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MMEELLOODDYY AANNDDEERRSSOONN
13725 233rd Street SE  Snohomish, WA 98026  206-992-7793  melodyanderson49@gmail.com
MMAANNAAGGEEMMEENNTT && LLEEAADDEERRSSHHIIPP PPRROOFFIILLEE
Dynamic, performance-driven and strategic-focused manager/administrator with consistency
streamlining operations, improving productivity and maximizing staff performance across research, healthcare,
communications and state/federal volunteer organizations.
 Strong exposure to operations administration, management and leadership within profit/non profit sectors,
staff development, process improvements and system design. Long track record managing projects and
supervising senior level staff and professionals across both corporate and government divisions.
 Recognized for exceeding departmental objectives with success managing budgets above $1 million, improving
efficiencies and driving staff performance. Impressive background coordinating various emergency preparedness
activities, trainings and events; directed development and implementation of FHCRC disaster preparedness
trainings to the UW, SCCA and Hutch organizations consisting of 300 employees.
 Career highlights include maximizing cost prevention and cost recovery for Molina Healthcare claims through
successful oversight of COB (coordination of benefit) initiatives as Manager of Enrollment Accounting. Collaborative
professional with strong communication skills and proven ability to interact with colleagues, employees, managers,
executives, government officials and clients. Strong time management and organizational skills.
PROFESSIONAL EXPERIENCE
Molina Healthcare, Bothell, WA (2014-2015)
MANAGER: ENROLLMENT ACCOUNTING
Fortune 500, multi-state health care organization providing quality health services to financially vulnerable families and
individuals covered by government programs.
‒ Managed operations within the Enrollment Accounting department. Arranged and evaluated department unit
activities. Trained, mentored and monitored performance of staff. Collaborated with Corporate IT to ensure
accurate and timely loading of daily/monthly eligibility files. Served as Liaison between all organization departments
and vendors regarding enrollment for Medicare and Medicaid. Performed oversight of employees in the
identification and resolution of all errors during eligibility loading process. Maintained positive and productive
working relationships with staff, colleagues, clients, members, providers and customers.
‒ Maintained confidentiality and complied with the Health Insurance Portability and Accountability Act
(HIPAA). Ensured compliance with provider agreement timelines for all enrollment processes spanning Newborns,
member reconciliation reports, eligibility loads and vendor extracts. Addressed all production standards through
scorecards. Assisted team and management in achieving all operational and strategic goals. Identified system issues
and informed management for IT to research and resolve.
‒ Worked with staff to ensure timely and accurate testing. Collaborated with Data Analytics Team on premium
reconciliation to enrollment in QNXT. Managed load and validation of member COB (coordination of benefit) data in
core operating system.
Performance Highlights:
 Improved team efficiency and effectiveness through successful leadership of enrollment-related continuous
process improvements and volume reduction initiatives.
 Maximized employee performance by ensuring accuracy of work and identifying coaching opportunities
through conduction of audit functionality.
 Boosted cost prevention and cost recovery for Molina Healthcare claims through effective oversight of the
COB (coordination of benefit) initiatives.
 Ensured compliance with turnaround provisions by properly overseeing/monitoring call tracking mailbox,
member mass move process and bad address report processes.
 Operations Management
 Research Administration
 Marketing/Sales
 Emergency Preparedness
 Patient Safety & Compliance
 Strategic Business Planning
 Communications
 Business Liaison
 Workflow Assumptions
 Internal Relations
 System & Process Design/Improvements
 Program Design & Implementation
 Project Coordination & Management
 Staff Development & Supervision
 Problem Resolution
MMeellooddyy AAnnddeerrssoonn…… RReessuummee,, PPaaggee 22
Professional Experience (Molina Healthcare) Continued
 Assisted in resolving all enrollment-related issues by contacting State Agency or respective Government
Contracts department as necessary.
 Settled and monitored resolution of all error circumstances identified during eligibility load, ID card extract,
provider care plan assignment and vendor eligibility extracts.
Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA (1990-2013)
Cancer research institute and non profit organization “conducts research of the highest standards to improve prevention and
treatment of cancer and related diseases.”
PROTOCOL OPERATIONS ADMINISTRATIVE MANAGER
‒ Progressively promoted through increasingly challenging management positions in areas of personnel, financial
and program/project management; led daily activities of 15+ staff across multiple departments.
‒ Developed and implemented regulatory/clinical program requirements and activities in support of
Comprehensive Cancer Center’s grant program funding FHCRC and UW jointly in quality treatment of oncology
patients.
‒ Managed more than 20 projects annually; evaluated resource needs to process research studies from draft stages to
activation through Institutional Review Boards.
