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Verification Specialist Support Analyst

Location:
Clayton, NC
Posted:
December 24, 2022

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Resume:

SHAINE CAMPBELL MCLISH

617-***-****

adt8i1@r.postjobfree.com

Experienced, versatile professional,with exceptional ability to build valuable working relationships with key stakeholders, advance successful business development, and drive for positive results. Qualified skill set which includes leading teams, communication skills, strategic thinking, analytical problem solving, procurement processes, research skills and strong patient and client focus.

EXPERIENCE

Zoetis-thru Adecco: Remote ( from home)

Financial Project Coordinator, December 2017-Present

●Act as a key liaison and partner with internal data providers to ensure timely update and delivery of all data.

●Manage the department three budget centers, projects and ad hoc work streams

●Analyse the Technical Services studies and projects expenses.

●Develop and maintain a standard set of metrics/ measurements to track strategic initiatives and conduct impact analysis

●Day to day administrative requirements including but not limited to: Purchase Order management, travel oversight, contingency planning and correspondence technical services,

●Plan, facilitate and lead team meetings and support with the development of posters and presentations for scientific meetings

●Management, coordination of webinars, advisory board meeting coordination

Pro Unlimited Sanofi Genzyme, Cambridge, MA

Renassist Analyst, January – December 2017 Reimbursement Verification Specialist, June 2016 – January 2017

●Analyzed, reconciled and generated the department statistics to create multiple reports for submission internally and externally.

●Managed expense report, compensation planning, financial projections.

●Created reports to assist managers with team workload.

●Led the management and coordination of the department; creating SOPs; motivating team to adhere and accomplish the organization’s objectives.

●Analyzed and reconciled Pharmacovigilance Adverse Events issue/reports.

●Maintained a current and proficient understanding of the Medicare Part D Benefit and various prescription drug plan (PDP) benefits.

●Researched reimbursement issues across the US, including state pharmacy assistance programs, alternative funding resources, government programs, and State specific carriers, and communicated reimbursement updates and/or changes to the appropriate internal and external customers.

●Performed verification of benefits and reported the results back to the renal health professionals.

●Processed patient assistance program applications for two free drug programs.

●Communicated appropriate information to patients, their families, physicians, health care professionals, and insurance carriers on the coverage and benefits of the department products.

●Collaborated with team members, professionals, and insurance companies to troubleshoot and resolve reimbursement-related issues.

Broward County Government Center Fort Lauderdale, FL

Purchasing Support Analyst, May 2013 – December 2014

●Analyzed, compiled and condensed data into a comprehensive presentation form.

●Oversaw the tracking and organization of various vendor documents.

●Researched suppliers to obtain pricing and specification based on request and usage.

●Created paperwork necessary for the acquisition of materials and services.

●Interfaced with internal customers to provide proactive customer service support.

●Assisted with the bidding process of selecting the provider for the job/service.

●Prepared complex purchase orders for a wide variety of devices, supplies and equipment.

MBJ Airports Limited, Montego Bay, JA

Commercial Analyst /Executive Assistant June 2009- May 2013 Contract Coordinator June 2006- May 2009

Senior Secretary, September 2001- June 2006

●Analyzed monthly gross revenue reports for conformity; conducted meetings and trainings with concessionaires on how to effectively maximize space to increase profit.

●Coordinated with the finance department to ensure correct billing and collection of contractual revenues.

●Prepared expense budget and forecasted revenue for Commercial, Marketing and Business Development Departments

●Analyzed new laws, regulations and contract trends to determine potential impact on the organization.

●Development and implementation of monitoring systems & programs, utilization reviews and action plans and policy development for both Operations and Commercial Departments of the airport.

●Prepared documents for the privatization and development of Sangster International Airport, Montego Bay, Jamaica.

●Conducted and coordinated research and prepared recurring reports and recommendations.

●Realized savings for the organization by implementation of systems and procedures that created efficiency and effectiveness.

●Drafted and introduced strategies for a paperless office, improving on process time and cost by 25%.

●Provided responses to proposals and contract negotiations and prepared Request for Proposals (RFPs) for Airport Concessions.

●Developed standard concessionaire’s contracts for Commercial Development and ensured execution in accordance to corporate guidelines.

●Created and maintained internal databases of industry partners and tracking systems with contract specific information.

●Planned and organized large functions and events in collaboration with the Jamaica tourist board and government groups.

EDUCATION

University of Technology, Jamaica

Master of Science, Finance October 2010

Northern Caribbean University

Bachelor of Science, Business Administration May 2006

SKILLS/INTERESTS

Technical Skills:

Proficiency in Microsoft Office Suite including Microsoft Excel (with Pivot table experience), Microsoft Word, Outlook, PowerPoint, SAP Research experience.

Volunteer work:

Participated in a mission medical outreach; travelled to several countries in South and Central



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