Description
Profile * Analytical, motivated and strong work ethic. * Project management and operations background * Computer savvy and proficient in many reporting programs * Construction and ProCore experience * Experienced in rehabbing properties and overseeing vendors and subcontractors. * Bilingual (Spanish) * Polite, professional and carry a positive attitude Responsible for, St Petersburg, FL * Responsible for gathering data and maintaining daily reports * Create new Medicaid Pre-Authorizations reviews for contracted providers and facilities * Create new Providers when needed * Maintained a high level of courtesy and customer service while helping CM's and Nurses translate to our Spanish speaking members * Manage projects within the Member Services and Care Management dept. * Contact facilities and providers to ensure all information needed for Prior authorizations and Pre-certifications are satisfactory * Follow bylaws as laid out by HIPAA and the association * Reviewing medical information with providers as well as following up with Medicaid to ensure payments. * Cross-trained with the claims department to review claims * Responsible for providing Medicaid members with information about our services supervising and managing the call center's sale's team a team of up to 25 agents * Designed and managed auditing reports to keep productivity at its peak * Managed on-going service and production of our international bases * Ensuring that our customers receive a consistently premier service * Managed weekly employee schedules and promotional advertisements to consistently deliver targets of 10% per year revenue growth * Liaise with Marketing and Yield departments to achieve quarterly targets Attended and supervised boat shows to help increase sales and brand exposure * Led training initiatives and team meetings to increase communication within our department Responsible for managing day-to-day operations for our £4 million per year Poundbury location Responsible for a 15% growth in revenue in my first year during an economic downturn and reduction in consumer spending in the luxury food retail market * Daily interaction with customers and outside suppliers to ensure the ongoing improvement of the store's reputation Create analyze and communicate P&L statements with corporate office. * Conduct meetings to inform staff of any issues or upcoming events within the shop Responsible for hiring new staff and making sure all positions are filled * Track Invoices and delivery notes and manage our payroll on a weekly basis Implemented a `Charity Bag` scheme with proceeds from every bag sold donated to a local charity
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