April S.

Claims Operations Vendor Manager @Alignment Health

Ashland, WI, US
MOBILE NUMBERS
+91 *********19

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WORK HISTORY

Jul 2023 — Present

Claims Operations Vendor Manager @Alignment Health

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Oversight of vendor performance. Monitors daily activities to ensure vendor is meeting service level requirements. · Establish and communicate performance expectations with vendors · Collaborate with Claims Management team in setting up process requirements and performance metrics · Establish and communicate clear and concise vendor performance management metrics by developing and implementing effective vendor management scorecards and dashboards · Identify process gaps and make recommendations for improvements · Ensure the privacy and security of PHI (Protected Health Information) as outlined in the department policies and procedures relating to HIPAA Compliance · Maintain compliance in all areas of operations

EDUCATION

N/A

Edmonds College

Business Administration and Management

2010 — 2012

Mesa Community College

Certificate

N/A

Estrella Mountain Community College

Organizational Leadership

SKILLS

Agile MethodologiesIT ManagementProgram ManagementContract NegotiationSix SigmaSoftware Development Life Cycle (Sdlc)Software DocumentationRequirements AnalysisRisk ManagementGovernanceProperty & Casualty InsuranceProject PlanningMs ProjectSharepointSoftware Project ManagementProcess ImprovementTrainingBusiness TransformationBusiness AnalysisProcess ManagementVisioProject Portfolio ManagementVendor ManagementSdlcIntegrationPmoProject ManagementRequirements GatheringTestingIT StrategyCross-Functional Team LeadershipCoachingBusiness RequirementsBusiness Process ImprovementStrategyBusiness Process MappingBusiness IntelligenceManagement ConsultingManagementAgile & Waterfall Methodologies

ABOUT APRIL S.

Operations Leader | Project Management | BPO & Vendor Management | Data Driven Decision…

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