Operations Manager Program Business
Resume:
EMPLOYMENT HISTORY
Operations Manager, Cencora
• Instrumental part in launching a new product and team, creating and fine-tuning processes as well as participating in client business simulations prior to launching. Responsible for creating reports to provide requested data client.
• Assists associates by ensuring that they are meeting all quality and productivity goals. Improvement plans which created a more efficient team that doubled productivity with half the staff.
• Work closely with internal Quality Center of Excellence to ensure the quality scorecards accurately follow program business rules and program expectations. Conduct biweekly client facing call calibrations and regularly monitor/report compliance findings
(Adverse Events, HIPAA, etc.)
NOV 2019 - FEB 2024
Operations Manager, Cencora (Amerisource Bergen, Lash Group)
• Instrumental part in launching a new product and team, creating and fine-tuning processes as well as participating in client business simulations prior to launching. Responsible for creating reports to provide requested data client.
• Assists associates by ensuring that they are meeting all quality and productivity goals. Improvement plans which created a more efficient team that doubled productivity with half the staff.
• Work closely with internal Quality Center of Excellence to ensure the quality scorecards accurately follow program business rules and program expectations. Conduct biweekly client facing call calibrations and regularly monitor/report compliance findings
(Adverse Events, HIPAA, etc.)
NOV 2019 - FEB 2024
Operations Manager, Lash Group
• Assists associates by ensuring that they are meeting all quality and productivity goals. improvement plans which created a more efficient team that doubled productivity with half the staff.
• Work closely with internal Quality Center of Excellence to ensure the quality scorecards accurately follow program business rules and program expectations. Conduct biweekly client facing call calibrations and regularly monitor/report compliance findings
(Adverse Events, HIPAA, etc.)
NOV 2019 - FEB 2024
Operations Manager, Cencora (Amerisource Bergen, Lash Group)
• Assists associates by ensuring that they are meeting all quality and productivity goals. Improvement plans which created a more efficient team that doubled productivity with half the staff.
• Work closely with internal Quality Center of Excellence to ensure the quality scorecards accurately follow program business rules and program expectations. Conduct biweekly client facing call calibrations and regularly monitor/report compliance findings
(Adverse Events, HIPAA, etc.)
JUL 2018 - NOV 2019
Special Projects Liaison, Cencora (Amerisource Bergen, Lash Group)
• Responsible for investigating client escalations, which includes direct contact with the client and field to amend and provide conflict resolution. Creating Standard Operating Procedures (SOPs), and work instructions. Conducting service issue audits for the PAS associates. Completing Adverse Events audits for the Amgen business unit. Compiling reports to provide a snapshot of the Field Services Daily numbers for senior leadership. Updating training materials, training associates, and updating the team page.
832 Finley View Drive, Rock Hill, United
States, 29730
ad3xxv@r.postjobfree.com
TIFFANI GRAHAM
PROFESSIONAL SUMMARY
Excellent capacity for attention to detail…Superior organizational skills…Strong commitment to cooperative teamwork… Special talent for analyzing situations and resolving problems…Ability to motivate individuals to work at their highest level…Four years’ experience managing and working remotely. Excellent Client Relations, Time Management, & Trouble Shooting experience. Effectively contributed to highly productive work teams through strategic and comprehensive training and flawless execution. Quickly adapted to new systems and office procedures. Efficiently operated office computers and machines. Quickly identified problems and implemented corrective and pro-active solutions. EMPLOYMENT HISTORY
JUL 2018 - NOV 2019
Special Projects Liaison, Lash Group
• Responsible for investigating client escalations, which includes direct contact with the client and field to amend and provide conflict resolution. Creating Standard Operating Procedures (SOPs), and work instructions. Conducting service issue audits for the PAS associates. Completing Adverse Events audits for the Amgen business unit. Compiling reports to provide a snapshot of the Field Services Daily numbers for senior leadership. Updating training materials, training associates, and updating the team page.
JUL 2018 - NOV 2019
Special Projects Liaison, Cencora (Amerisource Bergen, Lash Group)
• Responsible for investigating client escalations, which includes direct contact with the client and field to amend and provide conflict resolution. Creating Standard Operating Procedures (SOPs), and work instructions. Conducting service issue audits for the PAS associates. Completing Adverse Events audits for the Amgen business unit. Compiling reports to provide a snapshot of the Field Services Daily numbers for senior leadership. Updating training materials, training associates, and updating the team page.
• Communicate directly with providers regarding claim submission denials and the appeals process. Engaged in weekly follow-up to ensure receipt of benefit verifications and to offer explanations as necessary. Perform patient-specific benefit research, assisted with prior authorization, and identified coverage options for uninsured and underinsured patients. Review financial documents to determine eligibility for patient assistance programs. MAY 2016 - JUL 2018
Patient Access Specialist, Cencora (Amerisource Bergen, Lash Group)
• Communicate directly with providers regarding claim submission denials and the appeals process. Engaged in weekly follow-up to ensure receipt of benefit verifications and to offer explanations as necessary. Perform patient-specific benefit research, assisted with prior authorization, and identified coverage options for uninsured and underinsured patients. Review financial documents to determine eligibility for patient assistance programs. MAY 2016 - JUL 2018
Patient Access Specialist, Lash Group
• Communicate directly with providers regarding claim submission denials and the appeals process. Engaged in weekly follow-up to ensure receipt of benefit verifications and to offer explanations as necessary. Perform patient-specific benefit research, assisted with prior authorization, and identified coverage options for uninsured and underinsured patients. Review financial documents to determine eligibility for patient assistance programs. SEP 2012 - OCT 2015
Pharmacy Technician, North Central Medical Center
• Responsible for completing data entry, prescription fulfilment, inventory, and submitting drug orders.
• Contacted healthcare providers for refills and prescription clarifications.
• Assisted with pharmacy claim submission.
EDUCATION
2012 - 2012
Pharmacy Technician Certificate, York Technical College SKILLS
Excellent capacity for attention to detail Superior organizational skills Strong commitment to cooperative teamwork Special talent for analyzing situations and resolving problems Ability to motivate individuals to work at their highest level Excellent Client Relations Time Management Trouble Shooting experience
Strategic and comprehensive training Flawless execution Adapting to new systems and office procedures Efficient operation of office computers and machines SKILLS
Problem identification and implementation of solutions Managing and working remotely Creating and fine-tuning processes Participating in client business simulations Creating reports Ensuring quality and productivity goals Improvement plans Working with internal Quality Center of Excellence Conducting client facing call calibrations Monitoring and reporting compliance findings Investigating client escalations Direct contact with clients Conflict resolution Creating Standard Operating Procedures (SOPs) Creating work instructions Conducting service issue audits Completing Adverse Events audits Compiling reports Updating training materials Training associates
Updating team page Communicating with providers regarding claim submission denials
Engaging in follow-up Performing patient-specific benefit research Assisting with prior authorization Identifying coverage options for uninsured and underinsured patients
Reviewing financial documents Determining eligibility for patient assistance programs Completing data entry Prescription fulfillment
Inventory management Submitting drug orders
Contacting healthcare providers for refills and clarifications Assisting with pharmacy claim submission
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