Curriculum vitae

SHELLEY E CHANDLER
Phone: 832-461-7554
Email: eliechandler1@gmail.com

Professiona l Summary
A public health professional with years of experience in the nation's first health maintenance
organization for children. An analytical thinker that maintains strategies that assure concordant
relationships with physicians and other providers. A passion to educate, motivate and provide
excellent customer service. Seeking a position in a progressive environment that provides
training, promotes education, mentorship and empowerment.

Education and Training

Libert y Universit y
Master of Science, Public Health ( In Progress)

University of Houston-Clear Lake

Bachelor of Science

C or e C ompe te nc ies
Personal and professional integrity Attention to communication
Cultural awareness and sensitivity Fostering Teamwork

Present Professional Experience

TEXAS CHILDREN'S HEALTH PLAN December 2005 to Current

Provider Relations Manager
Houston, TX
• Successfully manages a regional network inclusive of provider satisfaction, a balanced
medical loss ratio, while securing and developing new business
• Evaluates and reports data to identify territory issues, trends and exceptions
• Implements plans regarding member education on chronic diseases such as obesity,
nutrition, diabetes and asthma
• Marketing of new initiatives, products and programs
• Manage health plan cost through utilization management of therapy services
• Identified and recommended needed providers in areas of deficit
 • Researched claim projects
• Developed the STAR Kids employee and provider training guides and received state approval
• Provided STAR Kids overview training to in network Houston area providers and potential
Northeast Medicaid Rural Service Area (NEMRSA) providers (2016)
• Provided STAR Kids training to 100% of Provider Relations staff (2015 – 2016)
• Coordinated training and education for the implementation of ICD 10 (2014 – 2015)

Prior Professional Experience

TEXAS CHILDREN'S HEALTH PLAN May 2002 to December 2005

Provider Relations Assistant
• Assisted Provider Relation Managers in claims projects
• Audited provider HEDIS files
• Maintained website

TEXAS CHILDREN'S HOSPITAL July 2001 to May 2002

Administrative Assistant
• Retrieved patient census
• Retrieved and distributed staff messages
• Audited paid time off requests
• Ad Hoc administrative duties as assigned

HARRIS COUNTY HOSPITAL DISTRICT January 2000 to December 2000

Human Resources Assistant
• Scheduled interviews
• Updated new hire benefits
• Retrieved and distributed candidate resumes
.

HEALTH AND HUMAN SERVICES COMMISION January 1991 to August 1998

Eligibility Worker I
• Interviewed for Supplemental Nutritional Assistance Program
• Audited applications for fraud
• Maintained a caseload of 400 applicants annually

VOLUNTEER EXPERIENCE
Texas Children’s Hospital
Wellness Ambassador August 2015 to present

Prairie View A&M University

Certificate: Master Wellness Volunteer Program March 2013 to present