Resumes
Resumes

Senior Medicare Compliance Auditor
View pageLocation:
1300 Broadway Ave, Bedford, OH 44146
Industry:
Insurance
Work:
Smart Insurance Company Holdings, Inc. since Aug 2012
Senior Compliance Analyst
CVS Caremark Corporation - Solon, OH Jan 2012 - Sep 2012
Advisor, Compliance and Integrity
CVS/Caremark - Solon, OH May 2011 - Jan 2012
Manager, Monitoring Oversight
Universal American Nov 2010 - Aug 2011
Manager, Enrollment Monitoring
Universal American Oct 2005 - Mar 2009
Lead CTM Analyst
Senior Compliance Analyst
CVS Caremark Corporation - Solon, OH Jan 2012 - Sep 2012
Advisor, Compliance and Integrity
CVS/Caremark - Solon, OH May 2011 - Jan 2012
Manager, Monitoring Oversight
Universal American Nov 2010 - Aug 2011
Manager, Enrollment Monitoring
Universal American Oct 2005 - Mar 2009
Lead CTM Analyst
Education:
University of Phoenix 2011 - 2013
Associate's degree, Health Information/Medical Records Administration/Administrator Cuyahoga Community College
Kent State University
Associate's degree, Health Information/Medical Records Administration/Administrator Cuyahoga Community College
Kent State University
Skills:
Medicare
Quality Assurance
Medicaid
Process Improvement
Training
Managed Care
Hipaa
Insurance
Medicaid Managed Care
Leadership
Medical Compliance
Healthcare
Healthcare Information Technology
Management
Analysis
Auditing
Pharmacy Benefit Management
Databases
Software Documentation
Health Insurance
Team Building
Data Analysis
Policy
Healthcare Industry
Metrics Analysis
Internal Audit
Performance Management
Healthcare Management
Pharmacy
Access
Data Entry
System Administration
Claim
Utilization Management
Provider Relations
Hmo
Performance Monitoring
Health Policy
Powerpoint
Claims Resolution
Claims Management
Medicare/Medicaid Reimbursement
Home Infusion
Enteral Nutrition
Quality Assurance
Medicaid
Process Improvement
Training
Managed Care
Hipaa
Insurance
Medicaid Managed Care
Leadership
Medical Compliance
Healthcare
Healthcare Information Technology
Management
Analysis
Auditing
Pharmacy Benefit Management
Databases
Software Documentation
Health Insurance
Team Building
Data Analysis
Policy
Healthcare Industry
Metrics Analysis
Internal Audit
Performance Management
Healthcare Management
Pharmacy
Access
Data Entry
System Administration
Claim
Utilization Management
Provider Relations
Hmo
Performance Monitoring
Health Policy
Powerpoint
Claims Resolution
Claims Management
Medicare/Medicaid Reimbursement
Home Infusion
Enteral Nutrition
Languages:
English

Ellen Keffer Bedford, OH
View pageWork:
Coram Healthcare/CVS Health
Jan 2014 to 2000
Consultant, Compliance and Integrity, Infusion
Smart Insurance Company
Aug 2012 to 2000
Senior Compliance Analyst
CVS Caremark
Solon, OH
Aug 2011 to Aug 2012
Advisor Compliance and Integrity
Universal American Financial Corporation
Solon, OH
Nov 2010 to Aug 2011
Manager Monitoring Oversight
Universal American Financial Corporation
Solon, OH
Mar 2009 to Nov 2010
Monitoring and Delegation Oversight Analyst
Member Health, Inc
Solon, OH
Jun 2006 to Mar 2009
Lead CTM Specialist
Connors Communications
New York, NY
May 2001 to Feb 2005
Executive Assistant /Office Manager
Jan 2014 to 2000
Consultant, Compliance and Integrity, Infusion
Smart Insurance Company
Aug 2012 to 2000
Senior Compliance Analyst
CVS Caremark
Solon, OH
Aug 2011 to Aug 2012
Advisor Compliance and Integrity
Universal American Financial Corporation
Solon, OH
Nov 2010 to Aug 2011
Manager Monitoring Oversight
Universal American Financial Corporation
Solon, OH
Mar 2009 to Nov 2010
Monitoring and Delegation Oversight Analyst
Member Health, Inc
Solon, OH
Jun 2006 to Mar 2009
Lead CTM Specialist
Connors Communications
New York, NY
May 2001 to Feb 2005
Executive Assistant /Office Manager
Education:
Kent State University
Kent, OH
2014 to 2016
Public Health Administration
University of Phoenix
Health Information Management
Kent, OH
2014 to 2016
Public Health Administration
University of Phoenix
Health Information Management