Medical Management Specialist
Resume:
Tricia Lynn Vigarino
***** * **** **** ******* AZ 85086
PROFESSIONAL EXPERIENCE
Insurer's Administrative Corporation; Phoenix, AZ (August 2003 to Present)
Provider Network Services Coordinator
• Primary contact between corporation and 85 Preferred Provider Organizations.
• Reviews and recommends and directs the implementation of PPO health plan pricing factors after applying appropriate mathematical models and sound judgement to SR VP Medical Management and Risk Management liaisons.
• Coordinates the implementation of new provider networks including system set-up and processing of identification cards.
• Oversees and manages external web content and information in support of marketing and sales and
iInternal departmental resource libraries.
• Assists the Vice President of Business development regarding PPO related issues.
• Tracks, compares and documents actual claims savings to prospective analysis
Heritage West Securities, Inc.; Phoenix, AZ. (March 2001 – January 2002)
Daily Operations Manager
• Primary contact between corporation and First Clearing Corporation.
• Responsible for daily cashiering duties including deposits, fed wires, transfers, and check requests.
• Entered trades, recorded and completed executions, daily reports, and wire traffic distribution.
• Assisted brokers on all accounts with updates, journals, paperwork, account coding, and distribution.
• Created computer systems, reports, and documents for research and broker education.
• Proficient in Goldmine, Excel, Word, Explorer, PowerPoint, and Netscape software programs.
Heritage West Securities, Inc.; Phoenix, AZ. (March 2001 – January 2002)
Executive Assistant to the Director of Mergers and Acquisitions
• Managed weekly schedules and organized weekly meetings.
• Responsible for personal expenses and checking accounts.
• Handled all travel arrangements including air, hotel, and car reservations.
• Additional duties included answering personal phone line, filing, and distribution of paperwork.
• Utilized various computer systems and reports.
Trade Secrets Investment Strategies, Inc.; Scottsdale, AZ. (August 1999 – March 2001)
Program Director
• Directed sales of company software, investment, and seminar products.
• Directed marketing and promotional activities to meet and exceed monthly sales quotas.
• Provided customer relationship enhancements to insure repeat sales activity and refund avoidance.
• Closed stock market product sales at seminars.
• Handled advertising copy production, purchasing, proofing, and tracking.
• Generated new leads and follow up sales activities from trade shows.
• Utilized various computer systems and reports
• Consistent top producer in company sales, by market and revenue goals.
First Health; Scottsdale, AZ. (March 1997 – August 1999)
Provider Relations Administrator – Lead
• Primary contact between providers and First Health Network PPO.
• Contact manager of 200,000 Physician and Hospital Network.
• Responsible for seven person Arizona Provider Relations Team.
• Interviewed and helped select new hires.
• Organized and trained new employees during a three-week one-on one training period.
• Quality assessed and monitored employee workload for seven administrators.
• Educated Providers of Claims Submission, Contract Reimbursement, Accounting and Networks.
• Created computer systems, reports, and documents for research and provider education.
• Corporate Communication Officer of information and problem assistance.
EDUCATION
Southwest Institute of Healing Arts; Scottsdale, AZ. (September 1998 – March 1999)
Obtained License for Massage Therapy for the City of Scottsdale.
Arizona State University; Tempe, AZ. (Graduate, May 1997)
Bachelor of Science Degree; Majoring in Exercise Science/Health & Wellness.
University of Denver; Denver, CO. (September 1991 – May 1992)
Undergraduate; Full Scholarship, Gymnastics & Academics
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