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Executive Administrator, Project Management, Project Coordinator

Location:
Farmington, Michigan, United States
Posted:
May 16, 2018

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CRYSTAL K. KASHAT

***** ********** **., ********** *****, MI. 48331 :: Phone: 248-***-**** :: Email: ac5hcp@r.postjobfree.com

EDUCATION

University of Detroit Mercy

Graduated: 2013

Master in Health Services Administration

Wayne State University

Graduated: 2007

Bachelor of Liberal Arts

Major: English Minor: Journalism

QUALIFICATIONS

Strong background in project management. Outstanding written, research and verbal communication skills, coupled with excellent teaching, administrative and leadership abilities with all levels of personnel across multiple disciplines. Business to business sales experience, high energy, detail-oriented with exceptional people skills proven in multi-tasking environments with constant client and employee interaction.

PROFESSIONAL EXPERIENCE

One World Medical Mission Farmington Hills, MI

Member of the Board Aug 2016 – Current

Marketing Coordinator

Create marketing material and write-ups for various outreach campaigns for children living in war torn countries.

Teach English to refugee children to help with English language skills, grammar and essay writing.

Facilitate monthly board meetings and create Agenda and Minutes.

Assess medical needs of children and initiate communication with follow-up with volunteer team and other involved parties in the United States and abroad.

Maintain and responsible for call log and updating donor information.

Blue Cross Blue Shield (Contractor: ArrowStrategies) Detroit, MI

Project Lead Mar 2016 – Sept 2016

Facilitated discussions and bridged the gap between various department heads in Legal/Compliance, IT, Pharmacy, Actuary and others in order to provide succinct, cohesive responses for Request for Proposal (RFP) questionnaire.

Successfully executed 6 RFP’s for Medicare Sales and Marketing and managed all aspects of RFP development, including: timely distribution of RFP requirements to internal stakeholders, collection of responses, data and exhibits, manage reviews by sales management and executive management to adhere to RFP deadlines and maintenance of prior RFPs.

Managed the sales & marketing project workflow's for Medicare clients.

Documented and report on project status; escalated issues needing management attention; action item follow-up.

Reviewed and proofed communications materials to ensure they’re compliant with current contracting statements,

product information and messaging.

Developed campaign tracking and mapping documentation for fulfillment and telesales partners.

Created job aids, PowerPoint presentations and Visio process management flows for executive leadership.

Comerica (Contractor: OpTech) Auburn Hills, MI

Senior Technical Project Coordinator Apr 2015 – Oct 2015

Translated IT business requirements for end user clients using descriptive, translatable narrative.

Communications lead in creating and compiling material for end users pertaining to Role Based Access Control.

Infrastructure maintenance of tracking end user application information for implementation to enforce best practices.

Presented federally mandated initiative and educate 4600 end users through client engagement meetings.

Liaison between the client and IT team in solution functionality throughout project life cycle.

Analyzed and interpreted day to day data for handoff to end users; assist with operational issues.

Relayed client feedback to upper management and course correct as needed.

Solved for gaps in process and assist with continuous process improvement.

Blue Care Network (Contractor: ArrowStrategies) Southfield, MI

Project Analyst Apr 2014 – April 2015

Loaded networks according to Blue Care Network (BCN) loading rules.

Analyzed and reported interface issues between BCN systems (Portico) and AmeriHealth Facets using inquiry database.

Managed implementation of processes and procedures relating to MCG/IPAs through tracking tools.

Subject matter expert for Medicaid guidelines on Blue Cross Complete network.

Interpreted Business Configuration Unit logic for successful interface of accurate provider information.

Created contract templates in contract management system (Emptoris) for all provider types and sent contracts to the provider; involved in network expansion and contract execution.

University of Detroit Mercy Detroit, MI

Graduate Student Researcher Sept 2013 – May 2014

Identified grants for funding on behalf of America’s Marketing High School curriculum.

Corresponded with key stakeholders which include local and federal contacts for successful grant submission.

Composed proposal content, inquiry letters, summary outline and mission/vision statement for the curriculum.

Meridian Health Plan Detroit, MI

Business Development Analyst *Held previous Coordinator role into new job title role Jan 2013 – Oct 2013

Project lead in creating and compiling successful response for 1.8 million dollar Invitation to Bid (ITB) requirements for Alabama Medicaid Pharmacy Administrative Services on behalf of MeridianRx.

