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Looking for employment in the Medicare field or Amisys or I.T.

I am in need to employment in the Medicare field. I have 5 years experience. Have expert knowledge in Cost, Medicare Advantage, and PDP plans. I have I.S. experience and Amisys experience. See…Continue

Tags: Texas, area, Central, the, need

Started May 14, 2010

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MARTHA TURNER is now a member of JoberTalk.com May 14, 2010

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Tell Us About You/Your Company or What Type of Work You Do if Seeking Employment: OBJECTIVE:Highly motivated with a successful track record in Medicare Management, IT operations and project management. Possessing expert technical skills in addition to excellent communication, interpersonal and analytical skills seeking a challenging position where these skills will be fully utilized.

Post Your Resume (Remove Your Home Address, Phone and all Personal Information ie. SSN, DOB, DL#****Failure to Comply will result in your account being banned! This is not a site for commercial advertising. If you are not looking for employment you need to be a Sponsor. Click on the Advertising Tab for more information!) Protect Your Privacy and DO NOT POST YOUR PHONE NUMBER OR HOME ADDRESS. YOUR RESUME WILL POST TO THE INTERNET - DO NOT PUT ANYTHING ON YOUR RESUME THAT YOU DO NOT WANT OTHERS TO SEE!: MARTHA TURNER
Excellent interpersonal skills, confident and poised in interactions with individuals at all levels·
Expert technical skills and extensive knowledge of IT·
Proven ability to develop team structures and create focused and engaged groups·
Extensive experience in management consulting in diverse industries· Proven ability to collect, consolidate, organize and prioritize business needs· Implement creative approaches to problem solving through use of excellent analytical skills· Highly regarded for a proactive attitude and ability to think laterally, providing ideas and solution· Dedicated individual achieving a reputation for consistently going beyond what is required· Detail orientated and resourceful in the completion of projects with an ability to multitask · Effectively work in a fast paced environment meeting strict deadlines· Organized individual with exceptional follow through abilities and strong technical skillsAmisys Advance Specific Knowledge· Billing Configuration - Certificated· Membership Configuration – Certified· Indemnity - Billing Configuration – Certified· Benefit Configuration – Certified· Experience to conduct system analyst to work with programmers to meet the end-user needs· Serve as a liason between end-user and programming staff· Project Management· Compliance specialist
EXPERIENCE:2005-2010 SCOTT AND WHITE HEALTH PLAN MEDICARE ENROLLMENT MANAGERProficient knowledge in regulations related to Cost, Medicare Advantage and PDP PlanØ Created a department responsible in the coordination of the Medicare Enrollment activitiesØ Sent daily transmissions to Centers for Medicare Services (CMS)Ø Processing daily, weekly, monthly CMS reportsØ Ensured reporting to CMS was done within the regulated timeframeØ Knowledge in processing Prescription Drug Event (PDE) discrepanciesØ Maintained a .5% error rate of PDEØ Audited all CMS reporting to ensure accurate data for membershipProficient knowledge of AmisysØ Have lead or conducted analysis, design, development, implementation and maintenance of configuration of the Amisys system.Ø Managed and represented departments on product development and projects.Ø Developed department procedures, particularly to address controls within the Amisys environmentØ Added/Updated department procedures on Compliance within the Amisys environment. Developed process improvements in department of membership and billingØ Assessed requests for new or changes to existing Amisys configuration, either single subsystem or for multiple subsystems.Ø Worked with departments to identify the business requirements.Ø Evaluated new system functionality.Ø Designed a configuration approach and develop impact assessment.Ø Collaborated with technical staff if full automation of request cannot be achieved by configuration.Ø Presented assessments to upper management along with recommendations to create and achieve develop of processes. Ø Coordinated the development and implementation of the configuration solution with the configuration staff. Ø Facilitated issue resolutions pertaining to business rules definition with appropriate decision makers.Ø Suggested operational procedures necessary for configuration changes.Ø Recommended improvements in existing configuration.Ø Assisted in trouble shooting of any production issues.Ø Managed Amisys issues with the departments and with the vendor.Ø Have been responsible for receiving Amisys issues from the departments, analyzing issues and reporting issues to the vendor, if issue is a system deficiency.Ø Communicated priority of issue to the vendor and develop workaround with the user.Ø Assessed Amisys releases and conduct/coordinate testing.Ø Experienced to conduct system analysis to work with programmers to meet the end-user needsØ Served as a liaison between end-user and programming staffØ Served as a trainer and tester for the implementation of Amisys 4.Ø Developed with programmers an environment to receive Medicare enrollment to upload to Amisys.Ø Served as Amisys subject matter expert. 2002-2004 SCOTT AND WHITE HEALTH PLAN MEMBERSHIP ASSISTANTØ Responsible for maintain accurate demographics in membership database.Ø Updated member eligibility records in SMS-EADØ On a daily basis, processed address changes on amisys sent via CSF in Macess; or by return mail; or by e-mailØ Processed return mail and redistributedØ Created new ID cards for membersØ Maintained SMS interface through error reportsØ Worked closely with membership department1988- 2002 PERFORMANCE FOOD GROUP INFORMATION SYSTEM MANAGERØ Managed daily operations with the responsibility for production, logistics, quality, managing contractual obligations, and software license contracts.Ø Created detailed documentation and procedures for IT department-defining standards to ensure consistency.Ø First line consultant on IBM AS/400Ø Controlled backups of AS/400 and NT serverØ Oversaw the troubleshooting and responsibility for the implementation of critical fixes for AS/400 and NT serverØ Managed ODBC interface programming. Enabled the AS/400 language to interface MS Excel and Access through Structured Query Language (SQL)Ø Created databases in MS Access for departmental usage Ø Troubleshoot Microsoft applicationsØ Provided internal customer service on software and hardwareØ Developed, implemented and taught training programs for internal users. (I.e. Word, Excel, Access, PowerPoint, Outlook)Ø Repaired/Upgraded desktop PC’sØ Maintained NT server and e-mail serverØ Supported a 250-user LAN/WAN
EDUCATION
1997-2000 Computer Science Temple College1989-1993 Business/General Education Temple College 2008 – Current Business Management Temple College
REFERENCES UPON REQUEST.
E-MAIL tmartha44@yahoo.com
307 SUNDANCE TEMPLE, TEXAS 76534
254 760-4285
254 742-0995