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Peggy L. Bragg, MHA
plbragg@nc.rr.com Mobile: (919) 413-9771
Experienced Healthcare Professional
Summary of Qualifications:
 More than 20 years of Healthcare experience with 12 years of leadership and healthcare
management experience.
 In depth knowledge of the Healthcare industry across multiple disciplines.
 Experienced Project, Program and Account Manager.
 Proven track record of effective leadership within the Healthcare Industry.
 Adept at planning and forecasting.
 Outstanding training, teaching, leadership, and communication skills.
Professional Experience
RxSolutions–Raleigh, NC 2017 to present
Client Operations Manager
Single program point of contact for clinical and commercial copay assistance and debit card programs.
Liaise with 1 clinical and 2 commercial Business Development Executives providing Project Management,
Program Management and Account Management across their entire book of business.
 Manage over 60 copay assistance and debit card programs from start-up (program
implementation) through program termination; to include new program set up projects,
ongoing program management and account management
 On boarded 2 debit card vendors
 Debit card program Subject Matter Expert
 Managed setup of RxSolutions Company Debit Card Rebate program site
 Authored Debit Card Services reference materials for Business Development Personnel
 Manage all debit card programs for a large HUB Services provider; to include all program
implementation services; collateral design- patient and control cards and card carriers,
finance setup, provide ongoing program and account management services
 Provide Copay card design services to include assisting with card design, printing and
shipping of cards
 Provide assistance with contract management; CDAs, MSAs and SOWs
 Manage SOW Addendums
 RxSolutions Clinical and Reporting portal administrator; to include user management and
training
 Program support tool administrator; JIRA, Dropbox
 Collaborate with Business Development Executives and clients on new program design
 Analyze and mange claim issues, follow through to resolution; manage program exceptions
and overrides
 Monitor program finances; to include prefund accounts, burn rates, monthly management
fees and invoices
 Conduct staff training on Adverse Events, Claims Adjudication and debit card services
Biologics, Inc. McKesson Specialty Health – Cary, NC 2015 to 2016
Patient Benefits Specialist, Client Escalation Support
Program point of contact for 12 Novartis Patient Service Liaison Nurses (PSLs),MidAtlantic Region,
providing support for over 600 patient cases. Perform benefits investigation, prior authorizations, appeals,
copay assistance,Patient Assistance Program referrals and specialty pharmacy triage
 Selected to fill the position of Client Escalation Support for the MidAtlantic Region,
Cosentyx Connect PersonalSupport Program (Novartis Pharmaceuticals); coordinate and
collaborate with others teams to resolve escalations
 Chosen to be a member of the Patient Assistance Program (PAP) Team after 3 months
 Service Pro,Communication Skills Training, Peer Leader
 Considered a program subject matter expert; Coach, train and mentor others in program rules
and processes; to include Supervisors and other departments within Biologics
 Developed payor specific intelligence for the MidAtlantic Region, Tricare and the VA, which
was utilized to develop a payor intelligence spreadsheet
 Received multiple accolades from the Patient Service Liaisons, Area Leader and National
Service Liaison for resolving complex escalations quickly and efficiently
Xerox Healthcare: Anthem BlueCross BlueShield of Ohio – Raleigh, NC 2014-2015
Provider Benefits Specialist
Provide service to 60 to 80 providers per day to resolve customer service inquires and issues in a timely
and professional manner related to benefits coverage,claims, prior authorizations and appeals
 Determine medical insurance eligibility and benefits, coordination of benefits, verify CPT and
ICD-9 codes as valid and billable, using over 20 programs simultaneously
 Determine medical claim , prior authorization and appeal status
 Selected to coach and train new employees after 2 weeks on the floor
Attended Graduate School full-time 2013-2014
Wake MedHealth & Hospitals –Cary, NC 2005-2012
Surgical Technician, Labor and Delivery/Nurse Aide-Clinical Secretary, Mother Baby
Surgical Technician/Nurse Aid for a Community Hospital averaging more than 2,500 births annually
 Subject matter expert in Operating Room policies and procedures
 Member of supply management team
 Trained over 60 Nurses in the scrub and first assist roles in the Labor and Delivery Operating
Room
 Chosen to facilitate the Labor and Delivery Operating Room class,as well as conduct new hire
staff orientation
 Lauded by Physicians for Operating Room knowledge and skills; frequently requested to assist
in complex surgical cases
 Utilize sterile technique to set up sterile field; assist physicians and nurses as needed during
procedures
 Assist patients with activities of daily living, obtain mother and infant vital signs, perform
blood glucose testing update managed care resources, responsible for accountability and
maintenance of medical equipment
United States Army – Fort Bragg, NC 1997-2007
Healthcare Specialist/Medic- Active Duty and Reserve Components
Healthcare Manager;held multiple leadership/management roles. Provide a vast arrayof direct patient care
services for active duty military, retirees and dependents.
