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Work Background
Sr. Project Coordinator
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & TexasSr. Project Coordinator
Jun. 2018Headquarters
Project Coordinator
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & TexasProject Coordinator
Feb. 2015Provide technical and operational support to departments, divisions and enterprise areas. Perform tasks including developing and managing projects; develop and facilitate training; writing system functionality; testing new developments and maintaining project plans, issue logs and status reports. Also lead and participate in project meetings and work groups with multiple, simultaneous projects. Manage the relationship between ITG and internal/external client organization in business and technical environments.
Managed Care Program Coordinator
Blue Cross and Blue Shield of Illinois, Montana, New Mexico, Oklahoma & TexasManaged Care Program Coordinator
Dec. 2012 - Feb. 2015I am a Waiver Specialist. When there are no available PPO participating providers for a members diagnosis within a certain mile radius of their home zip, they call in with a request to consider a particular specialist that they found that could treat them. I am part of the team that researches to verify that there is in fact no participating provider available. I also work responding to claim inquiries from the representatives in the claims department, basically when a policy requires precertification they double check to make sure that the members care was approved, if everything is not in order we request the records and update the cases. I am part of the central support team in the enhanced healthcare management center. (I work more than one role)
Health Coordinator (IMH)
Blue Cross and Blue Shield of IllinoisHealth Coordinator (IMH)
Apr. 2009 - Dec. 2012
Server
WishboneServer
Aug. 2005 - Apr. 2009
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