Heather Carlos is a seasoned professional in the healthcare industry, currently serving as the Senior Manager of Operations at Centene Corporation. With a robust background in claims management, Heather has honed her expertise in various facets of healthcare consulting, Medicaid, and healthcare information technology (HIT)....
Heather Carlos is a seasoned professional in the healthcare industry, currently serving as the Senior Manager of Operations at Centene Corporation. With a robust background in claims management, Heather has honed her expertise in various facets of healthcare consulting, Medicaid, and healthcare information technology (HIT). Her role involves overseeing the Process Improvement and Training Team within Claims Support, where she plays a pivotal role in enhancing operational efficiencies and ensuring compliance with the U.S. Health Insurance Portability and Accountability Act (HIPAA).
At Centene, Heather leads key projects aimed at streamlining claims processes and improving service delivery. She collaborates closely with internal departments to identify areas for improvement and develop shared processes that optimize workflow and reduce redundancies. Her commitment to fostering a culture of continuous improvement is evident in her initiatives to provide training and education opportunities for staff, ensuring that they are well-equipped to navigate the complexities of the healthcare landscape.
Heather's yellow belt certification in process improvement underscores her dedication to operational excellence. Her skills in managed care, revenue cycle management, and provider relations enable her to effectively bridge the gap between clinical and administrative functions, ultimately enhancing patient care and satisfaction. As she continues to drive innovation and efficiency at Centene, Heather remains a vital asset to her team and the broader healthcare community, committed to delivering high-quality, patient-centered solutions in an ever-evolving industry.