 Selected as a Private First Class (E-3) for the role of Company Personnel Operations Manager,
Charlie Company, 407th
FSB, 82nd Airborne Division; maintained personnel and training
records for a 75 plus member medical company
 Received accolades from the 82nd Airborne Division Office of the Inspector General for the
quality and maintenance of soldier readiness records
 Chosen as the Headquarters Platoon Sergeant Charlie Company, 407th
FSB, 82nd
Airborne
Division
 Robinson Health Clinic Team Lead, 82nd Airborne Division, provide care for over 30,000
Active Duty Military Members and Dependents
 Selected as Clinic Manager, Pediatric Clinic, Womack Army Medical Center, serving over
10,000 patients annually
 Supply Budget Manager for both the Pediatric Clinic and Emergency Department, Womack
Army Medical Center; Commended by both department leaders for saving $30,000 and
$10,000 respectively allowing for the purchase of much needed medical equipment
 Chosen as an Emergency Department Shift Leader; simultaneously working as the Fast
Track Manager and the Acute Minor Illness Clinic Assistant Manager
 Selected as a CPR Instructor, Womack Army Medical Center; successfully trained and
certified over 100 medical personnel
 Selected as the Training Team Lead, 3274th
US Army Hospital (Reserves); Successfully
coordinated and conducted all monthly drill training exercises for a 200 plus member US
Army Reserve Unit; lauded by Senior unit personnel for my training and teaching skills
 Implemented CPR training and Semi-Annual Combat Medic Skills training and testing
programs for the 3274th
US Army Hospital
 Supervise military and civilian personnel
 100% accountability and Maintenance of $1,500,000 of military, medical and office
equipment
Leadership, Education and Awards
Primary Leadership Development Course- US Army Non-Commissioned Officer Academy (2000)
Leadership Education and Development Course (LEAD) (2002)
Army Achievement Medal, 2nd
Award (1998, 2000)
Army Commendation Medal, 2nd
Award (2002, 2004)
Army Good Conduct Medal, 3rd
Award (2000, 2003, 2006)
Non-Commissioned Officer Professional Development Ribbon (2000)
Education
MHA, Masters ofHealthcare Administration – Kaplan University (Now known as Purdue University
Global) – Chicago, IL (2014) Graduated with High Honors
B.S., Bachelors ofScience in Health Science – Kaplan University – (Now known as Purdue University
Global) –Chicago, IL (2011)

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Peggy Bragg resume

  • 1. Peggy L. Bragg, MHA plbragg@nc.rr.com Mobile: (919) 413-9771 Experienced Healthcare Professional Summary of Qualifications:  More than 20 years of Healthcare experience with 12 years of leadership and healthcare management experience.  In depth knowledge of the Healthcare industry across multiple disciplines.  Experienced Project, Program and Account Manager.  Proven track record of effective leadership within the Healthcare Industry.  Adept at planning and forecasting.  Outstanding training, teaching, leadership, and communication skills. Professional Experience RxSolutions–Raleigh, NC 2017 to present Client Operations Manager Single program point of contact for clinical and commercial copay assistance and debit card programs. Liaise with 1 clinical and 2 commercial Business Development Executives providing Project Management, Program Management and Account Management across their entire book of business.  Manage over 60 copay assistance and debit card programs from start-up (program implementation) through program termination; to include new program set up projects, ongoing program management and account management  On boarded 2 debit card vendors  Debit card program Subject Matter Expert  Managed setup of RxSolutions Company Debit Card Rebate program site  Authored Debit Card Services reference materials for Business Development Personnel  Manage all debit card programs for a large HUB Services provider; to include all program implementation services; collateral design- patient and control cards and card carriers, finance setup, provide ongoing program and account management services  Provide Copay card design services to include assisting with card design, printing and shipping of cards  Provide assistance with contract management; CDAs, MSAs and SOWs  Manage SOW Addendums  RxSolutions Clinical and Reporting portal administrator; to include user management and training  Program support tool administrator; JIRA, Dropbox  Collaborate with Business Development Executives and clients on new program design  Analyze and mange claim issues, follow through to resolution; manage program exceptions and overrides  Monitor program finances; to include prefund accounts, burn rates, monthly management fees and invoices  Conduct staff training on Adverse Events, Claims Adjudication and debit card services
