Tahle Hughes, BA

**** ***** ● St. Louis Mo *****

314-***-**** ● adzen0@r.postjobfree.com

SUMMARY

Experienced analyst adept at system troubleshooting, reporting, requirements gathering, and process analysis. Builds durable partnerships through consistent effort and focused communication.

SKILLS

Microsoft Office Suite (Word, Excel)

IBM Emptoris Contract Management System (reporting, troubleshooting)

SharePoint Site (workflow, form, list)

EMPLOYMENT

CENTENE CORPORATION–St. Louis, Missouri 12/2017 to Present

Contract Management System Analyst II

Work directly with health plan and corporate leadership to address contracting and reporting needs based on the terms within provider agreements.

Coordinate with three health plan Presidents to countersign contracts.

Lead the development of peers through formal training, knowledge sharing, and troubleshooting processes.

Provide formal on-site and virtual training of the contracting process and the Emptoris Contract Management System functionality to new users.

Provide on-going training on Emptoris Contract Management System functions and contracting processes to the contracting staff for three health plans.

Perform as the lead support of system functionality for users at three health plans by investigating, researching, and troubleshooting issues. Support contact for health plan and corporate Emptoris users, manage access and troubleshoot a variety of system and process issues.

Lead two on-site system trainings; taught specific Emptoris functions to co-workers and contracting staff.

Create, maintain, and audit contracting templates for existing plans to ensure accurate contract creation and contracting process execution through Emptoris Contract Management System and Microsoft Excel.

Add and remove user access and permissions within the Emptoris Contract Management System.

Work directly with health plan and corporate leadership to address contracting and reporting needs based on the terms within provider agreements.

Served as contracting lead and back-up for 2 new business implementations, creating, redlining, executing, and sending non-standard contracts through the reviews and approval processes.

Assist with problem solving and coordinate efforts between other business units.

CENTENE CORPORATION–St. Louis, Missouri 11/2014 to 11/2017

Contract Management System Analyst

Review and modify interviews for existing plans to ensure accurate contracts.

Support multiple health plans on the contracting process and all system related issues, including investigating, researching, and troubleshooting the issues.

Provide training on system functionality and contracting process.

Attend support calls with health plans and its users.

Administrator for user access (add, delete, maintain and define privileges) and user roles in the application.

Provide support to contract negotiators to ensure successful completion of contracting process.

Create contracts and manage contracting process utilizing the Emptoris Contract Management System to ensure that new business contract deadlines are met.

Ensures contract SLA’s are met.

Create and generate reports through SharePoint and Cognos.

Maintain provider data which include monitoring provider credentialing, location additions and terminations.

CENTENE CORPORATION–St. Louis, Missouri 08/2013 to 11/2014

Contract Analyst

Create contracts and manage contracting process utilizing the Emptoris Contract Management System to ensure that new business contract deadlines are met. Perform detailed contract analysis for executed contracts.

Collect data requirements from internal and external analytics.

Maintain spreadsheets and databases; collect, track, compile, analyze and distribute statistical data for daily and ad hoc reports.

Interface with credentialing staff to ensure data and systems are in sync.

Provide support to contract negotiators to ensure successful completion of contracting process.

Assist with work load assignment for temporary contract coordination staff.

Provide support to other departments to ensure compliance with corporate contracting standards.

Assist with Emptoris build activities, as needed.

Execute contracts and maintain physical and electronic file system.

CENTENE CORPORATION–(Kforce-Temporary Agency) - St. Louis, Missouri 11/2011-07/2013

Contract Negotiator

Negotiate vendor and provider contracts and manage implementations and ongoing relationships.

Identify and initiate contact with potential providers.

Initiate Physician, Group, Clinic and Ancillary contracts in accordance with Health Plan and State guidelines.

Support contract negotiators by submitting their contract requests.

Handling all contract initiation form requests for Kentucky, Washington and Kansas.

Review contracts from Emptoris team for Kentucky, Washington and Kansas before they are sent to the providers.

Identify gaps in contract processing and coordinate with Emptoris to correct changes within the contract.

Receive website submissions daily and assign them to the recruiters to follow up with providers.

Special projects as required.

ESSENCE HEALTH CARE – St Louis, Missouri 12/2010-11/2011

Customer Service Representative

Explain and demonstrate working knowledge of the claims adjudication process along with the ability to determine whether additional action is needed

Make outbound provider calls to resolve open issues including but not limited to providers, pharmacies and hospitals.

Work special projects as assigned.

Investigate and respond to general correspondence.

Contact for members, providers and other health care professionals by communicating clearly and answering any questions pertaining to Essence benefits and the operation.

Knowledge worker for all operational processes.

WELLCARE HEALTH PLAN/HARMONY HEALTH PLAN – Belleville, Illinois 05/2006–09/2009

Community Relations Associate

Developed and executed creative community programs.

Assisted Provider Relations Representatives with recruitment of key providers.

Assisted and building strong relationship with provider offices.

Scheduled open enrollment meetings, ensuring appropriate supplies are available.

Assisted with and attended, education seminars, career fairs, networking events and other special events as necessary. Helped assist manager with screening potential candidates.

Using PayScan to enter data collection and reporting in support of business development goals to ensure timeliness and integrity of information.

Maintained effective and timely communication with management regarding the status of the Medicaid market.

Assisted Managers with developing opportunities to expand Medicaid member base.

Lead and supported employee communications on community relations efforts.

Built positive, on-going relationships with local businesses, schools and community organizations.

Proactively strategies for membership growth, retention and to establish a consistent and strong relationship with provider offices.

EDUCATION

B.A. in BUSINESS MANAGEMENT CPhT-CERTIFIED PHARMACY TECHNICIAN

Columbia College – St Louis, Missouri Al-Med Academy – St Louis, Missouri

Minor: Computer Informational Systems Skills: Emptoris, Microsoft, Excel, SharePoint and Jira, Xcelys

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