Care Management Business Partner Resume Example Humana

CARE MANAGEMENT BUSINESS PARTNER

Professional Summary

Experienced [Job Title] with over [Number] years of experience in [Industry]. Excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational improvements. Consistently saved costs while increasing profits. Business Associate supporting clients and serving as primary business contact. Excel in building relationships with clients, identifying new business opportunities, handling client communication and communicating business offerings to customers. Skilled leader during business meetings and making sales field visits.Strong business acumen, attention to detail, excellent communication and interpersonal skills. Multi-talented [Job Title] consistently rewarded for success in planning and operational improvements. Experience in policy development and staff management procedures positively impacting overall morale and productivity. Natural leader experienced in driving great team successes by coaching and motivating team members to increase financial profitability, operational efficiency, and customer satisfaction. Record of performance in meeting organizational objectives.Excellent interpersonal skills, ability to work well with others, in both supervisory and support staff roles. Client Manager dedicated to assisting account executives and account teams by performing administrative and client support duties associated with maintaining client accounts. Focused on ensuring excellent service standards and maintaining high customer satisfaction. Experience providing product and services information, and resolving any emerging problems clients might face with accuracy and efficiency. Experienced Business Manager adept in business operations, cultivating new business partnerships, managing supplier relationships and increasing customer satisfaction. Excellent business acumen, customer service skills and strategic planning. Business Leader with proven ability to develop and implement business management goals. Create business strategies, allocate resources, find ways to increase productivity,and assess employee performance. Liaise with partners and suppliers. Represent the company in industry events. Strong business acumen and managerial abilities.

Work History

Humana - Care Management Business PartnerFayetteville, Arkansas01/2013 - Current

Identified prospects' needs and developed appropriate responses along with information on fitting products and services
Achieved sales goals of $[Amount] and service targets by leveraging interpersonal communication skills and product knowledge to cultivate and secure new customer relationships
Maintained routine communication with clients to assess overall satisfaction, resolve complaints and promote new offerings
Maximized business potential by providing excellent customer service and ensuring [Number]% client retention
Worked to develop network by identifying and pursuing new leads, attending industry events and building rapport with clients
Exceeded established sales goals and increased client retention by [Number]%
Upsold and closed customer sales by driving product benefits around client needs and increased revenue from $[Number] to $[Number] in [Timeframe]
Used consultative sales approach to understand and meet customer needs
Set up appointments with potential and current customers to discuss new products and services
Achieved [Timeframe] sales goals by promoting [Product or Service] and enrolling clients by explaining programs and services to interested individuals
Used [Software] to maintain company database with essential account and sales information
Coached customers' staff and demonstrated product use and maintenance
Forged and nurtured impactful relationships with customers to cultivate loyalty, boosting customer satisfaction ratings [Number]%
Supported customers continuously from sales process to product set-up and use
Researched potential clients and markets to prepare for appointments
Brought in new customers and retained base through proactive management of individual needs and development of robust [Type] solutions
Conferred with existing and potential customers to assess requirements and propose optimal [Type] solutions
Expanded [Company]'s book of business by [Number]% over [Timeframe] by [Action] and [Action]
Created and implemented new training initiatives such as online modules, interactive software, language labs and online programs, assuring continuous training to employees to promote long-term excellence
Developed curricula, instructions, documentation and written tests for [Type] training courses

