Erickah Crawford

Accomplished project manager with 10 + years of industry experience.

Experience with multiple mergers and acquisitions including one from the largest Pharmacy Benefit Manager in the industry. Resourceful and effective project manager with proven record of proficiency in all aspects of project and program management.

Experience implementing and managing complex projects within time and budgetary constraints in order to achieve project success.

Program Manager/Business Analyst III, Medicare Sales | Shared Services Oversight at Centene Corporation (2019 – Present)

• Create and implement people, process, and systems improvements relating to Medicare CTMs (Complaints Tracking Module) remediation and reduction efforts.
• Work across all departments of Medicare Sales to create and maintain operational improvements to reduce CTMs prior to the effective dates.
• Partner with Provider Network team to improve accuracy of data files sent to third party vendors.
• Partner with Sales team to improve Operational and Sales processes to reduce the percent of CTMs received within 30 days of the effective date.
• Collaborate with Compliance Investigations Unit to improve Operational and Sales processes to reduce the number of Founded CTMs.
• Partner with Provider Network team to implement PPO education and PCP alignment improvements.
• Work across all departments to drive results of CTM remediation efforts and work plan initiatives: lead CTM work groups and drive improvements with effective communication of status updates and on time updates of CTM work plans to Executive Leadership

Program Manager/Business Analyst III, Medicare Sales at Centene Corporation (2018 – 2019)

• Support Medicare vendors with data distribution needed in preparation for annual open enrollment: SFTP set ups, confirm data schedules, create project plans and Visio timeline for key milestones, provider data/benefit testing; ongoing vendor support as needed serving as point of contact.
• Support Default Enrollment team with implementing a pilot for Medicare Event and Learns: Book venues, catering and audio/visual equipment as needed; impacted LOB includes MA, Ambetter and Duals.
• Perform data analysis supporting local markets by compiling a list of members (opportunity) by zip codes to show high concentration, to predict expected participation for the Event and Learns.
• Oversee implementation of Med Supp and CSNP products and enrollments in CA market for eHealth.
• Implement standardized Policy and Procedures for OBTM; support Telemarketing team by identifying and refining the intake process for Age-In calling campaigns for sales leads, understand how data is pulled when leads are requested, and who pulls the data; understand how we report outcomes for leads that have been distributed.

Program Manager at Centene | Envolve Pharmacy, PBM (2015 – 2018)

• Implement business goals and manage all aspects of clincial programs with an emphasis on client DUR reporting.
• Reports directly to the Senior VP, Pharmacy Operations
• Utilize project management skills to support business department initiatives and maintain NCQA, HEDIS and URAC accreditation.
• Oversee vendors and manage implementation of clients to clinical program.
• Submit reports and/or serve as point of contact for the following committees: Drug Alert and Recall Team Committee, Delegated Vendor Oversight Committee, Quality Improvement-Utilization Review Committee, Compliance Committee
• Chair of the Activity Committee coordinating activities and community outreach for the St. Louis office.

Product Manager at Express-Scripts, Inc. (2014 – 2015)

• Oversee all product management activities throughout entire product life cycle.
• Create use cases, test cases, test plans and conducting UAT with users and stakeholders, exhausting all possible test scenarios to write test cases.
• Create and translate detailed functional requirements into system requirement specifications.
• Develop reporting solutions by accessing data in SQL server and Oracle environments and develop data files for validation, system maintenance and reporting to quantify results.
• Maintaining and updating documents in SharePoint including Business Requirements Documents, Functional Requirements Documents, Test Plans, and User Acceptance Testing documents.
• Develop and communicate concise internal and external presentations and executive briefings.

Financial Business Analyst at Express Scripts, Inc. (2012 – 2014)

• Interpret and execute Pharmaceutical Rebate Contracts (enhancements/exclusions).
• Ensure proper client rebate processing and reporting and ensure accuracy of execution.
• Set up Manufacturers rates and terms and set up clients in TRIAD in order to capture claims for rebate processing.
• Process corrections and retroactive contract changes.
• Produce commercial, Health Care Reform, and other reports.
• Execute departmental control objectives by performing SAS/SOX and other controls.
• Experience with Microsoft Office programs including daily use of Oracle, SQL, QMF Queries, Teradata, and our Enterprise Data Warehouse (EDW).

Campaign Analyst at Express Scripts, Inc. (2010 – 2012)

• Responsible for planning, implementing, and delivering projects within Campaign Management.
• Define and gather business requirements.
• Experience using Oracle, SQL, running queries; some Teradata experience for researching problems and pulling data from our Enterprise Data Warehouse (EDW).
• Act as the primary contact for projects as requested by management
• Analyze, develop, and document clinical program production strategies/processes.

Master of Business/Technology in MBA – Webster University (2011)

Bachelors of Arts in Psychology – Saint Louis University (2007)