Stephanie Herring

Experience

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  ACS a Xerox Company

  Jan 2001 - Jan 2004

  • Recipient Services Manager

    Jan 2002 - Jan 2004

  • Manager Trainee

    Jan 2001 - Jan 2002
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  ACS, a Xerox Company

  Jan 2004 - Jan 2006

  Claims Operations Manager
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  ACS, a Xerox Company

  Jan 2006 - Jan 2011

  Responsible for the successful turnover and shut down of Florida Medicaid project. Actively participate in the budget and forecasting of the Florida Medicaid project to achieve the overall success of the account.Monitor the progress of varying projects to completion to include NPI operational impacts, ABC implementation account wide and on-going processes that will improve efficiency and client satisfaction.Respond to emails and letters that are received from the provider community as well as through Medicaid Contract Management.Organize periodic meetings with AHCA to institute changes and implementation of new projects.Assist and advise staff members in resolving problems and issues that arise with internal and external customers.Provided input and/or conduct presentations/proposals on behalf of a given effort or related service offering.Number of staff managed 201 Show less

  • Director, Claims Operations, California Medicaid Project

    Jan 2008 - Jan 2011

  • Deputy Project Director, Florida Medicaid Project

    Jan 2006 - Jan 2008
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  Conduent

  Jan 2006 - Jan 2013

  I started here as Manager Trainee when it was still ACS State Healthcare. My first manager position introduced me to Medicaid operations. I managed the Florida Medicaid Recipient Services Department. I did so well in this role and developed an in-depth understanding of Medicaid that I was quickly promoted to claims operations manager on the Florida Medicaid Account. This is where I cut my teeth in Medicaid claims operations. KEY ACHIEVEMENTS◆ In this role, I was overseeing prescription delivery services for three states spanning the Pharmacy Prior Authorization Call Center, Smart PA Rules Management and Lock-In. I also oversaw the RFP capture teams on proposal writing, costs and pricing as well preparation of client presentations. Show less By the time I was promoted to this role, the company had been acquired by Xerox State Healthcare. Senior leadership requested that I work on the RFP for Medi-Cal, a project valued at $1.5 billion to the company. I was named as Claims Director in the RFP.KEY ACHIEVEMENTS◆ I created the solution for claims processing including design, pricing and team selection. ◆ We were awarded the contract in 2010. I oversaw the project throughout its 17-month duration and stayed on through post go-live at the client’s request. Show less

  • Senior Account Manager

    Jan 2012 - Jan 2013

  • Claims Operations Director, Medi-Cal Project

    Jan 2008 - Jan 2012

  • Deputy Project Director, ACS, Florida Medicaid Project

    Jan 2006 - Jan 2008
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  Xerox State Healthcare, LLC (Formally ACS)

  Jan 2011 - Jan 2013

  Pharmacy Services Account Manager
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  CGI

  Jan 2013 - Jan 2014

  Director Consulting Services

  I had two direct reports and a team of contractors in this role. I worked with two different states on various aspects related to establishing their statewide healthcare exchanges. Both states opted for federal funding to run health exchanges as opposed to utilizing the federal health exchange.

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  Accenture

  Jan 2014 - Apr 2022

  I’m a critical player in the development of solutions on multiple bids with tight deadlines. I work on pricing, legal, staffing, competitive analysis as well as review and edit contracts before sign- off. I lead projects with seven-figure budgets and lead teams of up to 20 on projects for major managed care organizations and statewide Medicaid and Medicare programs.KEY ACHIEVEMENTS◆ Concurrently served as Operations Director on a statewide Medicaid transformation, eventually expanding my role to project manager during the DDI phase; re-solutioned project reducing project costs $1.5 million.◆ Played a key role in leading the transition of a large Medicaid operation to Accenture from another consulting company on a short 90-day timeline; partnered with the state’s leadership on defining key measures.◆ I was chosen to serve as program manager on a project with a national managed care organization to transition Medicare operation services and establish back-office services for a newly launched product to be rolled out across multiple states.RESPONSIBILITIES: Leadership | Enterprise Solution Architecture | Team Management |Client Relationship Management | Budget Management | Process ImprovementsComplex System Integration and Delivery | Program Management Show less

  • Senior Manager Healthcare Operations and Technology

    Jan 2014 - Apr 2022

  • Service Delivery/Account Management

    Jan 2014 - Apr 2022
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  Cognizant

  Apr 2022 - Jul 2023

  Senior Director and Consulting Partner
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  Transformation Healthcare Partners, LLC (THCP)

  Jul 2023 - now

  Managing Member