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Click here or scroll down to respond to this candidateCandidate's Name
Phone: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEAbout myself:Achiever, Leader, Team Player, Coordinator, Quick learner with 20 plus years experience in the Health Industry that includes Account management, PBM, Specialty Pharmacy sales, Medicare Insurance Sales, Provider Engagement for Network Operations, and Provider consultant for development and education on the Provider Portal and data analysis. Additional capabilities include c-suite presentations, training, forecasting, budgeting, and proven sales performance that goes beyond to enhance business growth in startup territories. Work Experience:Humana Market Point Oregon and WashingtonInsurance Market Point ProducerAugust 2006- Current Insurance Producer in the Senior Market that offers Medical Supplements, Med Advantage, Medicare Group Coverage, prescription drug coverage, and other products including life, long term care, accidental, and Dental coverage. Presented weekly seminars during open enrollment for the senior market that provided educational seminars. Also, marketed through seminars for Humanas Optional Supplemental products that included Vision, Dental, Life and Accidental. Marketed to communities through senior fairs, county fairs, provider conferences. Also, visited providers offices, broker offices, long term care, hospitals, and Community Centers. Generated business through referrals, and volunteered for the local senior events. Provided customer service throughout the year regarding questions on owned policies, billing, and claims. Presented Seminars at Senior Centers, Community Centers, Restaurants, and Provider Faculties Prepare business plans and maintain target lists. Prioritize accounts in accordance with the market sales plan. Optum Infusion PharmacyRegional Account Manager/ Field Sales Trainer Alaska, Oregon, Washington, and Idaho September 2022- June 2024 Engaged with all Specialty Physician offices to influence RNs, Triage teams, and MAs to route patients' prescriptions to Specialty Pharmacy for fulfillment, growth, and retention. Focused on increasing orders to Humana Pharmacy, resulting in increased prescriptions and revenues. Assisted and collaborated with Operations on new Scripts, Clinicals, Refills, Prior authorizations, new nursing orders, and provider and patient issues. Educated Provider offices on OptumRx Specialty Benefits. Served the needs of Medical Practice accounts and solved issues. Set up Educational C.E. Workshops with Clinical Nurse. Built Relationships with Manufactures through Workshops, Meetings, and educational events. Worked with the Provider Contracting and 340B Contracting team to establish growth in the PNW territory. Used Salesforce and Orbit for tracking leads, stats, and new referrals, and Care Link for patient data. Prepared business plans and maintain target lists. Prioritize accounts in accordance with the market sales plan using Orbit, Tableau, Excel, and Salesforce. Achievements Exceeded 100 percent Sales Revenue goal for Q1, Q2, Q3. Q4 of 2023 (Ranked #3 for Presidents club) Diamond Award for Covering for an open territory that exceeded 100 percent. Diamond Award for Market Collaboration; working with Provider Networking, and Partnership. Diamond Award for Performance & Collaboration with Operations Team from the Specialty Pharmacist Continued Page (2)Humana Specialty Pharmacy/ Center Well Specialty Pharmacy Senior Pharmacy Account Executive - Oregon, Washington, Utah August 2020- September 2022 Engaged with all Specialty Physician offices to influence RN, Triage teams, and MAs to route patients' prescriptions to Humana Pharmacy for fulfillment. Visited physicians, hospitals, skill nursing, all specialty offices 4 times a week. Focused on increasing orders to Humana Pharmacy, resulting in increased prescriptions and revenues. Worked with Operations Rx refills and new Script orders. Exercised considerable latitude in determining objectives and approaches to assignments. Presented educational webinars to Market partners/Stake holders and Specialty Providers. Prepared business plans and maintain target lists. Prioritize accounts in accordance with the market sales plan using Power BI, CRM, Orbit, Tableau, Excel, and Sales force. Collaborated with Provider Contracting, Sales Market, and Provider engagement team. Achievements Exceeded 100 percent Sales Revenue goal for both Q1, Q2, Q3 of 2021 and 2022 Top Sales Executive for the West Coast for Q1 and Q2 of 2021- Ranked #1 Star Award for Market Collaboration, working with Provider Networking, and value to the Markets. National Provider Retention Award for the Highest Retention rate Humana eBusiness Deployment/ Provider Process and Network Operations eBusiness Provider Consultant/ Provider Engagement- OR, WA, AK, ID, MT, UT, NV, SD, ND, FL, CO August 2012- August 2020 Focused on deployment of provider e-tools and initiatives in specific geographic regions. Conducted and educated through Weekly Webinars for 200 plus providers, Nurses, and office admin. Called on provider organizations to promote, register and increase the adoption and utilization of electronic business solutions. Worked directly with provider offices and Humana market offices to increase adoption of Humana's online tools. Educated, developed, and maintain an understanding of the industrys electronic environment for provider transactions through seminars, webinars, and onsite visits. Introduced and developed new ideas and processes which improved performance and productivity through developing relationships with the local markets, providers, and Availity team to increase utilization of e-tools on Humana.com and Availity.com. Organized and managed multiple priorities and projects using appropriate methodologies and tools to leverage business, data, insights, and other research to drive differential value to Humana and Availity.com The Insurance Store West Linn, Oregon-United States Insurance Producer 2003-2006 A broker for various health Insurance companies that offered small and large HMO and PPO group plans, Individual HMO and PPO plans. Marketed and Sold Senior Products for Secure Horizon and Humana. Marketed through Communities through senior fairs, community events, provider office, and monthly newsletter. Provided customer services throughout the year regarding questions on owned policies, billing and claims.Continued page (3)Proficient in the following: Presented and educated to large groups through Live Seminars and Webinars. Professional telephone, presentation, and face-to-face communication skills. Highly self- motivated with time management, persuasion, and organizational skills. Knowledge of EDI concepts, technology, and standards. Strong consultation skills to effectively tailor electronic business solutions to a provider organizations administrative needs. Strategic thinking and visioning skills. Ability to develop a plan of action for achieving electronic adoption goals. Working knowledge of Microsoft Office Applications (Excel, Word, Access, PowerPoint, Visio, MS-Project) Knowledge of medical billing terminology: ICD-9 & ICD-10 coding Knowledge of the Health Insurance industry which includes Group and Individual Insurance plans, as well as Medicare and Medicare supplement plans. Excellent time management skills Bomgar- working with Providers online through Bomgar share screen technology. Presented and educated to large groups through Live Seminars and Webinars. Knowledge of Power BI, Orbit, Tableau, Excel, Salesforce, CRM, and Care Link Building Relationship with stalk holders, Market partners, and providers, POCs, and Mas Educated providers on provider portals which included Availty.com, Humana.com, and Humana Specialty Pharmacy.com, and Center Well Specialty.com. Knowledge of 340b contractingEducation:College:Focus: Business Management and Graphical design. Marylhurst University 91-93 George Fox University 89-91 Ecola Bible 88-89Trade School: Evergreen International flight Academy/ on call Flight Attendant (October 91) Pro schools Insurance 1999 Tualatin College Of Art 87-88High School North Clackamas Christian: 1987 GraduateLicenses: Oregon and Washington Health and life Insurance license-current Volunteer work Rock of Ages Mennonite Long Term Care Facility- Activities Coordinator 1993- 2005 |
