Nicole Ball

5500 Columbia Pike* Arlington, Virginia 22204 * (312) 237-0179

SUMMARY: 

* Successful management of cross functional teams exceeding organizational
objectives
* Exceptional experience using analytical techniques in response to operational
issues
* Extensive background in managing, monitoring, implementing short and long term
action items, and strategic plans involving organizational activities
* Strong interpersonal skills interfacing with senior level executives and key
stakeholders to complete projects
* Competent liaison/ subject matter expert for complex project initiatives and
programs
* Highly proficient at identifying areas for improvement, recommending needed
resolutions, and preparing comprehensive reports on findings
* Proven ability using diverse analysis: monitoring, auditing, surveys, and data
collection to meet key management and administrative objectives
* Excellent ability to understand, interpret, and summarize complex business or
legislative/regulatory requirements

EDUCATION:

 Troy University- Master of Science in Management (July 2010)
 University of Illinois at Chicago- Bachelor of Arts Degree, 2000

EXPERIENCE:

Consultant, Contract Specialist
Glenridge Healthcare Solutions. Elkridge, Maryland June 2009-present

Responsible for implementing programs to build and nurture positive
relationships between the health plan, providers, and practice managers. Identify
gaps in network, negotiate fee schedules, and assist with contracting needs based
on collecting and analyzing aggregate data.

 * Maintain and monitor monthly client list of 85 providers with a contractual
conversion rate of 83%. Average team conversion 75%

State Relations Manager, Regulatory Affairs
WellCare Health Plans, Inc., Tampa, Florida March 2008- May 2009

Facilitated policy regulation awareness program for Managed Care Plans and
Prescription Drugs Plans; interacting with market leadership and
community/national organizations. Coordinated with key matrix partners (Provider
Relations, Client Services, Business Development, Compliance, etc.) to develop
key messages and action plans related to state advocacy and congressional
feedback. Coordinated and managed state regulatory meeting itineraries, approach,
and presentation: influencing outcomes.

 * Identified and developed over 150 viable partnering opportunities to ensure
awareness and training of beneficiary enrollment/satisfaction programs

 * Developed current education and regulation focused presentations, training
materials, and dashboard reports for internal employees, regulatory officials,
and congressional staffs

 * Researched and successfully mitigated over 25 complex consumer escalated
issues a month from state officials including congressional agency staff and
insurance regulators. 95% resolution rate.

 * Established effective internal policies and procedures to ensure compliance
with state contracts, financial, data/ record management, and legal standards for
programs representing over 10% of member enrollment
Nicole Ball Page Two

Senior Manager, Compliance and Operations
Kaplan Professional, Chicago, Illinois October 2002- March 2008

Promoted to Senior Manager. Managed Kaplan Professional online educational
product inventory including instructional materials, courses, and compliance
services for B to B and B to C markets. Prepared financial reports and managed
P&L. Ensured electronic and print programs meet state compliance requirements.
Supervised staff in audits, research, student admissions, operations, program
accreditation, and policy administration. Oversaw compliance system integrations
to automate and streamline information access . Traveled to agencies and
regulatory boards to present course material and content for approval. Worked
with cross functional teams to identify needs, determine feasibility of projects
and make recommendations.

 * Served as Administrator for the compliance implementation of a 1 million
dollar platform initiative

 * Provided product development and IT with required business requirements
receiving 95% accreditation rating

 * Supported 200 online data management programs while increasing program
capacity by 50% within third year, accounting for 75% of department's 30 million
dollar annual revenue

 * Facilitated and supported an increase in enrollment of B to C market by 45%

Compliance Manager ( Kaplan Professional, 2003-2006 )
Promoted to Compliance Manager. Supervised compliance staff in the management of
more than 200 education lines. Reviewed projects, made assignments, and monitored
work through completion. Served as company representative at state commission
meetings and industry events to gain a thorough understanding of policy changes
to ensure compliance of company's products.

 * Received annual Outstanding Achievement Awards

Senior Compliance Analyst ( Kaplan Professional, 2002-2003 )
Identified customer needs, completed research and gained regulatory approval
resulting in the addition of 75 new programs in 2003

Research Analyst
Bacon's Information, Chicago, Illinois 2001-2002

Identified sources of information and integrated sources into existing source
profiles. Created and edited calendar profiles for advertising clients. Created
databases of more than 1,000 media sources.

Contract Data Researcher
Northwestern University, Chicago, Illinois 1999- 2001

Conducted healthcare improvement study, collected personal, dietary and
anthropometrical information through interviews and compiled data for nutritional
study.

TECHNICAL: Excel, Word, PowerPoint, Clientele, State Net, LexisNexis, Oracle

CERTIFICATIONS: Project Management Professional (PMP) Certification ( September
2010 ) American Management Association - Leadership Training

TRAVEL: Very willing to relocate and travel