Brad Combs Email & Phone Number | Stepped into this contractually required position to avoid liquidated damages • Consistently achieved 99% Quality SLA • Developed, implemented and refined QA and QC process (ISO900) for all project activities. • Created/implemented training programs, remediation, refresher training, etc. • Ensured ongoing legal compliance of project. • Interfaced daily with client, building strong relationships. • IT liaison.Project-managed startup and ongoing operations. • Primary interface with the client. • Ensured legal and contract compliance of project. • Established/implemented operational and strategic objectives. • Maintained communication with multiple related vendors. • Provided for staffing and daily management of the call center and related positions. • Oversaw quality control in accordance to ISO9001 Standards. • IT liaison.Managed multiple, critical projects of varying size. • Prepared organization for successful re-accreditation with URAC. • Ensured legal and accreditation compliance for organization. • Data analyst for verification & submission of HEDIS measures for Accountable Care Act. • Created and monitored Quality Improvement Projects. • IT liaison.Responsible for enterprise quality. • Developed enterprise Quality Improvement Plan. • On core team that achieved successful accreditation through NCQA. • Audited operational processes. • Facilitated Continuous Quality Improvement workgroup. • Facilitated member & physician appeal process, integrating with WY Department of Insurance. • Ensured enterprise legal compliance. • IT liaison.Responsible for operational quality. • Developed and implemented operational audit plan. • Facilitated Continuous Quality Improvement workgroup. • Facilitated member & physician appeal process, integrating with WY Department of Insurance. • Ensured enterprise legal compliance. • IT liaison.Participate in all Provider Service Department activities. • Assisted physicians/providers in resolving payment and billing issues. • Credentialed and re-credentialed providers. • Liaison to Customer Service Department for provider-related issues.• Direct all customer service and claims operations. • Redesign and create training programs. • Reduced staff administrative duties by 20% in first four months, 70% in first year by streamlining business processes. • Cut absenteeism in half in same time period (first year) by team development strategies. • Document/analyze performance statistics with direct reporting to CEO. • Make recommendations for technology improvements and staffing. • Direct ongoing 24X7 operations environment.• Monitor staff performance, reporting daily, weekly, monthly and yearly, including trends and forecasts. • Consistently held highest, measured customer satisfaction in company. • Identify training opportunities/develop technical-team training and implement. • Integrate cross-functional team to meet and exceed goals. • Analyze and document workflows. • Lead Continuous Quality Improvement Team. • Main escalation point for irate customers. • Hire/terminate employees. • Liaison between Operations and Information Services for technical needs.

Brad Combs

Stepped into this contractually required position to avoid liquidated damages • Consistently achieve...
Cheyenne, Cheyenne, United States

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Brad Combs’s Email bcombs@winhealthplans.com

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Brad Combs’s Location Cheyenne, Cheyenne, United States

Brad Combs’s Current Industry Cigna Self-Employed

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Work Experience

Cigna

Customer Advocacy Department

2019-04-01 00:00:00 - Present

Self-Employed

Instructor

2017-01-01 00:00:00 - Present

Hobby Lobby

Certified Framer

2018-05-01 00:00:00 - 2019-04-01 00:00:00

MAXIMUS

QA and Training Manager

2017-01-01 00:00:00 - 2017-01-01 00:00:00

Blue Cross Blue Shield of Wyoming

Project Manager_Quality Innovations

2015-11-01 00:00:00 - 2016-06-01 00:00:00

WINhealth

Manager of Quality Improvement

2015-01-01 00:00:00 - 2015-11-01 00:00:00

White Feather

Co-Owner

2004-01-01 00:00:00 - 2007-01-01 00:00:00

InstyMeds

Support Center Manager

2003-01-01 00:00:00 - 2007-01-01 00:00:00

Blue Cross Blue Shield of Minnesota

Operations Manager

1989-01-01 00:00:00 - 2002-01-01 00:00:00

Skills

No Skills Available

Languages

No Languages Available

FAQ About Brad Combs

Brad Combs is located at
Cheyenne, Cheyenne, United States

Brad Combs is a Stepped into this contractually required position to avoid liquidated damages • Consistently achieved 99% Quality SLA • Developed, implemented and refined QA and QC process (ISO900) for all project activities. • Created/implemented training programs, remediation, refresher training, etc. • Ensured ongoing legal compliance of project. • Interfaced daily with client, building strong relationships. • IT liaison.Project-managed startup and ongoing operations. • Primary interface with the client. • Ensured legal and contract compliance of project. • Established/implemented operational and strategic objectives. • Maintained communication with multiple related vendors. • Provided for staffing and daily management of the call center and related positions. • Oversaw quality control in accordance to ISO9001 Standards. • IT liaison.Managed multiple, critical projects of varying size. • Prepared organization for successful re-accreditation with URAC. • Ensured legal and accreditation compliance for organization. • Data analyst for verification & submission of HEDIS measures for Accountable Care Act. • Created and monitored Quality Improvement Projects. • IT liaison.Responsible for enterprise quality. • Developed enterprise Quality Improvement Plan. • On core team that achieved successful accreditation through NCQA. • Audited operational processes. • Facilitated Continuous Quality Improvement workgroup. • Facilitated member & physician appeal process, integrating with WY Department of Insurance. • Ensured enterprise legal compliance. • IT liaison.Responsible for operational quality. • Developed and implemented operational audit plan. • Facilitated Continuous Quality Improvement workgroup. • Facilitated member & physician appeal process, integrating with WY Department of Insurance. • Ensured enterprise legal compliance. • IT liaison.Participate in all Provider Service Department activities. • Assisted physicians/providers in resolving payment and billing issues. • Credentialed and re-credentialed providers. • Liaison to Customer Service Department for provider-related issues.• Direct all customer service and claims operations. • Redesign and create training programs. • Reduced staff administrative duties by 20% in first four months, 70% in first year by streamlining business processes. • Cut absenteeism in half in same time period (first year) by team development strategies. • Document/analyze performance statistics with direct reporting to CEO. • Make recommendations for technology improvements and staffing. • Direct ongoing 24X7 operations environment.• Monitor staff performance, reporting daily, weekly, monthly and yearly, including trends and forecasts. • Consistently held highest, measured customer satisfaction in company. • Identify training opportunities/develop technical-team training and implement. • Integrate cross-functional team to meet and exceed goals. • Analyze and document workflows. • Lead Continuous Quality Improvement Team. • Main escalation point for irate customers. • Hire/terminate employees. • Liaison between Operations and Information Services for technical needs.

Brad Combs currently works in the Cigna | Self-Employed |

No Languages Available

Brad Combs has prior
experience in the following industries:
Hobby Lobby | MAXIMUS | Blue Cross Blue Shield of Wyoming | WINhealth | White Feather | InstyMeds | Blue Cross Blue Shield of Minnesota

Brad Combs has the following professional experience:
Cigna | Self-Employed | Hobby Lobby | MAXIMUS | Blue Cross Blue Shield of Wyoming | WINhealth | White Feather | InstyMeds | Blue Cross Blue Shield of Minnesota