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Quality Assurance Management

Location:
Cary, NC
Posted:
March 12, 2013

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Resume:

Kelly E. Dillard

*** ***** **** **.

Cary, N.C. *7513

Phone 919-***-****

Email: ************@*****.***

OBJECTIVE: To improve and offer my skills in a team environment. To enjoy

the commitments and responsibilities in the company I work for. Provide

mentoring and training through testing and development bridging management,

peers and subordinates in achieving their goals and daily tasks. Implement

a positive, open and earnest environment to encourage expressions of needs

from the end user, as well as, conformances of the information technology

group to the end user.

EMPLOYMENT

2005-2012 Client Transaction Specialist, Principal Financial Group

Maintain proficiency in the Plan Management Recordkeeping

System and online functionality. Absorb and adapt to changes

in technology and function within the Plan Management

Recordkeeping system. Maintain knowledge for processing

outside of automated procedures. Develop a greater

understanding of exception processing and embrace complicated

admin projects as the need dictates. Become proficient in EXP

- AG by developing expertise in imaging, bar coding,

indexing, research and work flow.

2001-2005 Financial Performance / Quality Assurance Analyst, Duke

University

Provide financial analysis information to assist in the

management of Duke Employee benefits programs. Work with

carriers, vendors and consultants on a daily basis. Make

strategic recommendations about employee benefits programs

based on analytical work. Act as liaison between the Benefits

Department and the SAP development team to assist in the

migration of Duke benefits data and SAP.

2000-2001 Provider Reimbursement Specialist, WELLPATH of Carolina

Inc.

Audit and evaluate existing healthcare programs to determine

program success, efficiencies and opportunities for

improvement. Analyze territory data to assist in the

management of incentive compensation programs. Support

network development activities through data analysis,

provider education, member education and contract management.

Perform analysis of data related to utilization management,

network quality, unit cost and provider cost / use patterns.

Make strategic recommendations about healthcare programs

based on analytical work.

1998-2000 Healthcare Program Analyst, Peninsula Health Care, Inc.

Perform analysis of data related to medical costs and

utilization patterns. Support network development activities

through physician and member education. Assist in the

management and development of HMO programs, policies and

strategies. Maintain and improve the cost effectiveness of

the HMO's provider networks. Design and manage physician

compensation programs and risk sharing contracts. Provide

training and mentoring to healthcare analysts.

1995-1998 Data Consultant, The MEDSTAT Group, Inc.

Design, update and maintain clients' databases to

establish standards. Furnish clients with consulting support

and special reporting as needed. Coordinate data submission

from over 50 data provider companies. Ensure data integrity

and validity using DATAProbe and other PC based tools. Test /

evaluate databases to ensure conformity to client

expectations. Provide training and mentoring in data

coordination and database build processes.

EDUCATION

Bachelor of Science in Psychology with a Minor in Sociology,

Virginia Tech.



Contact this candidate