Jody Lahr
Oshkosh, WI *****
Related Experience
Network Health Accreditation Coordinator, July 2015-present
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
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
Ensure that media relations staff are informed about the accreditation process
Navitus Health Solutions Systems Integrity Tester I, March 2011 to July 2015
Tested 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
Collaborated with functional owners to improve test plan development and execution and reduce rework
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
Participated in quantitative analysis of improvement opportunities
Ensured open lines of communication and strong collaboration and cooperation with other business areas/departments
Participated in process improvement initiatives in a way designed to foster team work and maintain an outstanding customer service culture, including internal customers
Auditor II, CPhT, March 2011-May 2013 (organization re-design)
Collected and analyzed data to detect deficient controls, duplicated effort, extravagance, fraud, or non-compliance with laws, regulations, and management policies.
Prepared detailed reports on audit findings.
Reported to management about asset utilization and audit results, and recommend changes in operations and financial activities.
Examined and evaluated financial and information systems, recommending controls to ensure system reliability and data integrity.
Created test scenarios for new client implementations
Walgreen’s Senior Certified Pharmacy Technician, August 2002-2010
Assisted with pharmacy buyouts within Wisconsin and also in Ohio
Traveled to several pharmacies to improve workflow opportunities
Prepared and processed medical insurance claim forms and records.
Scheduled 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
Additional Experience
Shorties Sports Bar & Grill Marketing coordinator, November 2015-present
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
Currently in process of building website to provide menu updates, checkout options for takeout orders, event items
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.
Associates of Arts Healthcare Administration, 2010
Volunteer Experience
ASTOP (Assist Survivors, Treatment, Outreach, Prevention)
Advocate and Crisis Line, April 2016
Answer shift calls for survivors of sexual assault
Meet with survivors as an advocate at hospitals or police stations
Seek sponsorships for fundraising
All Saints Lutheran Church Web Master, 2012 to present
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
Children’s Christmas Program Director, 2012 to present
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