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YYYYYY X. YYYYYY

0000 xxxxxx xxxx , xxxx , xxxxx 00000
xxx-xxx-xxxx abc@xyz.com

 

Summary of Qualifications

 

  Health insurance industry leader with operations and Provider Relations expertise.

  Built and grown professional partnerships with corporate customers while leading and coaching staff.

  Proactively identified and resolved problems in real time, including implementing favorable solutions.

  Work history of consistently exceeding performance goals and earning promotions and new assignments.

  Excellent listening, verbal communication and interpersonal skills to train and mentor co-workers.

  Stellar time management, attention to detail and organizational skills, including prioritizing tasks.

  Superior ability to work well independently as well as part of a team.

Professional Experience

 

Avesis Inc. 2008-Present
Team Leader, Vision Laboratory Program (Jan. 2016-Present)

  Demonstrate outstanding leadership while assisting with the building of the Vision Laboratory Program.

 

Team Leader (2011-Jan. 2016)

  Spearheaded the launch of two laboratory programs while leading a diverse team of personnel.

  Educated retail partners while converting and designing plans to meet contractual requirements.

  Represented the company at several Provider Optometric meetings in multiple cities.

 

Senior Provider Relations Representative (2008-2011)

  Grew strong partnerships with independent and national corporate retail partners like Walmart, ECCA and Luxottica after negotiating favorable agreements.

  Displayed strong communication skills to train new staff on both the east and west coast. 

 

UnitedHealthcare Spectera 2001-2007
Account Manager (2004-2007)

  Oversaw a large group accounts such as American Airlines and Johnson and Johnson. 

  Participated in many Open Enrollment meetings, including with high-security government agencies.

  Provided valuable, hands-on on training to expand the Customer Service and Member Services.

Credentialing Coordinator, Member Services (2001-2004)

  Collaborated with personnel across Provider Recruitment and Provider Relations to ensure documentation accompanied the Provider File, license and National Practitioner Data Bank (NPDB) verification. 

  Ensured that all files met National Committee for Quality Assurance (NCQA) standards. 

 

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