Senior Program/benefit Manager Resume
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Charlotte, NC
SUMMARY:
- Well - versed in building positive relationships with customers and other stakeholders. Strong requirements gathering, scope development and inventory coordination abilities. Skilled at overseeing complex, high-value projects with excellent planning competencies.
- Conceptual thinking
- Customer Focused
- Needs assessment
- Project documentation
- Training system scope
- Workflow analysis
- Team leadership
- Agile methodology
- Jira, Kanban
- Strong communication skills
- Risk identification
- Project management
- Development team trainings
- Documentation management
- Waterfall methodology
- Quality assurance
- Resource scheduling
- Team oversight
PROFESSIONAL EXPERIENCE:
Confidential, Charlotte, NC
Senior Program/Benefit Manager
- Amplified customer service by responding to customer calls within 24 hours to swiftly resolve issues and answer questions.
- Delivered targeted advice on issues such as applicable employment regulations, compensation strategies and internal systems to help ineffective approaches.
- Organized positions by factors such as salary and status to develop effective operational strategies.
- Served as interdepartmental liaison for all MA/MAPD/PDP/Medigap/Cost Medicare Enrollment/Eligibility questions.
- Spearheaded initiative to renegotiate contracts with existing vendors, resulting in $1.5M+ in cost savings within 6 months
- Significantly improved on-time delivery of 40+ individual IT infrastructure projects, reaching 95% of milestones within 10% of schedule variance
- Introduced new tools and processes to execute product lifecycle for 200+ products per year
- Collaborated with Senior Managers to hit key business goals and define project roadmaps.
Confidential, Charlotte, NC
Insurance Agent
- Acquired research on insurance packages and investment options to generate client recommendations.
- Negotiated additional products and services after identifying customer needs and requirements.
- Approached potential clients by using direct marketing techniques, including mailings and phone contacts.
- Refined approach to align with external partners and members of the local community to create continuous client referral sources.
- Integrated fact-finding appointments and consultations to determine client needs and overall financial situations.
- Furthered financial needs by assessing existing coverage and aligning new products and services with long-term goals.
- Accelerated new and renewal production goals with business development manager.
Confidential, Charlotte, NC
Pharmacy Manager/Medicare Specialist
- Educated customers as an interdepartmental liaison for all MA/MAPD/PDP/Medigap/Cost Medicare Enrollment/Eligibility questions.
- Project managed all CMS requirements in Enrollment and Billing including Policies and Procedures and Medicare Enrollment Letters.
- Interfaced with Compliance department to analyze audit findings and help prepare corrective action to our third party vendor.
- Communicated with senior management to inform of ongoing progress, updates related to any CMS related Memos and new released Guidance.
- Implemented and overseen all Enrollment CMS requirements.
- Developed and implemented policies and procedures which includes process flows, guide sheet for all important responsibilities as part of development of Medicare Operations Manual.
- Handled audits, mock audits, audit universe and execute the necessary corrective action plan and training.
Confidential, Sanford, NC
Certified Pharmacy Technician
- Maintain patient profiles, including lists of medications taken by individual patients.
- Receive written prescription or refill requests and verify that the information is complete and accurate.
- Clean and help maintain equipment or work areas and sterilize glassware, according to prescribed methods.
- Receive and store incoming supplies, verify quantities against invoices, check for outdated medications in current inventory, and inform supervisors of stock needs and shortages.
- Transfer medication from vials to the appropriate number of sterile, disposable syringes, using aseptic techniques.
