development.

EDUCATION: Troy University - Master of Science in Management -

Healthcare Services (expected July 2010)

University of Illinois at Chicago- Bachelor of Arts Degree,

2000

EXPERIENCE:

Glenridge Healthcare Solutions. Elkridge, Maryland June 2009-present

Managed Care Consultant, Contract Specialist, Responsible for designing and

implementing programs to build and nurture positive relationships between

the health plan, providers, and practice managers. Implement strategies,

policies, and procedures for the development of a provider network.

Identify gaps in network, negotiate fee schedules, and assist the network

staff to prioritize contracting needs based on the collecting and analyzing

of aggregate data.

WellCare Health Plans, Inc., Tampa, Florida 2008-May 2009

State Relations Manager, Regulatory Affairs, Facilitated education and

management of relationships around

Managed Care Plans and Prescription Drugs Plans; interacting with market

leadership and community/national organizations. Collaborated with related

internal and external parties to successfully manage Private Fee for

Service (PFFS) and Part D programs; that focused on mitigated issues

impacting dual eligible and low income subsidiary populations. Identified

and developed viable partnering opportunities to ensure awareness and

beneficiary enrollment/satisfaction programs. Coordinated with key matrix

partners (Provider Relations, Client Services, Business Development,

Regulatory Affairs, etc.) to develop key messages and action plans related

to state advocacy and feedback. Established effective practices to ensure

contracts, financial, and legal standards. Interacted extensively with

groups such as CMS, AHIP, State SPAP leaders, SHIP leaders, National

Council on Aging, etc. Coordinated scheduling of state visits with other

internal departments; managed itineraries, approach, presentation, and

documents to be provided: influencing outcomes. Maintained compliance with

State Pharmaceutical Program (SPAP) contractual obligations.

. Developed practices/strategies to educate and assist advocacy groups in a

consistently proactive manner.

Nicole Ball

Page Two

Kaplan Professional, Chicago, Illinois 2002-2008

Senior Manager, Compliance and Operations (2006-2008) Managed Kaplan

Professional Publishing product inventory including instructional materials

and services for B to B and B to C markets. Ensured electronic and print

program content was updated as necessary and meet compliance requirements

by state; researched and added new products. Supervised staff in research,

admission, operations, and school programs. Managed employees in the

conceptualization and implementation improvements, controls, systems

integration and plans to standardize, automate and streamline information

access. Completed website maintenance and content changes. Traveled to

agencies and regulatory boards to present course material and content for

approval.

Worked with department heads as well as employees to identify needs,

determine feasibility of projects and make

recommendations. Interfaced between project groups and departments to

ensure appropriateness. Prepared financial reports and managed P&L.

. Received Outstanding Achievement Award, 2006.

Compliance Manager (2003-2006) Supervised compliance staff in the

management of more than 200 print and electronic education lines. Reviewed

projects, made assignments, and monitored work through completion. Served

as company representative at state commission meetings and industry events

to gain a thorough understanding of policy changes to ensure compliance of

company's products.

. Received Outstanding Achievement Awards, 2004 and 2005.

Senior Compliance Administrator (2002-2003)

. Identified customer needs, completed research and gained regulatory

approval resulting in the addition of 75 new titles in 2003.

Bacon's Information, Chicago, Illinois 2001-2002

Research Editor Identified sources of information, obtained access and

necessary permissions and integrated sources into existing source profiles.

Created and edited calendar profiles for advertising clients.

. Created databases of more than 1,000 media sources.

Northwestern University, Chicago, Illinois 2000- 2001

Contract Data Health Researcher, for healthcare improvement study,

collected personal, dietary and anthropometrical information through

interviews and compiled data for nutritional study.

First Data Corporation, Chicago, Illinois 1998-2000

Account Executive Team Leader Led a team in completion of high risk

collections with a focus on asset recovery, negotiating payment

arrangements and ensuring positive relations.

. Outstanding production awards, 1998-2000.

ACTIVITIES: Catholic Charities, Volunteer, 2002-Present, Metropolitan

Ministries, Volunteer, Present

Cole Library, Library Assistant, 1996-1998, Cornell College

COMPUTERS: Computer literate: MS Works, Excel, Word, PowerPoint,

Clientele, State Net, Oracle, and Internet.

TRAINING: American Management Association - Leadership

Training

CERTIFICATION: Project Management Professional (PMP) Certification (June

2010)

TRAVEL: Willing to travel or relocate



Contact this candidate