‒ Established US/national program requirements effectively enabling audit readiness for organization’s continued
participation and receipt of roughly $15 million in grant funding awards. Collaborated with president and senior
leadership staff in facilitating clinical program delivery within FDA standards and mandatory regulatory requirements.
‒ Provided training to all staff for inter-institutional development and successful implementation of Research Trials
Office goals. Administered regulatory programs and approval processes to include audit documentation.
‒ Oversaw external relations; planned and coordinated various activities and served as liaison for Research
Office, Director of Clinical Research, Committee on Human Research and the consortium clinical leaders at University
of Washington, Seattle Children’s and Fred Hutchinson Cancer Research Center. Represented Cancer Center Clinical
Trials Administrators Network (Charter Member of this National Organization). Directed planning and execution for
national regulatory consortium annual regulatory meeting.
‒ Developed and facilitated evaluation and implementation of workflow assumptions, compliance gap analysis,
system design and policy recommendations.
‒ Led development and delivery of FHCRC disaster preparedness trainings to the UW, SCCA and Hutch
organizations (#300 employees) to ensure awareness and ability to manage their personal/professional actions at
home or in the office in collaboration with FHCRC Safety Office.
‒ Managed budgets in excess of $1 million consistently delivering results below budget in conjunction with three
National Institutes of Health (NIH) sub awards.
‒ Facilitated uniform operations across several departments. Managed personnel actions for all staff, including
policies selection, training, employment development, job classification/descriptions and compensation for staff of
over 15.
Performance Highlights:
 Identified, analyzed and developed strategic plan for department.
 Streamlined operations by revamping operational processes/procedures, creating and improving
efficiencies, initiating cost savings while providing more accurate information to executive team. Developed
innovative process to streamline submitted information through database design.
 Designed and executed long-range plans and provided recommendations to Directors of Research Trials Office
and Review Committees (both strategic and tactical).
 Tracked protocol implementation process from submission/activation to final closure, ensuring accurate
and timely delivery.
 National Cancer Institute (NCI): Achieved objectives and initiatives in support of the Cancer Consortium NCI
Core Grant; compiled relevant data from various internal sources for mandated reports.
***
Early Career History:
Editorial Assistant for Washington State Dental Association (WSDA)
External Relations/Project Management/Operations
MMeellooddyy AAnnddeerrssoonn…… RReessuummee,, PPaaggee 33

EDUCATION & CREDENTIALS
Liberal Arts & Marketing: Edmonds Community College (Fall of 2015)
Edmonds, Washington
Computer Software Expertise: Windows OS, Databases, MS Office Suite
VOLUNTEER & CIVIC ACTIVITIES
Volunteer Emergency Preparedness Coordinator:
Snohomish County Search and Rescue Professional, WA (Present)
Volunteer: American Red Cross: King County Chapter (2013-Present)
Board Member and Administrator: Woof Project K9 Rescue (2011-Present)
Medic First Aid Trained in CPR: AED units and basic First Aid (Recertified: 07/2014)
Snohomish County Sheriff’s Department Search and Rescue: K9 Unit (2007-2013)
Public Relations: Emergency Preparedness Training and Planning (2009-Present)
King County Sheriff’s Department Search and Rescue by Horseback (2002-2007)
PROFESSIONAL TRAINING & CERTIFICATIONS
Appreciative Inquiry Human Interaction Laboratory: National Teaching Laboratories (NTL)
The Art and Science of Management; HR Essentials for Managing People, Performance Management,
Conflict Navigation and Leadership and Self Awareness
National Incident Management Systems (NIMS) and Incident Command Systems Certified:
Required for Snohomish County Search and Rescue as Emergency Worker for the County/State.
Interpersonal Skills for Leadership Success (NTL)
Appreciative Inquiry Human Interaction Laboratory (NTL)
From Regulations to Practice in Conducting Clinical Research:
Continuing Nursing Education, University of Washington
Emergency Preparedness Training for The American Red Cross
Conducting Clinical Trials: School of Nursing, University of Washington
Public Responsibility in Medicine and Research (PRIMR)
Annual Human Research Protection Programs (ARENA)
Clinical Trials Annual Protocol Review Conference (NWABR)
Institutional Review Board Regulatory Education Conference
Leadership Training: National Teaching Organization, Search and Rescue King and Snohomish Counties.
