Brittany Roberts
Manager @CareSource
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WORK HISTORY
Manager @CareSource
Atlanta, GA, US
Identify configuration priorities to ensure compliance with benefit, pricing, and regulatory requirements.• Support large-scale projects on Medicaid, Marketplace, and DSNP benefit design implementations.• Foster collaboration between departments to enhance operational efficiency.• Hire and lead a team of 10 employees, providing coaching for high productivity.• Analyze business performance data and forecasted outcomes for upper management.• Conduct proactive analysis of claim payment trends, resolving issues efficiently.• Ensure compliance with relevant laws and standards while overseeing regulatory tasks.• Manage payment escalations effectively within Georgia market to address client concerns.• Facilitate and manage provider/payer meetings regarding claims payment trends, resolving 98% of provider issues, timely and accurately.
EDUCATION
Bowling Green State University
Bachelor of Arts (BA), English Language and Literature/Letters
ABOUT BRITTANY ROBERTS
A self-motivated, results driven, highly successful leader who thrives in a fast-paced work environment, with 15+ years of experience in customer service and 8+ years of healthcare experience. Can successfully perform root cause analysis to remediate issues, while adhering to policies, guidelines and procedures. Highly effective communication, superior analytical skills, and proven leadership style makes Brittany effective at properly servicing both internal and external customers.Skill Set:Microsoft OfficeWell-versed in the healthcare industryHealthcare BenefitsEncompass a clear understanding of Medicare and CMS guidelines Excellent customer service skills Highly effective interpersonal communication skillsNASCO
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