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Project Manager Success

Location:
Ooltewah, TN
Posted:
May 22, 2025

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Resume:

JACOB H. KITTRELL

**** ******* ****, ********, ** 37363 314-***-**** ************@*****.***

Education

Culver Stockton College

Graduate: May 2008

Bachelor of Arts (Recreation Management)

Experience

Project Manager MedaSource September 2024 - May 2025

Manage several different contracting projects for one of the biggest for-profit health systems in the nation. Tasks include leadership and development of 12 business analysts, cleaning up contract and amendment language of a backlog of 400 requests, oversight of all contracting tasks and submissions, creation of resource documentation, creating and maintaining project roadmap, and coordinating resources for additional assignments. Currently engaged with the contract management team as well as program managers from the health system. Project included four different backlogs. Recognized by health system and MS leadership for consistency, communication, accuracy of request submissions, and overall effort towards the general progress of the project.

Customer Success Manager Unite Us, Inc January 2023 - September 2024 Chattanooga, TN (Fully remote)

Manage & maintain relationships with a portfolio of SaaS customer accounts specifically tied to growing Medicare membership & identifying Social Needs Risks in service area. Tasks include conducting Business Reviews, regular status meetings, Joint Success Plans, full Annual Enrollment Period & Open Enrollment Period data read-out, contract renewals, administration maintenance, Subject Matter Expert of Unite Us tools & Medicare space, Medicare growth consultation, prospect identification using predictive analytics, & ad-hoc customer deliverables.

●Experience with business systems, specifically Salesforce, Jira, Google suite, & ChurnZero.

●Contract renewal tasks include business review presentation, negotiating terms of the contract, crafting the SOW & financial details, & execution of the SOW.

●During my time at Unite Us, I closed 13 out of 13 renewal negotiations, to include on average of $200k in CARR per customer, & an additional average CARR upsell increase of about 15%.

●Customer-centric philosophy, communication, relationship building, and proactively providing value for the customer are my strategy to maintain these customers throughout the contract lifecycle.

Program Management Specialist BlueCross BlueShield Tennessee November 2019 – January 2023 Chattanooga, TN (Fully remote in 2022)

Promoted into position 11/2021. Facilitate executive-level transparency into regulatory and compliance - in conjunction with Legal, Product, Compliance, Marketing, and network management - programs & projects related to Medicare, Medicaid, & Commercial lines of business, including network advancement and new products brought to market. Project lead for complex initiatives, including projects with enterprise-wide & executive-level visibility. Oversee regulatory/policy requirements & implementation of language in BlueCross BlueShield Tennessee Provider Administration Manuals, as well as end-to-end creation of new Provider Manuals for other LOBs. Review & assess procedures & processes, & present leadership with efficient process improvements with a plan towards implementation. Ensure provider notifications/contracts language content is in compliance & sent per Bureau of TennCare & Provider Stability Act policy requirements. Provide oversight & consultation for any potential compliance or regulatory issues related to the Provider Stability Act in conjunction with legal counsel. Create Market Intel Report for company executives detailing health insurance market activity. Supervise current direct report duties, create yearly goals, complete yearly evaluations, as well as Hiring Manager role for direct report position. Create, modify, & provide additional oversight for departmental policies, procedures, & supplemental job aides. Member of several workgroups and committees that help solve complex departmental issues surrounding systems, processes, provider communications, & contract concerns. Business sponsor of, provide oversight, & strategic planning of implementation/maintenance of provider fee schedules on provider-facing portal Availity. Manage projects related to fee schedule & contractual requests from Bureau of TennCare. Manage all provider notifications related to claims updates, code updates, & medical policy per the Provider Stability Act and State of Tennessee regulatory requirements. Engage and build relationships with several departments across the enterprise to help drive projects towards completion - these relationships include regular meetings with Legal counsel, Brand Voice (enterprise-wide communications department), provider data, executive & staff leadership, BlueCare (Medicaid) network division, Medicare network division, Commercial network division, provider contract operations, & others. Create & maintain reporting for compliance-required Network Adequacy utilizing Quest Analytics system.

Project Analyst (Contract Management & Development) BlueCross BlueShield Tennessee June 2018 – November 2019 Chattanooga, TN

Project lead for various re-contracting efforts, as well as new network builds (BlueEssential/MA-HMO reboot). Member of administrative team for current Contract Management System (Emptoris)/DocuSign electronic signature system, & stakeholder in vendor selection for new Contract Management System selection & implementation. Conduct & document various trainings with team members on best practices in current Contract Management System. Coordinate, create, & modify Ancillary contracts for select Providers in various BlueCross BlueShield networks. Standardize & present interdepartmental processes utilizing different programs, including SharePoint, to leadership. Coordinate all contract negotiation filings with State Compliance Officer for submission & approval to Tennessee Department of Commerce & Insurance. Facilitate increase of Provider rates utilizing escalator methodology between various departments to ensure proper payment of claims for select Provider types.

BlueCross BlueShield Tennessee Corporate Trainings

Critical Skills for Leaders – January 2019

Critical Management Skills – July 2019

LEAN Six Sigma Yellow Belt – August 2020

Unconscious Bias – June 2021

Leading Remote Employees - January 2022

Communication & Advanced Coaching Skills – May 2022

Conflict Management & Leadership Etiquette – July 2023

Project Manager – Accreditation (Quality Improvement) Centene Corporation January 2018 – June 2018 St. Louis, MO

Assist Health Plan’s under company umbrella with NCQA Accreditation surveys, create/modify new & existing process documents for corporate standardization, & assist Senior Director with any side projects relating to NCQA Standards. Standardize contract NCQA language across the company Health Plans in conjunction with Network Development and Contracting department. Assess & provide feedback on Find-A-Provider (provider directory) while also maintaining NCQA compliance.

Contract Management System Analyst I/II Centene Corporation March 2016 – January 2018 St. Louis, MO

Work with contract negotiators through Sharepoint to create & modify contracts as needed in Emptoris system with an emphasis on turnaround times. Intake & quality check documents for new business implementations (Pennsylvania & Nevada).

●Nevada New Business Implementation Emptoris Team Lead (December 2016-January 2018). Create & modify new & existing processes for efficient document intake. Work with Nevada Health plan executive leadership on high priority contract lifecycles. Collaborate with different departments to meet department document intake goals & help streamline document flow. Speak/lead during network & lifecycle calls with other integrated leads about Emptoris team updates & metrics. Utilize & partner with resources from other departments to help mutually meet team goals & deadlines. Maintain positive rapport with Leadership to ensure smooth transitions of natural process changes. Coordinate & help implement intake strategies for Health Plan. Analyze data in various spreadsheets to detect inconsistencies across different programs (CRM, Sharepoint, Emptoris).

●Emptoris system: Create, modify, & execute contracts. Administer new & modify existing clauses within contract templates. Maintain accuracy of information within system. Run reports, distribute information, & answer any health plan questions regarding system or contracting issues. Worked directly with IBM on specific “auto-deletion” issue detected within system due to BTV error. Train new/existing staff on processes within system.

Centene Corporate Training

Leading Change at Every Level - June 2016

Leadership Through People Skills - September 2016

Centene Leadership Institute - January 2017

Communication Skills of a Leader - February 2017

Coaching Through Feedback - August 2017

Intro to Agile - January 2018

Performance Management & Merit Presentation - May 2018

References

References & Hartman Value profile with expert analysis are available upon request.



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