Extensive Leadership Training through the Administrators Clinical Research Annual Meeting
Created and Delivered Training through Presentations and Hands-on Workshops:
Instructing Individuals in Creating Emergency Packs and Define Plans for Crisis Management
Either at Home for Family or in Office
Substantial Training through Molina Healthcare


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MelodyAndersonResume(1)

  • 1. MMEELLOODDYY AANNDDEERRSSOONN 13725 233rd Street SE  Snohomish, WA 98026  206-992-7793  melodyanderson49@gmail.com MMAANNAAGGEEMMEENNTT && LLEEAADDEERRSSHHIIPP PPRROOFFIILLEE Dynamic, performance-driven and strategic-focused manager/administrator with consistency streamlining operations, improving productivity and maximizing staff performance across research, healthcare, communications and state/federal volunteer organizations.  Strong exposure to operations administration, management and leadership within profit/non profit sectors, staff development, process improvements and system design. Long track record managing projects and supervising senior level staff and professionals across both corporate and government divisions.  Recognized for exceeding departmental objectives with success managing budgets above $1 million, improving efficiencies and driving staff performance. Impressive background coordinating various emergency preparedness activities, trainings and events; directed development and implementation of FHCRC disaster preparedness trainings to the UW, SCCA and Hutch organizations consisting of 300 employees.  Career highlights include maximizing cost prevention and cost recovery for Molina Healthcare claims through successful oversight of COB (coordination of benefit) initiatives as Manager of Enrollment Accounting. Collaborative professional with strong communication skills and proven ability to interact with colleagues, employees, managers, executives, government officials and clients. Strong time management and organizational skills. PROFESSIONAL EXPERIENCE Molina Healthcare, Bothell, WA (2014-2015) MANAGER: ENROLLMENT ACCOUNTING Fortune 500, multi-state health care organization providing quality health services to financially vulnerable families and individuals covered by government programs. ‒ Managed operations within the Enrollment Accounting department. Arranged and evaluated department unit activities. Trained, mentored and monitored performance of staff. Collaborated with Corporate IT to ensure accurate and timely loading of daily/monthly eligibility files. Served as Liaison between all organization departments and vendors regarding enrollment for Medicare and Medicaid. Performed oversight of employees in the identification and resolution of all errors during eligibility loading process. Maintained positive and productive working relationships with staff, colleagues, clients, members, providers and customers. ‒ Maintained confidentiality and complied with the Health Insurance Portability and Accountability Act (HIPAA). Ensured compliance with provider agreement timelines for all enrollment processes spanning Newborns, member reconciliation reports, eligibility loads and vendor extracts. Addressed all production standards through scorecards. Assisted team and management in achieving all operational and strategic goals. Identified system issues and informed management for IT to research and resolve. ‒ Worked with staff to ensure timely and accurate testing. Collaborated with Data Analytics Team on premium reconciliation to enrollment in QNXT. Managed load and validation of member COB (coordination of benefit) data in core operating system. Performance Highlights:  Improved team efficiency and effectiveness through successful leadership of enrollment-related continuous process improvements and volume reduction initiatives.  Maximized employee performance by ensuring accuracy of work and identifying coaching opportunities through conduction of audit functionality.  Boosted cost prevention and cost recovery for Molina Healthcare claims through effective oversight of the COB (coordination of benefit) initiatives.  Ensured compliance with turnaround provisions by properly overseeing/monitoring call tracking mailbox, member mass move process and bad address report processes.  Operations Management  Research Administration  Marketing/Sales  Emergency Preparedness  Patient Safety & Compliance  Strategic Business Planning  Communications  Business Liaison  Workflow Assumptions  Internal Relations  System & Process Design/Improvements  Program Design & Implementation  Project Coordination & Management  Staff Development & Supervision  Problem Resolution
  • 2. MMeellooddyy AAnnddeerrssoonn…… RReessuummee,, PPaaggee 22 Professional Experience (Molina Healthcare) Continued  Assisted in resolving all enrollment-related issues by contacting State Agency or respective Government Contracts department as necessary.  