BRIDJITCAMPBELL

(E)ranandbrid@gmail.com

Summary
Proventrackrecordofleadinghighperformanceteamsacrossabroadspectrum
ofmultilocationanddepartmentalqualityandserviceenvironmentswitha
varieddegreeofoversightandmonitoringofperformancereportingmetricsand
complianceguidelines.Developmentandimplementationofdepartmental
businesssolutiontoolswithaccompanyingpolicy,process,andtraining
protocols.Responsibleforessentialadministrativeandsupportservicesfor
healthplanmembersandproviders.Demonstratedlongevitywithsame
organizationcontinuallypromotingupwardwhilegainingknowledgeinkey
functionalareasacrossacompanywideplatform.

Skills
ProductDevelopmentand WorkforceManagement
Implementation ExceptionalStructural
ProgramDevelopmentand DepartmentBuildingskills
Implementation Delegationandcontract
ProjectManagement negotiation
PolicyandProcessworkflow Proactiveleadershiputilizing
management performancedrivenmethodology

Experience
03/2017Current CareNCareIns.Co.LLC,WOSofNTSPHoldingCo.Ft.Worth,TX
SeniorManagerofMemberServicesandProviderSup
Manageseveralactivitiessuchasclaimscustomerservicecalls,healthplan
memberservicesupport,inquiriesregardingbenefitsandeligibility.Engagesin
programswhicharekeytosuccessfulmemberandproviderengagement.
Responsibleforthedirectoversightondaytodayoperationsofthedepartment,
traininganddevelopment,productsofferedbythehealthplans,andis
knowledgeableoflocalcompetitivelandscape.Leadsandcollaborateson
multipletaskforceandcommitteesincluding;3of6Quality5STARWorkgroup
Committees,MTMPharmacyCommittee,ClaimsJointOperationsCommittee,
MemberAdvisoryBoardandoversightoftheCommunityEngagementProgram.
Buildsandmaintainsrelationshipswithoutsidevendorsinordertoimplement
productsaligningwithorganizationalneedsandgoals.
07/2014Current CareNCareIns.Co.LLC,WOSofNTSPHoldingCo.Ft.Worth,TX
SeniorManagerofHealthcareConcierge
Manageseveralactivitiessuchashealthplanmemberservicesupport,inquiries.
Leadsandcollaboratesoncommittees,projectsandprogramswhicharekeyto
successfulmemberengagement.Responsibleforthedirectoversighton
daytodayoperationsofthedepartment,traininganddevelopment,products
offeredbythehealthplans,andisknowledgeableoflocalcompetitivelandscape.

Buildsandmaintainsrelationshipswithoutsidevendorsinordertoimplement
productsaligningwithorganizationalneedsandgoals.
07/2012 07/2014 NTSPLLC,WOSofNTSPHoldingCo.Ft.Worth,TX
ImplementationandTrainingSpecialist
NextGenapplicationcertification,supportingandimplementingtheNextGen
EHR/EMRandPMsystemforprovidersacrossmultispecialtypractices.

Applicationinstallation,basicSQLknowledgeandscripting,crystalreporting,

integration,interoperability,developingcustomKBMtemplatesincore

applicationwithstafftraininganddocumentationofprocessworkflowsandbest
practicesutilizingNextGenwhitepaperstandards.PQRSreporting,Meaningful
Usereporting,pharmacyandmedicationupdates,ICD9codingandmappingfor
ICD10conversion,regulardatabaseauditingandmaintenance,provideraccount
management,ITtroubleshootingandresolutionTier1andTier2,withTier3
triageandoversight.LeadandCollaborateonStandardsandOpscommittee.
08/2011 07/2012 SandlotLLC,WOSofNTSPHoldingCo.Ft.Worth,TX
HelpdeskManager
ManageandreportontheHelpdeskteamof5andEPI(ElectronicPersonal
Informationpatientdatamatching)teamof4whilesupportingtheHealth

InformationExchange,monitorandassistintriagingsupportticketsvia

telephonefaxandemailfromexternalandinternalcustomers,supportinternal

ITticketsforemployeesinorganization,followupandresolutionmonitoring,
completespecialprojectsasneeded.
01/2009 02/2012 SandlotLLC,WOSofNTSPHoldingCo.Ft.Worth,TX
HelpdeskLead
LeadtheHelpdeskteamof5whilesupportingtheHealthInformationExchange,
monitorandassistintriagingsupportticketsviatelephonefaxandemailfrom

externalandinternalcustomers,supportinternalITticketsforemployeesin

organization,followupandresolutionmonitoring,completespecialprojectsas

needed.

Education

2016 TarrantCommunityCollegeFt.Worth,TX
2016 TexasChristianUniversityFt.Worth,TX
AdaptiveLeadershipProgram
1992 TrinityValleyCommunityCollegeAthens,TX

ActivitiesandHonors
2015and2017MedicareAdvantage5STARinCustomerService
2015and2016RecipientofExcellenceinCustomerServiceAward
2016TexasChristianUniversityAdaptiveLeaderCertificateProgram
nomineerecipient
2015SpiritofNTSPawardrecipient