Tanya Taylor
Lead Facility Rates Specialist @Cognizant
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WORK HISTORY
Lead Facility Rates Specialist @Cognizant
US
Liaison/Subject Matter Expert to Cognizant\'s offshore (India) team and EmblemHealth\'s and Cognizant\'s onshore operational teams. Monitor and validate facility provider demographic set ups and conduct audits of provider demographic transactions within EmblemHealth\'s Consolidated Provider File (CPF). Develop action plans for issues identified as a result of provider demographic audits. Prepare weekly and monthly reports i.e. Facility Provider Demographic Performance reports which includes Inventory, Quality, Turn Around Time (TAT), Resources and Transition discussions i.e. transition progress, training, ramp up metrics, etc. Prepared various HIP HMO and GHI PPO provider demographics system file assessment tests for offshore teams in India. Reviewed and revised Provider Facility Provider Operations policy and procedure to clearly define the agreed processes between Cognizant and EmblemHealth to meet business objectives and regulatory requirements.
EDUCATION
The College of New Rochelle
Bachelor's Degree, Communication, General
College of Staten Island
Associate of Arts - AA, Liberal Arts and Sciences/Liberal Studies
Iona University
Certificate, Long Term Care Administration/Management
Iona University
Master's Degree, Health Services Administration
SKILLS
ABOUT TANYA TAYLOR
Goal-oriented, dedicated professional with strong leadership abilities who supports and…
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