ACCOMPLISHMENTS INCLUDED: Working with fortune 100 accounts. Over my career, effectively collaborated and consulted with over 150 client accounts. Assisted many RFP, presented, and implemented large Health Plan accounts. Superior satisfaction annual surveys on my abilities. Led Mid-Market team in virtual coaching and mentoring of Account Executives and Account Representatives for more than 300 accounts. Provided support, input, and training to account team on various task forces including Web site development, internal software database, marketing material review, and standards of reporting analysis and trending. Key account management member of the NCQA regional team. MAGELLAN BEHAVIORAL HEALTH f.k.a. Merit 1995 - 2000 Account Executive- * RESPONSIBILITIES: Managed over 3 million dollars in annual revenue including five (5) Fortune 500 accounts within the book of business while provided continuous quality of service monitoring and improvement for over 190,000 lives. Strategically partnered with over 26 different Human Resources departments, Occupational Nurses and Benefit Managers simultaneously on all aspects of related benefits, mental health issues, utilization trending patterns, critical incidents, supervisor training and health fairs. Effective contract negations, benefit upsells and multi-year renewals. Monitored, consulted on benefits and enhancements for Employee Assistance Program and Managed Behavioral Care accounts. ACCOMPLISHMENTS INCLUDED: Superior satisfaction surveys year after year from client contacts. Monthly Employee recognition award voted on by co-workers. Volunteered for internal training development and presentation to colleagues. MERIT BEHAVIORAL HEALTH 1990 -Dec 1995 Customer Service Supervisor/ Member Services Manager/ Appeals and Grievance Coordinator/ Intake Supervisor * RESPONSIBILITIES: Maintained operations focus on eligibility verification and benefits management for over 200,000 State of Ohio, Blue Cross Blue Shield of Ohio and HealthFirst members and dependents. Provided open enrollment consultation and coordination, promotional material budgeting and distribution, training and coordination for over 150 yearly benefit and health fairs. Quickly and effectively managed and coordination Critical Incident Stress Debriefings over the State of Ohio for numerous suicides, accidents and prison riots. Responded to all appeals and grievances, while coordinating multiple levels of appeals with Psychiatrist, Facilities, State of Ohio representatives and members. Assisted with monthly and quarterly service level agreement report preparation, analysis, trending and presentation. Managed and trained Provider Relations team of 3, providing Geo-Access reporting standards, provider recruitment and contact negotiations. ACCOMPLISHMENTS INCLUDED: Developed claims eligibility auditing reports for terminated members with paid claims. Re-cooped over $300,000 in erroneous claims. Documented polices for claims auditing. Committee member for the State of Ohio Employee Assistance Program. Significantly improved telephone responsiveness for callers. Developed procedural and training manual for Intake Department. Employee of the Year -1991.

Highlights:

• Account Management
• Audit
• Behavioral Health
• Benefits
• Benefits Management
• Book of business
• Budgeting
• Coaching
• Customer Accounts
• Customer Service
• implementation