Tina M. Fleecs
Kansas City
Summary
Impressive problem-solving skills with ability to leverage data in decision making.
Continually assess opportunities for cost reduction and process improvements.
Strong record of task prioritization, flexibility, and achievement in high pressure, fast paced environments.
Capable leader, mentor and collaborator at all organizational levels.
Advanced knowledge and capabilities with Microsoft Excel, SQL, Tableau, Python, Power BI.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Associate Configuration Analyst
Abarca Health
01.2019 - Current
- Provide first-tier triage for operational issues, analyze, and identify solutions to resolve issues in configuration setup, claims processing and other operational gaps.
- Primary support for on plan configuration setup for new Medicare, Medicaid, Commercial and Employer client implementations, as well as configuration changes for existing clients.
- Perform unit testing to confirm configuration set-up or changes are processing as expected as defined in the client documentation.
- Perform Quality Control and Quality Assurance functions to assess information accuracy in all configuration processes,
- Perform research and resolution of adjudication and processing issues including, identification of root cause, impact analysis determination and corrective action.
- Provide first-tier triage support within SLAs/SLOs to verify and analyze pharmacy claims processing case research referred for validation.
- Collaborate and coordinate both within the configuration teams and with other business units to execute configuration as required.
- Support the review, impact analysis, root cause assessment and preventive measures for issue management related workload.
- Responsible for daily tracking and monitoring of assigned requests to ensure due dates are met
- Continuously develop and maintain an in-depth understanding of Darwin (proprietary adjudication platform) system logics to ensure benefit designs are configured to meet client requirements with accuracy.
- Provide consultation and peer review for configuration practices and design.
- Identify functionality needed to achieve client outcomes and collaborate with product and adjudication teams to plan and deliver appropriately.
Associate Benefits Configuration Analyst
DST Pharmacy Solutions
04.2013 - 12.2018
- Analyze, research, and resolve pharmacy claim issues and service requests
- Identify and manage requests that involve multiple benefit changes, code review, benefit design specifications, and research queries
- Prepare test plans and scenarios, and execute testing to ensure accurate claim adjudication
- Identify process inefficiencies and provide innovative solutions to solve for gaps
- Well versed in Medicare Part D and Medicaid regulations; Understanding of HIPAA and other regulatory requirements and audit needs
- Build strong relationships internally and collaborate effectively on cross-functional teams
- Flexible, adaptable and passionate in learning and understanding new technologies
- Ensure the highest quality and service standards by consistently achieving the highest level of accuracy ratings
- Proven ability to handle high stress situations and time sensitive issues and deadlines
Sales Manager
BikeSource
12.2009 - 10.2011
- Developed comprehensive background leading all aspects of retail operations including P&L management, merchandising, sales, customer service, inventory, personnel and payroll management
- Lead team of 15 employees and mentored them through training and development to achieve goals
- Coached and mentored team members on sales opportunities to drive optimal customer satisfaction
- Identified merchandise issues and opportunities based on sales and customer feedback
- Effectively communicated promotional event information through social media outlets; Drove market and brand enthusiasm at events and expos
- Developed loyal customer base by providing exceptional customer service with the highest integrity
Revenue Analyst
YRC Worldwide
12.2008 - 03.2009
- Researched and analyzed revenue opportunities and executed the solutions process on 5,000 outstanding freight claims
- Collaborated with management at 300 terminals to assess claims, identify and resolve discrepancies and obtain corresponding documentation
- Utilized Excel to design a report that allowed for comprehensive tracking and efficient reporting to management
- Achieved exceptional results by resolving 90% of the total claims resulting in $810,000 added to the revenue stream
Operations Coordinator
Lansing Trade Group
04.2007 - 10.2008
- Recruited to this $4.5 billion private company as a recognized professional developing, managing and delivering small and large scale, domestic and international logistics solutions
- Monitored and analyzed market dynamics, pricing trends and market opportunities to maintain a competitive position
- Utilized international presence, market knowledge and logistics expertise to develop new business channels that accounted for $12 million in sales revenue within the first year
- Drove $25 million P&L ensuring efficient cost utilization and attainment of revenue and profitability goals
- Reconciled daily P&L and positions and determined month-end accruals and any P&L variance; prepared month-end operational reporting based on variance analysis and revenue trends
- Analyzed market, financial and economic data for tax and regulatory compliance
- Streamlined the flow of data from operations to management that allowed for more efficient communication and analysis
Export Logistics Coordinator
Agrex Inc.
01.2003 - 04.2007
- Successfully negotiated and managed $5 million dollar freight contracts by minimizing increases and creating yearly savings of 8-10%
- Proactively identified and implemented logistics strategies and process improvements that increased productivity and efficiency by 50%
- Delivered cost effective solutions that balanced the customer’s requirements with the challenging demands of an evolving market
- Managed and regulated all import and export functions; Established compliance policies and audit procedures
- Coordinated with entities globally to ensure supply chain procedures were implemented to maximize efficiency and minimize regulatory risk
- Developed strong, sustainable contact base and cultural communication skills
Education
B.S. - Agricultural Economics
Kansas State University
Manhattan, KSSkills
- Teamwork and Collaboration
- Time Management
- Attention to Detail
- Reliability
- Adaptability and Flexibility
- Problem-solving aptitude
- Analytical thinking
- Relationship building
Volunteer Experience
- KC Sports Commission/WIN for KC, 10/2006-Present, Events Volunteer
- KC Multisport, 5/2009-2015, Membership Coordinator
- KC Women Tri, 6/2009-8/2022 Volunteer Coach/Sponsorship Liaison
- KC WOW (Women on Wheels), 3/2009-8/2012, Committee Member
- WIN for KC Women’s Triathlon, 3/2009-7/2011, Board Member/Swim Coordinator/Coach
- Tour of Missouri LOC, 4/2008-9/2010, Ancillary Events & Sponsorship Liaison
Extracurricular Achievements
- CrossFit Open, 2021-Present, CrossFit Quarterfinals, 2024
- KC Corporate Challenge, 2014-2018
- Dirty Kanza, 2016
- Ironman Boulder, 2014
- Ironman Arizona, 2012
Certification
- CrossFit Level 1 Trainer (CF-L1), 2021
Timeline
Associate Configuration Analyst
Abarca Health
01.2019 - Current
Associate Benefits Configuration Analyst
DST Pharmacy Solutions
04.2013 - 12.2018
Sales Manager
BikeSource
12.2009 - 10.2011
Revenue Analyst
YRC Worldwide
12.2008 - 03.2009
Operations Coordinator
Lansing Trade Group
04.2007 - 10.2008
Export Logistics Coordinator
Agrex Inc.
01.2003 - 04.2007
B.S. - Agricultural Economics
Kansas State University
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