Sydney Saunders
Atlanta
Summary
Dynamic professional with extensive experience in delivering strategic consulting services that enhance business operations across various sectors, particularly in healthcare. Expertise in leveraging in-depth industry knowledge and analytical skills to identify challenges and implement effective, results-driven solutions. Proven ability to cultivate strong client relationships, ensuring exceptional service and satisfaction while consistently driving measurable outcomes. Committed to fostering innovation and excellence in every project.
Overview
16
16
years of professional experience
Work History
Consultant IV, Regulatory and Contracts
Kaiser Permanente
08.2018 - Current
- Project manager and EOC Subject Matter Expertise for the Benefits Administration department and served as the primary contact with outside vendors.
- Design, develop, and deploy EOCs for production while monitoring quality, test plan strategies and execution.
- Collaboration with KPIT, Sales and Marketing, Benefits Data Management, Product Development, Benefit Implementation, Compliance Office, and other internal and external teams and customers.
- Managed the production project plan to support all KPGA product and plan health benefit coverage communications with members.
- Develop, format, and create logic to produce schedule templates for the EOCs to assure integrity between Common Membership (CM) and programming instructions.
- Project Manager for the EOC production of our Medicare population to include management of the ANOC, DPA and Group Medicare mailings. Mailed 100% complete for the 2019 Open Enrollment (OE) season.
- Managed the successful production of over 90,000 EOC mailings for January OE season to include high priority groups, KPIF, and Medicare populations.
- Managed numerous Excel spreadsheets to house data that is essential to the production of the EOCs, which includes but not limited to the Benefit Logic Table and the Benefit Component Table.
- Responsible for exceeding 95% mailing metrics for both Commercial and Medicare with a target metric of 90%.
- Collaboration with National EOC teams on the development, implementation, and adhering to tight timelines and document submission to contribute to quality and quantity of EOC Production.
Regulatory Analyst II
Kaiser Permanente
12.2015 - 08.2018
- Prepare, review, and submit related documents to ensure that production of ID Cards, Group Agreements, and Applications are in compliance with Department of Insurance (DOI) laws, Federal, State, and Regional regulatory requirements.
- Assisted with leading the Department's activities related to the annual Federal Employees Health Benefits (FEHB) plan renewal & the annual Medicare products renewal with Centers for Medicare & Medicaid Services (CMS).
- Identify & develop plans for communication & education of providers & other regional personnel about benefits & coverage issues.
- Manage, review, and make decisions regarding requests for clinical and non-clinical benefit exceptions through SalesConnect for large and national groups.
- Research, prepare, and investigate all regulatory changes to facilitate weekly legal department meetings for the Georgia Legal Team.
- Coordinate and design the content development and language of the Evidence of Coverage (EOC) and Group Agreement documents.
- Maintain files, produce and develop all group agreements for new and renewing commercial groups, including mass mailing of the documents.
- Initiates extensive review and development of Senior Advantage EOC’s, Summary of Benefit (SB’s), Annual Notice of Change (ANOC), and schedule of benefits.
- Partnered with Contract Vendor Leads with production, edits, proofing, and distribution of commercial EOC’s.
- Assist management with research of all laws and regulatory requirements for updating policies and contracts.
- Collaborate with Quality Resource Management on the investigation and verification of member benefits.
Specialty Appointment Coordinator
Kaiser Permanente
09.2014 - 12.2015
- Responsibilities included providing high quality service and scheduling assistance for over 12 different specialty departments through HealthConnect.
- Provided members with information, instructions, preparations regarding appointments and procedures.
- Effectively communicated with clinical staff in regard to member needs.
- Provided proficient use of medical terminology daily.
- Collaborated with medical staff to review electronic medical records and documentation daily.
- Built and maintained business relationships with clients by providing prompt and accurate service to promote customer loyalty.
- Assisted Supervisors with the customer escalation, insurance verifications, and inquiries.
Certified Coach
Kaiser Permanente
07.2014 - 12.2015
- Conducted peer coaching and daily support to new hires to help develop and strengthen their performance using the Coaching for Excellence model.
- Provided shadowing and/or side by side training activities; constructively correct errors while providing positive feedback to trainees and tenured associates.
- Coordinated with Supervisors to ensure new hires were meeting objectives and expectations to conduct job duties.
Service Associate
Kaiser Permanente
05.2012 - 09.2014
- Responsibilities included providing high quality service in maintaining confidentiality with member’s patient health information (PHI); answered and assists with inquiries and/or obtaining medical services and appointments via HealthConnect/Tapestry.
- Provided proficient use of medical terminology daily.
- Assisted Supervisors with the customer escalation, insurance verifications, and inquiries.
Human Resources Specialist
Royal Treatment Health Systems, LLC
01.2011 - 11.2011
- Responsibilities included coordinating all aspects of human resources management; E-verify for new hires.
- Assisted with the new employee procedures, employee handbook updates, and distribution of updates.
- Prepared, processed, verified, and maintained employee payroll on a semi-monthly basis.
- Maintained employee personnel files and updated information as needed in a timely manner.
- Managed on-going performance of policies and procedures for recruitment, interviewing, and selection of prospective employees.
- Conducted personnel disciplinary actions in conformance with policies and procedures.
- Entered patient data into ShareNote, an electronic medical record (EMR) system.
Administrative Assistant
Herzing University
09.2009 - 01.2011
- Responsibilities included providing support to Dean of the University and other management levels.
- Organized office by manually filing and/or storing electronically; Monitored, reconciled, and assisted with fiscal administration for the department, including contracts, travel and/or purchasing.
- Prepared and created student and education files on a confidentiality structure.
- Assisted with the creation of the International Student Brochure for the University.
Education
Bachelor of Science - Healthcare Management
Herzing University
Atlanta, GeorgiaAssociate of Science - Medical Billing and Insurance Coding
Herzing University
Atlanta, GeorgiaSkills
- Problem-solving
- Attention to detail
- Team leadership & development
- Client relationships
- Analytical thinking
- Subject matter expert
- Best practices implementation
Accomplishments
Kaiser Permanente Leadership University graduate - September 2025
Timeline
Consultant IV, Regulatory and Contracts
Kaiser Permanente
08.2018 - Current
Regulatory Analyst II
Kaiser Permanente
12.2015 - 08.2018
Specialty Appointment Coordinator
Kaiser Permanente
09.2014 - 12.2015
Certified Coach
Kaiser Permanente
07.2014 - 12.2015
Service Associate
Kaiser Permanente
05.2012 - 09.2014
Human Resources Specialist
Royal Treatment Health Systems, LLC
01.2011 - 11.2011
Administrative Assistant
Herzing University
09.2009 - 01.2011
Associate of Science - Medical Billing and Insurance Coding
Herzing University
Bachelor of Science - Healthcare Management
Herzing University
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