Settled and monitored resolution of all error circumstances identified during eligibility load, ID card extract, provider care plan assignment and vendor eligibility extracts. Fred Hutchinson Cancer Research Center (FHCRC), Seattle, WA (1990-2013) Cancer research institute and non profit organization “conducts research of the highest standards to improve prevention and treatment of cancer and related diseases.” PROTOCOL OPERATIONS ADMINISTRATIVE MANAGER ‒ Progressively promoted through increasingly challenging management positions in areas of personnel, financial and program/project management; led daily activities of 15+ staff across multiple departments. ‒ Developed and implemented regulatory/clinical program requirements and activities in support of Comprehensive Cancer Center’s grant program funding FHCRC and UW jointly in quality treatment of oncology patients. ‒ Managed more than 20 projects annually; evaluated resource needs to process research studies from draft stages to activation through Institutional Review Boards. ‒ Established US/national program requirements effectively enabling audit readiness for organization’s continued participation and receipt of roughly $15 million in grant funding awards. Collaborated with president and senior leadership staff in facilitating clinical program delivery within FDA standards and mandatory regulatory requirements. ‒ Provided training to all staff for inter-institutional development and successful implementation of Research Trials Office goals. Administered regulatory programs and approval processes to include audit documentation. ‒ Oversaw external relations; planned and coordinated various activities and served as liaison for Research Office, Director of Clinical Research, Committee on Human Research and the consortium clinical leaders at University of Washington, Seattle Children’s and Fred Hutchinson Cancer Research Center. Represented Cancer Center Clinical Trials Administrators Network (Charter Member of this National Organization). Directed planning and execution for national regulatory consortium annual regulatory meeting. ‒ Developed and facilitated evaluation and implementation of workflow assumptions, compliance gap analysis, system design and policy recommendations. ‒ Led development and delivery of FHCRC disaster preparedness trainings to the UW, SCCA and Hutch organizations (#300 employees) to ensure awareness and ability to manage their personal/professional actions at home or in the office in collaboration with FHCRC Safety Office. ‒ Managed budgets in excess of $1 million consistently delivering results below budget in conjunction with three National Institutes of Health (NIH) sub awards. ‒ Facilitated uniform operations across several departments. Managed personnel actions for all staff, including policies selection, training, employment development, job classification/descriptions and compensation for staff of over 15. Performance Highlights:  Identified, analyzed and developed strategic plan for department.  Streamlined operations by revamping operational processes/procedures, creating and improving efficiencies, initiating cost savings while providing more accurate information to executive team. Developed innovative process to streamline submitted information through database design.  Designed and executed long-range plans and provided recommendations to Directors of Research Trials Office and Review Committees (both strategic and tactical).  Tracked protocol implementation process from submission/activation to final closure, ensuring accurate and timely delivery.  National Cancer Institute (NCI): Achieved objectives and initiatives in support of the Cancer Consortium NCI Core Grant; compiled relevant data from various internal sources for mandated reports. *** Early Career History: Editorial Assistant for Washington State Dental Association (WSDA) External Relations/Project Management/Operations
  • 3. MMeellooddyy AAnnddeerrssoonn…… RReessuummee,, PPaaggee 33  EDUCATION & CREDENTIALS Liberal Arts & Marketing: Edmonds Community College (Fall of 2015) Edmonds, Washington Computer Software Expertise: Windows OS, Databases, MS Office Suite VOLUNTEER & CIVIC ACTIVITIES Volunteer Emergency Preparedness Coordinator: Snohomish County Search and Rescue Professional, WA (Present) Volunteer: American Red Cross: King County Chapter (2013-Present) Board Member and Administrator: Woof Project K9 Rescue (2011-Present) Medic First Aid Trained in CPR: AED units and basic First Aid (Recertified: 07/2014) Snohomish County Sheriff’s Department Search and Rescue: K9 Unit (2007-2013) Public Relations: Emergency Preparedness Training and Planning (2009-Present) King County Sheriff’s Department Search and Rescue by Horseback (2002-2007) PROFESSIONAL TRAINING & CERTIFICATIONS Appreciative Inquiry Human Interaction Laboratory: National Teaching Laboratories (NTL) The Art and Science of Management; HR Essentials for Managing People, Performance Management, Conflict Navigation and Leadership and Self Awareness National Incident Management Systems (NIMS) and Incident Command Systems Certified: Required for Snohomish County Search and Rescue as Emergency Worker for the County/State. Interpersonal Skills for Leadership Success (NTL) Appreciative Inquiry Human Interaction Laboratory (NTL) From Regulations to Practice in Conducting Clinical Research: Continuing Nursing Education, University of Washington Emergency Preparedness Training for The American Red Cross Conducting Clinical Trials: School of Nursing, University of Washington Public Responsibility in Medicine and Research (PRIMR) Annual Human Research Protection Programs (ARENA) Clinical Trials Annual Protocol Review Conference (NWABR) Institutional Review Board Regulatory Education Conference Leadership Training: National Teaching Organization, Search and Rescue King and Snohomish Counties. Extensive Leadership Training through the Administrators Clinical Research Annual Meeting Created and Delivered Training through Presentations and Hands-on Workshops: Instructing Individuals in Creating Emergency Packs and Define Plans for Crisis Management Either at Home for Family or in Office Substantial Training through Molina Healthcare 