
Sarah Colbert-Fluchel
Sales Associate

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About me
Senior Director, Clinical and Payment Policy at Centene Corporation
Education

Brown School at Washington University in St. Louis
2013 - 2015Master of Public Health (MPH)Activities and Societies: Women in Leadership

Goldfarb School of Nursing, Barnes-Jewish College
2009 - 2010Bachelor of Science in Nursing (BSN)
Washington University in St. Louis
2005 - 2009Bachelor of Arts (B.A.) Women's Studies, English LiteratureActivities and Societies: Alpha Phi Omega, Club Softball
Experience

Macy's
Jun 2003 - Jan 2007Sales Associate• Assisted customers in locating products; provided customers with store information• Conferred with managers about specific policies; resolved customer complaints• Operated cash register; arranged displays and stock; performed inventory of merchandise twice a year

Washington University in St. Louis
Aug 2006 - Aug 2007• Analyzed and researched 19th century culture and artifacts at the Campbell House Museum.• Entered artifact descriptions into database.• Participated in team brainstorming and discussion sessions, presented work to research team.• Assembled work into written document for display on webpage as part of an application for NEH grant. • Videotaped 4-6 science class lectures per week for uploading and streaming online• Attended class lectures, assisted professors with audiovisual troubleshooting and technical issues
American Culture Studies Research Assistant
May 2007 - Aug 2007Audiovisual Technician
Aug 2006 - May 2007

Washington University in St. Louis
Jan 2008 - May 2009• Taught students the fundamentals of writing cover letters and resumes and also edited these documents.•Educated students about job application processes and pathways of career development.• Listened to student concerns, advised students in the use of Career Center resources, provided.technical feedback for and assisted students in navigating through new employment database.• Instructed students in interviewing techniques and career-appropriate modes of conduct. • Transcribed oral histories and edited documents, helped manage 300 applications for academic fellowship position.• Filed documents, answered phones, assisted in general office duties.
Career Peer
Aug 2008 - May 2009American Culture Studies Department Office Assistant
Jan 2008 - May 2009

Mission Parks and Recreation
Jun 2008 - Jun 2009Teen Camp Group Leader• Connected personally with campers through active listening, encouraged teamwork and enthusiasm during planned activities. • Worked closely with other counselors to ensure that campers were safe and behaved appropriately; mediated conflicts between campers, communicated with parents regarding camper behavior.• Planned and implemented enriching and creative activities for campers.

St. Anthony's Medical Center
Sept 2010 - Mar 2011Medical/Telemetry Nurse• Assessed the patient’s physical, mental and emotional status and treated according to scope of nursing practice with evidence-based interventions; documented assessments and actions taken.• Taught patients about health promotion, disease processes, medications, tests and procedures.• Interpreted telemetry strips and responded appropriately to aberrant rates and rhythms.

SSM Health Care - St. Louis
Apr 2011 - Aug 2014• Assessed diverse clientele post-delivery and post-gynecology surgery for complications and opportunities for education. Treated and documented complications with evidence-based interventions.• Monitored and treated antepartum patients with conditions such as preeclampsia, gestational diabetes, threatened preterm labor. Evaluated fetal heart rate and maternal signs of complication; intervened as indicated.• Instructed patients on health promotion, expected physical, mental and social changes after delivery or surgery; facilitated mother-infant bonding and breastfeeding. Show less
Mother-Baby Nurse at St. Mary's Health Center
Apr 2012 - Aug 2014Antepartum/Postpartum Nurse at De Paul Health Center
Apr 2011 - Mar 2012

Centene Corporation
May 2014 - now• Collaborate to ensure successful development and maintenance of clinical policy for all insurance products, including Medicaid, Medicare, and Exchanges.• Ensure completion of policies, functional workflows, outcomes metrics, and committee work based on needs and regulatory requirements.• Coordinate with health plans to identify needs related to clinical policy, providing support, evaluating satisfaction and implementing process improvements.• Plan and implement ongoing education regarding clinical policies for program design and evolution.• Identify opportunities and utilize resources to strengthen clinical practices and policy program infrastructure.• Manage the development, approval, dissemination, and coordination of clinical policies and medical necessity criteria across all health plans. Show less • Conduct annual reviews of corporate clinical policy, ensuring that guidelines are evidence-based and compliant, according to peer reviewed literature, standards of care, and state and federal regulations.• Write new clinical policies; proofread and edit team members’ policy changes.• Coordinate subject matter experts to lead discussion of pertinent policy topics at monthly meeting for clinical policy committee members, as well as facilitate the meeting.• Assign policy review workloads; advise team members on clinical topics and strategic background of policies.• Communicate via electronic survey regarding new policies and policy changes for review by committee of physicians, pharmacists, and health plan employees.• Research suggested changes to policies, maintain log of changes, and respond to committee members with the outcome of the research Show less • Served as project lead on programs to encourage healthy behaviors among Medicare and Medicaid member populations• Created project plans and oversaw contributions to overall project in accordance with the project schedule.• Facilitated strategy meetings, obtained stakeholder buy-in and planned implementation processes. • Planned evaluation of program outcomes as they related to the Health Care Effectiveness and Information Set (HEDIS) and Medicare Stars measures, as well as member health behaviors and satisfaction. Show less • Created and presented program overview to high-level stakeholders about the benefits of a health promotion text campaign and the possible impacts to involved departments. Edited text messages to ensure compliance with health plan and state Medicaid regulations. • Created an evidence-based curriculum for Case Managers that is used as part of an effort to reduce risk of falls among members and improve Medicare STAR ratings. • Project managed medication compliance pilot program for a Medicaid Health Plan. Facilitated solutions for implementation challenges. Analyzed health and demographic characteristics of samples to determine most appropriate control group. Show less
Manager of Clinical Policy
Mar 2019 - nowClinical Policy Specialist
Dec 2015 - Sept 2019Project Manager
Jan 2015 - Dec 2015Graduate Intern in Medical Affairs
May 2014 - Dec 2014
Licenses & Certifications

Registered Nurse
Missouri Board of NursingSept 2010
Volunteer Experience
Community Outreach Volunteer
Issued by CHIPS Health and Wellness Center on Jul 2012
Associated with Sarah Colbert-Fluchel
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