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Objectives

Looking for a leadership position with a company that places a premium on creativity, offers career development, and provides unique opportunities.

Skills

  • Microsoft Suite of Applications

    Advanced
    Years of Experience: 10 years
    • Knowledgable of all Microsoft applications--Word
    • Excel
    • Powerpoint

  • Management Training

    Advanced
    • Workplace Culture Training for Managers; Achieve Global: Advanced Management Training; Achieve Globa

Work Experience

  • Senior Operations Manager

    2004 November - Present
    Wellpoint, Inc
    Richmond, Virginia, United States

    daily management of 42-member team; establish work plans to ensure departmental and corporate goals are met; manage all aspects of claims processing; manage all aspects of customer service-including telephone calls and correspondence inquiries; daily, weekly, and monthly production and quality reports; inventory control; plan, coordinate, and conduct team training; write/develop training material; biweekly payroll calculation; annual performance reviews; interview and hire staff for team; coach and develop associates; coordinate special projects as needed; monitor and stay within approved annual operating budget of $1.2M

    Projects:

    • Implementation of Consumer Cal
      Operations project leader overseeing implentation of new call center for Consumer Driven Healthcare Product--including call center technology, call-care browser, correspondence and written inquiry system, claims processing system, metrics reporting

  • Senior Manager

    2003 August - 2004 May
    Blue Cross Blue Shield of South Carolina
    Columbia, South Carolina, United States

    daily management of 23-member team; manage all aspects of claims processing; manage all aspects of customer service-including telephone calls and correspondence inquiries; daily, weekly, and monthly production and quality reports; inventory control; plan, coordinate, and conduct team training; write/develop training material; serve as project lead and point of contact for contractual projects; biweekly payroll calculation; annual performance reviews; interview and hire staff for team; coordinate special projects as needed; order supplies for team; monitor and stay within approved annual operating budget of approximately $550,000 to $600,000

  • Senior Manager

    2001 August - 2003 August
    Blue Cross Blue Shield of South Carolina
    Columbia, South Carolina, United States

    daily management of 45-member team; manage all aspects of claims processing and customer service; daily, weekly, and monthly production and quality reports; inventory control; plan, coordinate, and conduct team training; write/develop training material; serve as project lead and point of contact for contractual projects; biweekly payroll calculation; annual performance reviews; interview and hire staff for team; coordinate special projects as needed; order supplies

    for team; monitor and stay within approved annual operating budget of approximately $1.5 million; oversee provider database maintenance; respond to written Congressional inquiries; act as liaison to Congressional offices in problem resolution; act as liaison to providers and four Prime Contractors; act as liaison to Department of Defense representatives

  • Senior Manager

    2000 August - 2001 August
    Blue Cross Blue Shield of South Carolina
    Florence, South Carolina, United States

    daily management of 21-member team; manage all aspects of maintaining provider data base; manage all aspects of provider credentialing process; maintain provider network terms; assist provider representatives with writing contracts; daily, weekly, and monthly production and quality reports; inventory control; plan, coordinate, and conduct team training; write/develop training material; serve as project lead and point of contact for contractual projects; biweekly payroll calculation; annual performance reviews; interview and hire staff for team; coordinate special projects as needed; order supplies for team; monitor and stay within approved annual operating budget of approximately $350,000 to $500,000; act as liaison to providers and Prime Contractor

    Projects:

    • Call Center Implementation
      Project Lead to implement call center for healthcare providers to call for assistance with credentialing information--including call routing technology, call-care browser tools, training and quality guidelines, metric reporting

  • Adjunct Writing and Composition Instructor

    1999 August - 2001 August
    Florence-Darlington Technical College
    Florence, South Carolina, United States

    develop and implement daily lesson plans teaching skills for writing and editing; classroom management; maintain class records; attend departmental meetings

  • Operations Manager

    1999 August - 2000 August
    Blue Cross Blue Shield of South Carolina
    Florence, South Carolina, United States

    daily management of 36-member team; manage all aspects of claims processing; daily, weekly, and monthly production and quality reports; inventory control; plan, coordinate, and conduct team training; write/develop training material; serve as project lead and point of contact for contractual projects; biweekly payroll calculation; annual performance reviews; interview and hire staff for team; coordinate special projects as needed; order supplies for team; monitor and stay within approved annual operating budget of approximately $250,000 to $300,000

  • English Teach

    1996 February - 1999 June
    Darlington County School District
    Darlington, South Carolina, United States

    develop and implement teaching units; classroom management; maintain class records; attend faculty, departmental, committee and team meetings; grant writing; yearbook advisor; senior class advisor; senior trip coordinator; conflict resolution among students

Academic Background

  • Bachelor of Arts Degree

    1991 August - 1995 December
    Francis Marion University
    Florence, South Carolina, United States
    Major: English/Secondary Education; Minor: Political Science
    GPA: 3.25 / 4.0 overall

Professional Awards

  • Sallie Mae Teacher of the Year

    Darlington County School District
    1998 May - 1999 June

    Selected as the Sallie Mae First Year Teacher of the Year for the Darlington County School District