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Healthcare Regulations Auditor

Location:
Oshkosh, WI
Posted:
July 07, 2019

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Resume:

Jody Lahr

**** ***** ****

Oshkosh, WI *****

920-***-****

Experience

Burial Chamber,

Office&Scheduling CoordinatorOctober 2010-present

●Payroll processing for 150 staff

●Coordinate schedule and availabilities for all staff members

●Enter W-4 and I-9 information

●Deduct payroll with food, merchandise, and other employee purchases

●Box Office manager

Marcus Theaters Assistant Manager, January 2018-present

●Supervise, motivate, reward and coach theatre associates to sustain exceptional levels of performance and appropriately counsel associates when they are not meeting expectations

●Assist GM with hiring, training and associate development

●Understand and demonstrate desired behaviors for all staff duties including driving sales, loyalty registration, cash management, inventory, and follow-up with guests

●Increase brand awareness and drive traffic into the theatre through a variety of marketing efforts, social media and community involvement

●Consistently create a welcoming environment for guests by greeting, anticipating needs, exceeding expectations and implementing creative solutions to provide exceptional service

●Evaluate key performance indicators and translate into actionable information to drive guest satisfaction and financial results

●Maintain facilities that are clean, safe and in good repair

●Follow required procedures in the event of a guest or associate incident

●Provide cash handling techniques to balance safe, terminals and prepare for audits

●Operate projection equipment including projectors, servers and sound equipment. Perform basic projection troubleshooting and bulb changes, upon completion of training

●Submit payroll processing, time keeping records, back office and audit process

●Preserve confidentiality of theatre information and passwords including knowledge of and adherence to PCI regulations

Shorties Sports Bar & Grill Marketing coordinator, November 2015-May 2018

●Plan and organize events for nonprofit organizations using Shorties as an entity, such as food pantry, ASTOP, INC, Bikers Against Child Abuse.

●Plan and organized events such as car shows, craft fairs, specialty dinners, comedy shows

●Optimize search engine placing business on Google Maps and categorized the multiple uses of the business

●Create and provide social media updates

●Contact entertainment services for special events and stay within given budget

●Keep local media updated with special events for advertising

●Implementation of website to provide menu updates, checkout options for takeout orders, event items

Network Health Accreditation Coordinator, January 2017

●Lead brainstorming with staff on the best way to acquire documentation that is difficult to identify, find or develop; processes that need to be improved or implemented; and systems that need to be reviewed

●Act as the primary point of contact for NCQA while preparing for the site visit, during the site visit, and after the site visit

●Organize site visit preparation activities and present site visit results to leadership and other Stakeholders

●Develop and maintain database of documents that demonstrate conformity to accreditation standards and measures.

●Provide insight and guidance to staff on how to interpret NCQA standards

●Identify tasks and assignments for staff to undertake the Standards review

Navitus Health Solutions Systems Integrity Tester I, March 2011 to July 2015

●Mitigated the risk of errant adjudication of claims, especially those with a financial impact to Navitus, members, Clients, or pharmacies through user education and quality monitoring plans

●Test system configuration changes and setups: new client implementation set ups for benefit design, custom network creation, custom clinical programs, custom formulary changes and client hierarchy setup

●Collaborate with functional owners to improve test plan development and execution and reduce rework

●Participate in process improvement initiatives in a way designed to foster team work and maintain an outstanding customer service culture, including internal customers

Navitus Health Solutions

Auditor II, CPhT, March 2011-May 2013 (organization re-design)

●Collect and analyze data to detect deficient controls, duplicated effort, extravagance, fraud, or non-compliance with laws, regulations, and management policies.

●Prepare detailed reports on audit findings.

●Report to management about asset utilization and audit results, and recommend changes in operations and financial activities.

●Examine and evaluate financial and information systems, recommending controls to ensure system reliability and data integrity.

Walgreen’s Senior Certified Pharmacy Technician, August 2002-2010

●Assist with pharmacy buyouts within Wisconsin and Ohio

●Lead tech in process workflow improvement activity

●Schedule technicians to provide proper workflow throughout the day

● Ordered, labeled, and counted stock of medications, chemicals, or supplies and enter inventory data into computer.

●Provided support to Medicare D patients to understand what it is, what medications would be covered, how it works

●Prepare and process medical insurance claim forms and records.

Education

●University of Phoenix

●Bachelor of Science in Health Administration, 2012

●GPA 3.73

●Healthcare Administration capstone. This concluded our final project of creating a facility which included preparing staffing needs, preparing financial obligations and budgets, filling state regulations for operation needs, and being a leadership role with training and setting facility guidelines.

Volunteer Experience

ASTOP (Assist Survivors, Treatment, Outreach, Prevention)

Fundraising, Advocate, Crisis Line April 2016 to present

●Answer shift calls for survivors of sexual assault

●Meet with survivors as an advocate at hospitals or police stations

●Seek sponsorships for fundraising

●Collected $1600 in sponsorships and monetary donations for Zombie Run

All Saints Lutheran Church Web Master, 2012 to May 2017

●Creation of website using Plesk Sitebuilder platform

●Update monthly newsletter, calendar, photos, events, or any requested item to the website

●Update social media sites using Microsoft movie maker, photo releases provided and agreed on by members

Youth Ministry Coordinator Director, 2012 to May 2017

●Assign multiple children speaking roles giving each a responsibility to learn his or her characters

●Assign tasks to parent helpers for props, costumes, lighting, musical assistance during program

●Large groups of children not assigned a direct role in the program and come up with different ways the children can participate in the program

●Coordinate spring dance themes for youth and families

●Coordinate youth choir with supplying and directing contemporary music



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