Summary
Overview
Work History
Education
Skills
Timeline
AWARDS & ACHIEVEMENTS
Generic

ANDREW HOWARD

Wentzville

Summary

Dynamic and results-driven leader with over 10 years of management experience, including proven expertise in operations, team leadership, and customer service excellence. Demonstrated ability to oversee daily operations, drive revenue growth, and foster a culture of outstanding customer service. Adept at financial planning, budgeting, and implementing strategies to optimize profitability while maintaining high standards of service and compliance.

Overview

16
16
years of professional experience

Work History

Manager, Provider Configuration

Molina Healthcare
Long Beach, CA
01.2021 - 02.2026
  • Participated in the company’s mentorship program to help advanced analysts improve leadership skills
  • Trained and developed multiple employees who were promoted within the department
  • Served as acting manager across multiple teams for up to 12 months, maintaining productivity and performance standards
  • Implemented an AI-driven data automation program, reducing manual processing time and improving operational efficiency
  • Delivered top company performance in accuracy and provider match logic, maintaining zero missed SLAs
  • Collaborated with the Health Plan to validate and review provider/vendor contract negotiations
  • Implemented provider rollouts to support RFP submissions for state government contracts, ensuring compliance with all state and federal regulations
  • Oversaw provider data configuration for plans across 5+ systems, ensuring accuracy, consistency, and compliance
  • Directed provider network transitions and system migrations, ensuring seamless execution with no operational disruption
  • Served as sole subject matter expert for legacy systems, managing run-out processes and resolving critical data integrity issues

Manager, Provider Data Analytics

Magellan Health Services
Earth City, MO
10.2009 - 12.2020
  • Led multi-state implementations of new health plans, directing provider data configuration across an 18-person distributed team
  • Partnered with contract managers to manage provider contracts, reimbursement rates, and data integrity, particularly for the Florida market
  • Conducted system testing and resolved data and reporting issues to support new business initiatives and system enhancements
  • Developed and maintained audit processes, reporting tools, and training materials to improve team performance and compliance
  • Trained and mentored employees and contractors, increasing team efficiency and ensuring successful project delivery
  • Consistently achieved top audit scores and contributed to process improvements and operational best practices
  • Promoted through multiple roles based on performance, leadership, and technical expertise (Supervisor, Lead Provider Data Analyst, Network Operations Specialist, and Mailroom Services Coordinator)

Education

Bachelor of Science - Business Administration – Management

University of Missouri St. Louis
01-2013

Skills

  • Data Analytics & Visualization: Excel, data query, reporting tools, audit processes
  • Project Management: JIRA, Salesforce, implementation management, system migrations
  • Operational Excellence: contract management, compliance, data accuracy

Timeline

Manager, Provider Configuration

Molina Healthcare
01.2021 - 02.2026

Manager, Provider Data Analytics

Magellan Health Services
10.2009 - 12.2020

Bachelor of Science - Business Administration – Management

University of Missouri St. Louis

AWARDS & ACHIEVEMENTS

Earned Exceeds Expectations Performance Ratings for 3 consecutive years at Molina Healthcare, Super SERP Award Recipient – Top 5% of employees at Magellan Health Services
ANDREW HOWARD