Supported team members in readiness review for various corporate initiatives; communicated implementation timelines.

Organized and participated in community events to garnish membership for Medicare Advantage plan (D-SNP).

Trained, guided and instructed various Business Development staff into seamless transition into new job title role.

Designed and edited health advocacy communications through newsletters, presentations, booklets, talking points and online portal for the education of members and providers.

Developed Regional Meeting Action Plan for successful future planning.

Collaborated with corporate executives to create primary care provider and ancillary document for established rates outside of the acceptable rates in contracting/negotiation.

Worked on various Medicaid Expansion Request for Proposal (RFP) and formulated executive summaries while coordinating RFP requirements for Medicaid and MMAI following CMS initiatives and State regulatory mandates.

Mentored interns; Offered coaching and insight as subject matter expert on Health Reform.

Built provider networks for current and future states for new market development across all lines of business in Medicare, Medicaid and Pharmacy by contracting directly with the Provider.

Competitive intelligence gathering to identify potential risk and opportunities for the company.

Developed business solutions and recommendations to Senior Vice President for projects and corporate initiatives.

Meridian Health Plan Detroit, MI

Administrative/Project Coordinator Feb 2012 – Jan 2013

Facilitated internal/external meetings for Senior Vice President and various corporate level executives; Took Meeting Minutes and initiated follow-up on actionable items.

Maintained ongoing rapport with outside vendors with the utmost professionalism and courteous like demeanor for future stability and growth for all lines of business.

Responsible for maintaining provider network by managing spreadsheets for provider mailings and call-out.

Initiated ongoing work flow follow-up and progress reporting measures for corporate level executives and department heads.

Self-starter eager to provide assistance to departments at all levels which included coordinating data collection from Legal/Compliance, reviewing material for Communications and examining guidelines relating to CMS, HEDIS, CAHPS, MMAI, PDP, NCQA and the PPACA.

Assisted in start-up and seamless transition with new Medicaid business venture in New Hampshire; developing provider networks, assisting new staff with implementation and organizing regional provider meetings.

Collected data, created survey questionnaire, facilitated call out and transmitted findings for member mobile app.

Cache Novi/Dearborn, MI Assistant Manager Jun 2006 – Feb 2011

Motivated associates and aligned activities to achieve business results; fostered a cohesive, team-orientated atmosphere.

Maintained exceptional customer relations cultivating client loyalty.

Managed financial assets for deposit and transfer of store funds.

Responsible for managing $250,000 in inventory; reduced shrink by 1.2% within a 6 month period.

Increased sales by creating slogan campaign within district to boost UPT, SPH and YTD revenue stream.

FREELANCE/INTERNSHIP/VOLUNTEER

Real Detroit Weekly Dec 2006 – May 2014

Michigan Movie Magazine Feb 2011 – Mar 2012

Freelance Writer

In-person and phone interviews with high profile producers and celebrities such as Kevin Costner and Will Ferrell. Wrote feature stories and film reviews done with extensive research and colorfully executed description.

Beaumont Health System

Internship in Revenue Cycle Mar 2013 – Mar 2013

Worked with Vice President of Revenue Cycle to present findings on Recovery Audit Contractor (RAC) Audits.

Analyzed medical records and validated data for accurate submission for RAC Audit appeals.

Created spreadsheet of particular ICD-9 codes by analyzing Medicare and Medicaid reimbursement methodologies according to fee schedule.

Henry Ford Health System

Volunteer in Cardiology Jul 2010 – Oct 2010

Liaison assisting in communication and procedural protocol between doctors, patients, and nurses. Researched medical information for nurses and in charge of call log and patient appointments. Involved in language translation between patients and nurses.

ADDITIONAL COMPETENCIES

Strong proficiency in Access database navigation, pivot tables, data mining and manipulation of data in Excel.

Proficient in Facets, Portico, Emptoris and Microsoft Office: Outlook, Excel, SharePoint, PowerPoint and MapPoint.

Analytical experience with Finance and Accounting principles.

Excellent problem-solving skills including research and reporting.

References Available Upon Request



Contact this candidate