TANDRA NICHOLS
About
Detail
Product Manager | Visionary | Strategist | Agilist |
United States
Résumé
Jobs
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- CProduct Manager-Network Product Strategy and DevelopmentContigo HealthApr 2023 - Current (3 years 7 months)
Digital Product ManagerOnedigitalAug 2021 - Apr 2023 (1 year 9 months)- Consultant Digital Product Owner-Scrum MasterUST XpanxionDec 2019 - May 2020 (6 months)
- Business Consultant- Product OwnerMastercardApr 2019 - Oct 2019 (7 months)
- Agile Product Owner-EDI Claims (BA II)Centene CorporationJul 2017 - Apr 2019 (1 year 10 months)Agile Product Owner EDI
- TApplication Analyst-Executive AccountsTriZetto CorporationApr 2015 - Jul 2017 (2 years 4 months)Review provider’s raw data EMR files in order to Implement and execute customer and standard patient statements.
Troubleshoot, test, research, and coordinate to resolve reported EMR and/or data issues while providing status to internal and external clients.
Map provider EMR data files and communicate with the print vendors IT, and programmers in the process of vendor testing to create standard and custom statements.
Create team SOP’s and workflows to assist with the implementation and the process of communicating with the print vendors.
Provide technical assistance to resolve file format and live file issues with providers, revenue cycle management companies, and EMR vendors. - RSenior Quality Consumer Affairs Claims Representative/Consumer SpecialistRALCORP HOLDINGS, INC. /CONAGRA FOODSNov 2012 - Jun 2014 (1 year 8 months)Conducted investigations and approved Plant Quality Manager’s corrective actions. Collaborated with consumers and attorneys following procedures outlined in the quality procedures and specifications database. Addressed consumer issues and provided management with information regarding claims. Documented all claims in CRM system.
Provided customer contact with incident resolution to consumer’s complaint and claim’s department.
Processed Ad Hoc reports regarding consumer complaints, personal property, and injury claims.
Analyzed and processed consumer contacts weekly, monthly, quarterly, and annually.
Maintained extensive knowledge of company products and related consumer issues.
Spearheaded a project - HCustomer Care Rep IIHEALTHLINK INC.Sep 2008 - Oct 2012 (4 years 2 months)Respond to customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims. Review claims involving CPT and diagnosis to assist providers and members on billing issues.
Instrumental in improving operational processes in the customer service department.
Enhanced client service by streamlining communications between the CSR team and customers.
Researched and analyzed data to address operational challenges and resolve customer, member, payor, and provider service issues.
Mentored directly with Network/Management department.
Education
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- Bachelor of Business Administration - BBA, Business Administration with Marketing EmphasisLindenwood UniversityJan 2018 - Jan 2021 (3 years 1 month)