kathleen harmon

kathleen harmon

business analyst

About

I have 20+ years of Account Managment experience in both PBM and Medical Insurance Companies. I am a true believer in that you should give 110% at all times. I am a dedicated employee who is looking for a company that I can share my experiences and knowlege with to help them increace their EBIT.

Country

united states

City

saint louis

Industry

insurance

Skill

pharmacy benefit management, healthcare, health insurance, managed care, medicare, employee benefits, process improvement, account management, management, hipaa, leadership, healthcare industry, healthcare information technology, disease management, performance improvement, software documentation, team building, medicaid, rfp, call center, pharmaceutical industry, quality assurance, healthcare management, call centers, claim, provider relations, pharmacy, insurance, healthcare consulting, benefits administration, health policy, informatics, health care reform, workers compensation, utilization management, ehr, hospitals, hospice, fmla, medical terminology, network development, applicant tracking systems, training, onboarding, ppo, hmo, employee training

Experience

express scripts

senior account manager

express scripts

2004-1 - 2010-11 · 6 yrs 11 mos
unitedhealth group

account manager

unitedhealth group

1995-1 - 2002-3 · 7 yrs 3 mos
unitedhealth group

business analyst

unitedhealth group

2012-11 - Present · 13 yrs 11 mos

* Work with current clients to bring them up on ADT integration. * Responsible for deadlines of coding, and data testing. * Work with the BizTalk Developer to create interface mapping documents. * Monitor incoming files to ensure they are flowing properly * Complete any necessary ID change conversions * Worked to create a test matrix and test case scenarios to be able to bring up medication integration on current ADT integrated clients. * Preform Post go live calls with the client to go over any issues or concerns. * Develop or update project plans for information technology projects including information such as project objectives, technologies, systems, information specifications, schedules, funding, and staffing. * Monitor or track project milestones and deliverables. * Assign duties, responsibilities, and spans of authority to project personnel. * Assess current or future customer needs and priorities through communicating directly with customers, conducting surveys, or other methods.

southeast missouri behavioral health

clerical

southeast missouri behavioral health

2011-4 - 2012-11 · 1 yr 8 mos

* Answering incoming calls on a multi-line phone system. * Front Desk Receptionist * Completing new patient intakes * Responsible for the MAT (Medication Adherence Therapy) Program. * Filing

spetner associates inc.

client services manager

spetner associates inc.

2002-3 - 2003-6 · 1 yr 4 mos

* Primary contact for daily account activity and operational needs for complex clients for issue resolution in eligibility, claims, implementations, participant materials, report requests, tracking operational performance, and general inquiries. * Liaison between client and medical vendor, prescription vendor, dental carriers and other ancillary carriers. * Assist in reviewing quality control of account activity and operations. * Work with major corporations on developing strategies for upsells, expansion and plan implementation for new and existing clients. * Effectively supervised two associates in their day to day activities. * Maintained 2 million in ebit.

Education

mineral area college

mineral area college

sanford brown business college - st peters

sanford brown business college - st peters

business management

1990-1 - 1992-1 · 2 yrs 1 mo

kathleen harmon's Contact Information

Email

******@***.com

Phone

(**) *** ****

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