Novare Network - Medical Case ManagerFayetteville, AR03/2012 - 09/2015

Increased operational efficiency by developing improved filing systems for confidential client records and reports
Created and implemented aggressive action plan to address pressing cost control needs
Evaluated data in [Type] and [Type] reports to proactively adjust and enhance [Type] operations
Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands
Executed regular process updates to reduce discrepancies and enhance scheduling across [Type] calendars and programs
Achieved [Number]% average completion rate on all assignments without loss of materials and assets, demonstrating innovative and practical problem-solving skills in high-stress environment
Facilitated change management activities for department and staff of [Number] individuals
Set, enforced and optimized internal policies to maintain efficiency and responsiveness to demands
Trained new employees in specific job requirements
Conducted scheduled and impromptu evaluations to assess work performance
Reduced workflow inconsistencies by recruiting and hiring capable staff members
Prepared and recommended long-range plans for development of [Type] department
Developed and maintained relationships with [Type] customers and suppliers through [Action] and [Action]
Provided management with feedback regarding employee performance and training needs
Increased customer retention and satisfaction by closely monitored team member performance and assessing problematic practices
Oversaw and optimized work of [Number][Job title]s performing high-quality [Type] work
Set and managed schedules to give proper coverage to required areas and meet customer service demands
Expanded cross-functional organizational capacity by collaborating with [Type] department about [Type] functions and common goals
Demonstrated new products, procedures and techniques to employees
Hired, trained and mentored staff to maximize effectiveness
Audited team performance and compliance with [Type] and [Type] standards
Managed support services and fostered communication among social workers, [Type] therapists, hospital staff and patients
Helped patients receive appropriate, high-quality care with reasonable results
Reduced care costs without sacrificing quality through effective service coordination and multidisciplinary collaboration
Worked with different disciplines to provide cohesive care to patients
Addressed disruptions in patient care, including delays in discharge, postponed procedures and discharge equipment unavailability
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs
Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources
Increased referral rates by providing excellent service and building meaningful relationships with patients and caregivers
Managed and streamlined referral queues of up to [Number] by efficiently prioritizing patients and clearing insurance obstacles
Updated patient charts using [Software] with data such as medications to keep records current and support accurate treatments
Reported plans, findings and results to employers and insurance carriers
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions
Participated in education activities, including evidence-based practice project implementation, nursing competency development and nursing simulation activities
Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies
Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process and management and lifestyle options
Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches
Provided skilled, timely and level-headed emergency response to critically-ill patients
Communicated with healthcare team members to plan, implement and enhance treatment strategies

Autumn Home Care Facilities - Quality AnalystPea Ridge, Arkansas04/2012 - 10/2013

Worked closely with organizational leadership, including board of directors, to strategically affect direction of operations
Directed work of key [Type] and [Type] team members to create cutting-edge [Area of expertise] works
Collaborated with management, technical crew members and fellow supervisors to organize efficient site operations and achieve demanding schedule targets
Built and strengthened productive and valuable industry partnerships to drive collaboration, engagement and revenue stream development
Confirmed company documentation met ISO requirements and day-to-day operations followed documentation
Reached conformity with product quality specifications by suggesting [Type] corrective actions
Developed and maintained positive relationships with employees
Led and directed team of 10 with over 120 employees total
Established performance goals for each department and provided feedback on methods for reaching those milestones
Developed impactful and strategic partnerships with [Type] clients to drive business development
Tasked to turn around low growth operation by solidifying workflow processes, strengthening client relationships, and improving communications supporting client advocacy
Optimized processes and supervised [Number] employees, including overseeing administration, budgeting, sales and scheduling protocols
Resolved all issues efficiently, which in turn enhanced customer satisfaction ratings
Assisted company executives during decision-making process by compiling daily reports to suggest corrective action
Optimized operational processes by developing company-wide analytics tool to address client-specific metrics
Analyzed business needs while soliciting customer feedback for process improvements
Trained and managed team of [Number] developers and discussed issues to provide resolution and apply best practices

Skills

Business relationship management
Care management
Business management and development
Business partnerships
Quality management care
Patient care plan management
Business management
Healthcare program management
Business operations management
Healthcare facility management
Healthcare management
Crisis management experience
Program records management
Understanding of insurance business
Time management
Business knowledge
Process management oversight

Data management familiarity
Customer Relationship Management (CRM)
Crisis management consulting
Story pitching
Issues resolution
Staff development
Business planning
Operations management
Staff management
Strategic planning
Rules and regulations
Project management
Verbal and written communication
Data collection and analysis
Strategies and goals
Negotiation

Education

Louisiana State University Shreveport, LAMBA

Coursework in [Subject], [Subject] and [Subject]

Baptist School of HealthLittle Rock, ARProfessional Diploma: Registered Nurse

Centenary College Shreveport, LABachelor of Arts: Psychology/ Business Administration

Resume Overview

Companies Worked For:

Humana
Novare Network
Autumn Home Care Facilities

School Attended

Louisiana State University
Baptist School of Health
Centenary College

Job Titles Held:

Care Management Business Partner
Medical Case Manager
Quality Analyst

Degrees

MBA
Professional Diploma : Registered Nurse
Bachelor of Arts : Psychology/ Business Administration

Care Management Business Partner Resume Example

Resume Score: 80%

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