Molina Healthcare Feb 2015 - Apr 2015
Medicare and Medicaid Claims Auditor
Protiviti Oct 2012 - Jan 2013
Grievance and Appeals Medicare Part C Compliance Analyst
Mercer Jan 2008 - Oct 2012
Senior Associate
Pwc Aug 2004 - Jan 2008
Senior Associate
Willis Towers Watson Apr 2003 - Aug 2004
Managed Care Reinsurance Consultant
Education:
Mount Saint Mary's University 1988 - 1992
Bachelors, Bachelor of Arts, Psychology
Mount Saint Mary's College
Bachelors, Art
Skills:
Grievances Unet Consulting Provider Relations Corrective Actions Units Shipping Insurance Cap Vendors Medicare Sales Cold Calling Consideration Federal Regulations Policy Development Merchandising Adjudication External Relationships Hmo Healthcare Information Technology Cross Functional Team Leadership Sme Law Enforcement Reinsurance Hr Consulting Dispute Resolution Regulatory Compliance Claims Audits Management Short Security Assurance Internal Teams Resume Descriptions Plan Implementation Medicaid Leadership Auditing Powerpoint Towers Accounting Seasonal English Data Recovery Healthcare Staff Management Validation Sage Act Strategy Revenue Cycle Supervision Medicare Advantage Inventory Ppo Cooperative Medicine Diligent Microsoft Excel Information Quality Payors Deloitte Training Policy Prescription Customer Service Curative Network Services Root Cause Modifying Confidentiality Subject Matter Expert Documentation Project Management Research Appeals Healthcare Industry Reporting Chicago Macess Analysis Ratings Los Angeles Rims Hospitals .Net Gap Analysis Meeting Scheduling Houston C Instrumental Rfp Retail Tpa Calm Health Policy Hipaa Floors Communication Detail Advertising Customer Needs Quality Assurance Operations Audit Reports Risk Assessment Marketing Revenue Cycle Management Vendor Performance Ev Cms Chapters Pharmacy Benefit Management Claims Auditing Project Planning Indemnity Contractual Agreements House Sec Regulations Ess Spd Qnxt Linkedin Dentistry Internal Audit Flexible Spending Accounts Project Teams Policies and Procedures Art Contract Management Reimbursement Arbitration Root Cause Analysis End To End History Navy Lotus Notes Start Ups Tax Reviews Without Supervision Process Improvement Visio Materials Claim Compliance Outlook Psychology Microsoft Word Rush Stocks Rate Cash Business Process Internal Controls Interviews Managed Care Budgets Financial Transactions Quality Improvement Health Insurance Eligibility Convenience Employee Benefits Databases
Interests:
Family Animal Rescue Healthcare Technology Tennis Healthcare Reform Travel Health