russ bradford

Prior Authorization and Pharmacy Representative in a medium to high volume contact center assisting members and health care providers with authorizing medical services and devices as well as prescription and pharmacy queries. Processed and analyzed documentation submitted by providers requesting authorization of services and member account maintenance.

Customer Care Representative in a fast-paced health care contact center providing expert assistance to members regarding their Medicaid benefits while adhering to client and company mandated service level agreements. Assisted members with Tier One IT assistance on a routine basis. Promoted after four months based on exceptional job performance.

Member Service Representative in high volume and fast-paced health care call center assisting state Medicaid members. Provided exceptional customer service and education to members regarding benefits and account information. Proven adaptability to constantly changing policy while still maintaining excellent job-based metrics and quality scores. Routinely provided support to other departments to ensure service levels were maintained and assisted in mentoring new hires.

Animal Care Technician maintaining animal colonies in an active biomedical research and academics facility adhering to Federal rules and regulations regarding animal care and research. Conducted daily monitoring of animal health and environmental conditions and reported any issues to the veterinary staff and the facility supervisor. Ensured that data was collected accurately and was documented in accordance with company, state, and federal regulation. Worked collaboratively with members from other teams and departments to ensure workplace and animal safety. Routinely assisted in the training of new employees. Recognized for my work with a scholarship to attend a national convention of lab science professionals. Served on the regional professional association's communications committee for one year.

Assisted in searching for and monitoring grassland bird nest sites, data collection, and entry. Worked with graduate and Ph. D. students to identify nesting bird species that were located within the grass buffer area. Conducted additional research, data collection and other duties as needed.

Kennel facility sanitation and maintenance, preparation of exam rooms and diagnostic equipment, recorded animal health information, prepared surgical suite prior to usage, and assisted in follow up call to clients.

Case Analyst conducted research and outreach to resolve issues related to Form 1095-A reported by individuals with coverage under the Affordable Care Act. Applied detailed research techniques and knowledge to resolve complex consumer issues while collecting data from several proprietary sources. Identified trends and reported to leadership for reporting back to our client and working on special projects in support of the overall business need. Demonstrated proficiency in Microsoft Office applications such as Excel, Powerpoint, and Outlook

Honored to represent the people of District 13 and Nashville.

Quality Assurance Specialist providing daily analysis of call and casework completed by our team of complex case managers who assist consumers with eligibility and enrollment issues related to health insurance purchased from the Federal Marketplace. Provide feedback to both analysts and leadership of trends related to quality in the form of weekly productivity and quality reports while also offering insight and suggestions for process and policy improvement. Assisted the Quality Department with updating the documentation to better adhere to ISO 9001:2015 standards and achieving Green Belt status in Lean Six Sigma methodology.