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