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Senior Program/benefit Manager Resume

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.

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