Shawna Thornton
Argosy University
Tell me more about Shawna Thornton?
Shawna Thornton is a goal-oriented and result-driven collaborative leader with 19.8 years of experience in the managed care and health insurance industry. She excels in risk management, auditing, and Microsoft Office. Shawna's expertise includes Microsoft Excel, Microsoft Office, and Microsoft Excel. She is known for her ability to streamline future goals and organizational direction, relay initiatives into simple tasks. Shawna's expertise includes Claim Operations Commercial, Self Insured, Government and Reinsurance Benefits Administration, Health Care Policy, Compliance, Operational Management, Managed Care, Departmental Budgeting, and Business Process Outsourcing. She can be reached at [email protected] or a private message on LinkedIn.
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About
Goal oriented, result driven collaborative leader that has successfully guided my leadership decisions and innovative ideas as a Director Claim Operations with significant experience within the managed care and health insurance industry. I am an operational support resource to the many vendors and organizations I’ve worked with. My major contribution is having an innate ability to streamline future goals and organizational direction by conceptualizing and breaking down initiatives into simple and executable tasks. I relay these initiatives in a manner that my departmental team feels supported and not overwhelmed by the added or changed responsibilities. It comes as no surprise that the health insurance industry is ever-changing due to the federal, city and state regulations. It is key to remain flexible and comfortable with change because it is inevitable. To manage the changes, customer service responses, and team development; I conduct elevated analysis to mitigate any foreseen risks, steer cross-functional conversation, and respectfully challenge leadership decision-making with the use of intellectual capital, trends, and data to support my claims. My other expertise includes: · Claim Operations Commercial, Self Insured, Government and Reinsurance Benefits Administration · Health Care Policy · Compliance · Operational Management · Managed Care · Departmental Budgeting · Business Process Outsourcing Feel free to reach out if you want an honest and impactful leader , who knows how to create winning teams and support a cohesive work culture to join your team. I can be reached at [email protected]. Or a private message right here on LinkedIn. Best Regards, Shawna Thornton
...See MoreWork Experience
claims operations director with experience in tpa health benefits administration provider reimbursement and stop loss
Hospitals and Health Care
Shawna Thornton's Professional Milestones
- Audit Supervisor Ii (2006-04-01~2013-05-01): Developed and implemented data-driven audit strategies for efficiency, accuracy, and compliance.
- Operations Supervisor Iii (2016-02-01~2017-06-01): Streamlined operational processes, enhancing efficiency and productivity across all departments.
Education
Industrial And Organizational Psychology,
Bachelors,
Bachelor Of Science
2012-2016Skill
Risk Management
Auditing
Management
Microsoft Office
Microsoft Excel
Health Insurance
System Testing
Quality Assurance
Tso
Systems Analysis
Visio
Requirements Analysis
Vendor Management
Data Analysis
Requirements Gathering
Business Requirements
Analysis
Business Analysis
Process Improvement
Sdlc
Employee Benefits
Peoplesoft
Insurance
Software Documentation
Hipaa
Leadership
Healthcare
Managed Care
Training
Medicare
Claim
Program Management
Business Process Improvement
Customer Service
Access
Project Management
Medicaid
Team Building
Microsoft Access
U.s. Health Insurance Portability And Accountability Act
Claims Management
Healthcare Information Technology
Sharepoint
Strategic Planning
Healthcare Management
Change Management
Performance Management
Fixed Income
Market Data
Business Process
Equities
Asset Management
Middle Office
Trading
Hedge Funds
Outsourcing
Investment Banking
Bloomberg
Trading Systems
Analytical Skills
Software Development Life Cycle
Internal Audit
Certification
Colleagues
Daniel J. Elliott MD MSCE FACP FAAP
Chief Medical Officer
Jason Briglia
Vice President Operations
Tiffany (Aany) Tazmin-Ewing, FSA, MAAA
Delaware First Health Chief Financial Officer
Jeanine Kilgore
Vice President Of Population Health And Clinical Operations
Bill Wilson
Plan President | Chief Executive Officer
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Shawna Thornton
claims operations director with experience in tpa health benefits administration provider reimbursement and stop loss
Frequently asked questions
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Shawna Thornton works for Delaware First Health
Shawna Thornton's role in Delaware First Health is claims operations director with experience in tpa health benefits administration provider reimbursement and stop loss
Shawna Thornton works in the industry of Hospitals and Health Care
Shawna Thornton's colleagues are Daniel J. Elliott MD MSCE FACP FAAP,Jason Briglia,Tiffany (Aany) Tazmin-Ewing, FSA, MAAA
Shawna Thornton's latest job experience is claims operations director with experience in tpa health benefits administration provider reimbursement and stop loss at Delaware First Health
Shawna Thornton's latest education in Argosy University