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provider data senior supervisor resume example with 13+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Professional Summary

Well-qualified leader with proven success in improving operations and solving problems. Highly proficient in building lasting relationships with key decision makers, customers and team members to further company goals. Ready to leverage training and experience to take on new professional challenges.

Skills
  • Strategic Planning & Delegating
  • Procedure Development & Improvement Strategies
  • Troubleshooting & Problem Solving
  • Attention to Detail & Organization
  • Strong Written & Verbal Communication
  • Building Meaningful Personal & Team Relationships
  • Determined & Results-Driven
  • Time Management & Prioritizing
  • Managing Operations & Efficiency
  • Creating Innovative Training Solutions & Programs
  • Recruiting, Interviewing, Onboarding, Training, Development & Performance Evaluations
  • Salesforce, BI Reporting Tools, MS Office
Work History
Provider Data Senior Supervisor, 01/2016 - Current
Cigna City, STATE, Sunrise, FL
  • Expert in prioritizing workflows and handling escalated requests while developing and inspiring team members
  • Facilitated bi-weekly connect for growth check-ins with direct reports to help identify their goals and areas of growth opportunities to help motivate and inspire
  • Improved turnaround times from 90+ days to 5 days on claim functions through reorganization of analysts for efficiency purposes by identifying qualified candidates to meet strict deadlines and attain high-quality audits
  • Reduced fallout from 35% to 14% and boosted department turnaround time efficiency from 60 days to 30 days on third-party vendor contracts processing through system logic improvements and reiteration of SOPs in collaboration with Dental IT and key business partners
  • Improved retention rates by nearly 50% by carefully crafting step plans to create vertical growth for employees within small department
  • Created and implemented internal programs to assist in employee development, growth and mental and physical health promotion, and retention (i.e., Mentor-Mentee Program, Wellness Program, Leadership Development Course, and Career Development Course)
  • Acted as SME and business partner on end-to-end OIA (Office of Intelligent Automation) implementations to increase efficiency and enable adherence to strict turnaround times
  • Navigated numerous staff reduction exercises through implementation of Robotic Solutions and maintained positive employee morale throughout process
  • Worked closely with senior leadership, business partners and IT to collaborate and enable system to accommodate new projects or evolve and enhance existing projects
  • Earned numerous Cigna Champion Awards for assisting on various high-priority or escalated projects and delivering excellent turnaround times and quality work.
Provider Services Senior Associate, 02/2013 - 01/2016
Cigna Dental City, STATE,
  • Experienced in project and team management
  • Developed, prioritized, and delegated day-to-day projects, reported monthly production to senior leadership, and performed monthly audits of all team members
  • Pioneered and maintained several workflows and SOP manuals to ensure accurate and efficient processing; trained team members on all related functions
  • Extensively researched and corrected provider demographic information to ensure proper claims processing and listing in member directory; worked closely with providers and various members of other dental teams
  • Assisted provider relations with contract negotiations and compensation requests by using pricing models and claims data to arrive at appropriate fee increase offerings
  • Consistently demonstrated superior organization skills with a strong sense of willingness and urgency to complete projects and exceed expected production metrics and audit scores; reliable and sought-out source for troubleshooting, training, and timely processing of priority issues.
Data Entry Senior Associate, 08/2011 - 01/2013
ProUnlimited, Cigna City, STATE,
  • Extensive experience in streamlining and sorting pertinent information from third-party vendors into various web-based information storage tools
  • Acted as team lead, answered questions presented by team members, and created and delegated work
  • Completed projects timely with little to no supervision and exceeded set production expectations
  • Made outgoing calls to various dentists and doctor's offices to gather important demographic information
  • Met and exceeded all audit and production expectations with 100% accuracy
Director of Aquatic Operations, 01/2009 - 05/2011
Westminster School City, STATE,
  • Managed private exclusive swim club
  • Successfully led staff of twenty-five through drastic management changes and retained 95% of staff throughout process
  • Created new programs to maximize facility use for revenue purposes and planned lifeguard salaries to fit yearly budgets
  • Increased revenue by 25% over two years through building more accessible pool hours, creating customized swim lesson schedules, hiring trained staff to teach classes, and promoting birthday parties
  • Developed and promoted monthly pool schedules and events to members while ensuring pool was appropriately staffed
  • Secondary responsibilities included: maintaining pool chemicals and cleanliness of facility, filing important employee documents, archives, and membership contracts, and revising payroll.
Education
Masters of Science: Industrial Organizational Psychology, Expected in 12/2022
-
University of Hartford - West Hartford, CT
GPA:
Status -
  • Relevant Coursework: Organizational Effectiveness, Performance Evaluation and Management, Workplace Training Program and Design Effectiveness, Leadership - Theory & Practice, Emotional Intelligence, Research Methods & Experimental Design.
  • 4.0 GPA
  • Capstone Project: The Value on Investments from Wellness Programs and Benefits; evaluating the importance of customized wellness programs and benefits structure to improve behavioral outcomes in employees such as enhanced productivity, reduced stress, greater well-being, and retention of valuable talent.
Bachelor of Arts: Psychology, Expected in 12/2008
-
Central Connecticut State University - New Britain, CT
GPA:
Status -

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Resume Overview

School Attended

  • University of Hartford
  • Central Connecticut State University

Job Titles Held:

  • Provider Data Senior Supervisor
  • Provider Services Senior Associate
  • Data Entry Senior Associate
  • Director of Aquatic Operations

Degrees

  • Masters of Science
  • Bachelor of Arts

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