  • 2. Biologics, Inc. McKesson Specialty Health – Cary, NC 2015 to 2016 Patient Benefits Specialist, Client Escalation Support Program point of contact for 12 Novartis Patient Service Liaison Nurses (PSLs),MidAtlantic Region, providing support for over 600 patient cases. Perform benefits investigation, prior authorizations, appeals, copay assistance,Patient Assistance Program referrals and specialty pharmacy triage  Selected to fill the position of Client Escalation Support for the MidAtlantic Region, Cosentyx Connect PersonalSupport Program (Novartis Pharmaceuticals); coordinate and collaborate with others teams to resolve escalations  Chosen to be a member of the Patient Assistance Program (PAP) Team after 3 months  Service Pro,Communication Skills Training, Peer Leader  Considered a program subject matter expert; Coach, train and mentor others in program rules and processes; to include Supervisors and other departments within Biologics  Developed payor specific intelligence for the MidAtlantic Region, Tricare and the VA, which was utilized to develop a payor intelligence spreadsheet  Received multiple accolades from the Patient Service Liaisons, Area Leader and National Service Liaison for resolving complex escalations quickly and efficiently Xerox Healthcare: Anthem BlueCross BlueShield of Ohio – Raleigh, NC 2014-2015 Provider Benefits Specialist Provide service to 60 to 80 providers per day to resolve customer service inquires and issues in a timely and professional manner related to benefits coverage,claims, prior authorizations and appeals  Determine medical insurance eligibility and benefits, coordination of benefits, verify CPT and ICD-9 codes as valid and billable, using over 20 programs simultaneously  Determine medical claim , prior authorization and appeal status  Selected to coach and train new employees after 2 weeks on the floor Attended Graduate School full-time 2013-2014 Wake MedHealth & Hospitals –Cary, NC 2005-2012 Surgical Technician, Labor and Delivery/Nurse Aide-Clinical Secretary, Mother Baby Surgical Technician/Nurse Aid for a Community Hospital averaging more than 2,500 births annually  Subject matter expert in Operating Room policies and procedures  Member of supply management team  Trained over 60 Nurses in the scrub and first assist roles in the Labor and Delivery Operating Room  Chosen to facilitate the Labor and Delivery Operating Room class,as well as conduct new hire staff orientation  Lauded by Physicians for Operating Room knowledge and skills; frequently requested to assist in complex surgical cases  Utilize sterile technique to set up sterile field; assist physicians and nurses as needed during procedures  Assist patients with activities of daily living, obtain mother and infant vital signs, perform blood glucose testing update managed care resources, responsible for accountability and maintenance of medical equipment United States Army – Fort Bragg, NC 1997-2007 Healthcare Specialist/Medic- Active Duty and Reserve Components
  • 3. Healthcare Manager;held multiple leadership/management roles. Provide a vast arrayof direct patient care services for active duty military, retirees and dependents.  Selected as a Private First Class (E-3) for the role of Company Personnel Operations Manager, Charlie Company, 407th FSB, 82nd Airborne Division; maintained personnel and training records for a 75 plus member medical company  Received accolades from the 82nd Airborne Division Office of the Inspector General for the quality and maintenance of soldier readiness records  Chosen as the Headquarters Platoon Sergeant Charlie Company, 407th FSB, 82nd Airborne Division  Robinson Health Clinic Team Lead, 82nd Airborne Division, provide care for over 30,000 Active Duty Military Members and Dependents  Selected as Clinic Manager, Pediatric Clinic, Womack Army Medical Center, serving over 10,000 patients annually  Supply Budget Manager for both the Pediatric Clinic and Emergency Department, Womack Army Medical Center; Commended by both department leaders for saving $30,000 and $10,000 respectively allowing for the purchase of much needed medical equipment  Chosen as an Emergency Department Shift Leader; simultaneously working as the Fast Track Manager and the Acute Minor Illness Clinic Assistant Manager  Selected as a CPR Instructor, Womack Army Medical Center; successfully trained and certified over 100 medical personnel  Selected as the Training Team Lead, 3274th US Army Hospital (Reserves); Successfully coordinated and conducted all monthly drill training exercises for a 200 plus member US Army Reserve Unit; lauded by Senior unit personnel for my training and teaching skills  Implemented CPR training and Semi-Annual Combat Medic Skills training and testing programs for the 3274th US Army Hospital  Supervise military and civilian personnel  100% accountability and Maintenance of $1,500,000 of military, medical and office equipment Leadership, Education and Awards Primary Leadership Development Course- US Army Non-Commissioned Officer Academy (2000) Leadership Education and Development Course (LEAD) (2002) Army Achievement Medal, 2nd Award (1998, 2000) Army Commendation Medal, 2nd Award (2002, 2004) Army Good Conduct Medal, 3rd Award (2000, 2003, 2006) Non-Commissioned Officer Professional Development Ribbon (2000) Education MHA, Masters ofHealthcare Administration – Kaplan University (Now known as Purdue University Global) – Chicago, IL (2014) Graduated with High Honors B.S., Bachelors ofScience in Health Science – Kaplan University – (Now known as Purdue University Global) –Chicago, IL (2011)