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Human Resources Customer

Location:
Clinton, MS
Posted:
September 16, 2014

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Resume:

*** ******* *****. *******, ** *****

Phone: 601-***-**** . E-mail *******@*****.***

ARLEATHA NICHOLS

Key Strengths

.Operations Oversight .Corporate Strategy

.Strategic Planning .Conflict & Dispute Resolution

.Public Speaker .Customer Relations & Satisfaction

.Multi-Million Dollar Profit & Loss Management

.Facility Management .Vendor Source & Negotiation

.Risk Management & Inventory Control

.Forecasting .Multi-Unit Operations

.Project Management, Planning & Development

.Business Development .Team Building & Staff Retention

. Accreditation Leader - The Compliance Team

. NCQA Accreditation

.Managed Care SME . Medical Knowledge & Terminology

.Sales .Conference and workshop planning

.Process Analysis

.Trainer

.Decision Maker

.Budget planning &

oversight

. Public Speaker

CORE COMPETENCIES

. Results driven with exceptional practical judgment and

memory for details with skills in developing process

improvement, risk management and team management

directives.

. Known strategist who transforms strategic plans into

workable solutions and benchmarks for performance against

key operational objectives.

. Strong operational process improvement background through

effective cost reduction, tactical planning, productivity

gains and growth strategies.

Education/development

Mississippi College Chemistry/Mathematics

Clinton, MS

Millsaps College MBA

Jackson, MS

(still pursuing)

Professional profile

February 2013 - Present Thrasher Architectural Inc

Jackson, MS

Chief Operations Officer

Responsible for the management of all departments in the

business; Specifically, operations; including overseeing

human resources, business development, sales, production

and all administrative departments.

Prepare reports for the CEO on the day-to-day activities in

each department where I evaluated the performance of each

department in a company, including production goals and

budgets.

Work with CEO/President to develop strategies for each

department's success.

Allocate the resources department managers need, including

funds, labor and equipment, to ensure they meet their

goals.

Conduct regular meetings with department managers to remain

up to date on the status of each area of the company.

Develop and implement department budgets.

January 2011 - January 2013 Centene

Corporation Jackson, MS (Fortune 500

Company - Magnolia Health Plan - a Centene Subsidiary)

Vice President of Operations

Responsible for Member Enrollment

Responsible for Member Eligibility

Responsible all Member Communication and printed material

Responsible for the Member and Provider Call Centers

Responsible for all training materials and created all

SOP's for Call Center

Responsible for health plan marketing and marketing budget

Responsible for health fairs and planning member events

Responsible all faces of Community Outreach that included

creating and managing a "boots on the ground" network.

Responsible for networking with all Advocacy and Social

Organizations

Responsible for planning and coordinating all volunteer

activities at the health plan

Responsible for establishing and maintaining relationship

with the Federally Qualified Health Centers and the

National Association of Community Health Centers.

Responsible for all media, websites and portal creation,

execution, enhancements and maintenance.

Responsible for creating, planning, and conducting

workshops for members and providers educational sessions.

Responsible for establishing and maintaining relationships

with Division of Medicaid.

(continued)

Responsible for creating and maintaining strong Provider

relationships

Responsible for all State reporting

Responsible for educating and working with the Legislature

and other government entities regarding the pros of

managed/coordinated care.

Responsible for executing and interpreting state contracts

and RFPs.

MississippiCAN subject matter expert

Managed Care subject matter expert

December 2007 - December 2010 Prevalence Health

(now SafeMeds Solutions, LLC October 2009)

Vice President of Operations and Customer Care

Assumed responsibility of transitioning and reorganizing

operations.

Developed a very skilled working force and reduction of

poor performing employees.

Increased standards and regulations as well as implemented

policies in company handbook for hiring and training of

employees.

Developed excellent customer and vendor relationships and

purchased new equipment.

Developed an effective inventory control program

Supervised and directed all employee training programs,

safety programs and customers service improvement projects.

Responsible for getting all locations accredited for

Medicare Compliance.

Responsible for contracting and credentialing for all

Medicare Part D Plans, Medicare Advantage Plans, State

Medicaid Plans, HMO's and PPO's.

Established strategic alliances with key companies, clinics

and physicians.

Developed workflows and standard operating procedures for

our pharmacies.

Responsible for customer retention and new customer

enrollment.

Handled all audits and feedback to government agencies.

August 2006 - November 2007 (Health Alliance dba) Ted's

Meds

Director of Customer Relations

Responsibilities include:

Working with Pharmacies to assist with:

. Refill strategies, analysis and training

. Standard operating procedure development

. Recapture and retention strategies

. Customer complaint and resolution process/oversight

(continued)

Enrollment

. Recruiting and hiring

. Standard operating procedure development

. Daily oversight of Call Center

Retention and Brand Management Assistance

. Working directly with CMO to develop retention strategies

. Assisting CMO with marketing/customer administration

Community Marketing

. Create alliances with Clinics, Dr Offices, etc.

February 2006 - August 2006 Health Alliance, LLC

Manager of Special Projects

Responsibilities included:

. Medicare Part D

Enrollment

Contracting

Rollout

. Call Center

Management

Corporate relocation

Transition

July 2005 - February 2006 Health

Alliance

Staff Accountant

Responsibilities included:

Accounts payables

Accounts receivables

Inventory

Patient reconciliations

Financial reconciliation and reporting

Duties as assigned

August 2004 - May 2005 Oxford Automotive

Plant Accountant

Responsibilities included:

Assisting the controller in maintaining and all aspects of

financial control functions at plant level for a major

Nissan supplier as well as performing general functions of

the Accounting and Human Resources Department.

Administer and maintain all petty cash distribution to each

department

(continued)

Month end closing, including all preparation of journal

entries

Performing daily tracking of production metrics

Prepare and report weekly production metrics for all

departments

Reconciliation of financial and inventory records

Perform weekly cost tracking

Prepare and maintain monthly labor reports

Prepare and present all accounting monthly reports for

operations review

Payroll for 150 - 200 employees

February 2003 - November 2003 APAC Mississippi

Plant Accountant

Responsible for all facets of accounting for seven asphalt

plants

Maintain daily inventory logs

Maintain theoretical inventories

Reconciliation of materials against daily job logs

Accounts payable/receivables for all seven plants

Payroll for drivers and employees at seven plants

All inventory reconciliation, preparation, and financial

reporting for all seven plants

October 1995 - December 2002 PJ Food Service

Accounting Team Leader

Responsible for all facets of accounting at the Jackson, MS

location of Papa John's International.

Preparation of weekly P&L's

Accounts payables/receivables

Payroll for 65 - 115 employees

Inventory reconciliation

Budget preparation

All financial reporting

The Human Resource function; hiring; training, termination;

maintain/enrollment for insurance and 401K benefits

Setup of all new stores and first order experience

Work with transportation for all stores on distribution of

product

Plan all training, social functions and team member events

References

Available upon request

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