William Putnam
Hamilton
Summary
Results-driven healthcare management professional with over 10 years of experience in compliance monitoring and policy communication. Skilled in coordinating interdisciplinary reviews and training teams in utilization management protocols. Expertise in medical necessity criteria and regulatory compliance enhances operational efficiency.
Overview
34
34
years of professional experience
Work History
Utilization Review Coordinator
Populus Group
Columbus
03.2014 - 03.2026
- Coordinated comprehensive utilization reviews for healthcare services and procedures.
- Communicated findings and recommendations to interdisciplinary care teams.
- Trained new staff on utilization review protocols and best practices.
- Collaborated with health plan representatives to address and refine utilization management policies.
- Resolved disputes among providers, hospitals, and managed care organizations to promote effective healthcare delivery.
- Responded promptly to inquiries from internal and external customers regarding authorization status or payment issues.
- Provided training to other staff members on utilization management processes and procedures.
- Determined medical necessity and cost-effectiveness of services through utilization review processes.
- Monitored and ensured adherence to federal, state, and accreditation requirements in utilization management practices.
Section Leader
Swift Textiles
Columbus
02.1997 - 03.2010
- Led team to optimize textile production processes and workflows.
- Managed inventory levels to ensure timely materials supply for production.
- Implemented process improvements to enhance overall operational efficiency.
- Oversaw quality control measures to meet industry standards and specifications.
- Identified areas of improvement in workflow processes and implemented solutions accordingly.
- Monitored performance and implemented strategies to enhance output and quality.
- Utilized advanced troubleshooting techniques when dealing with complex problems or equipment malfunctions.
- Reviewed machine downtime logs and scrap rates, taking corrective action to address identified issues.
Infantryman
US Army
Fort Hood
08.1992 - 12.1996
- Coordinated training sessions for new team members and facilitated ongoing staff development to enhance team readiness.
- Led team in daily operations and workflow management.
- Conducted performance evaluations and provided constructive feedback to staff.
- Resolved conflicts within the team, fostering a collaborative work environment.
- Developed training materials and conducted group training on new processes to ensure team compliance and efficiency.
- Participated in recruitment efforts by interviewing candidates and offering insights on hiring decisions to strengthen team capabilities.
Education
Bachelor of Science - Nursing
Columbus State University
Columbus, GA05-2012
Skills
- Utilization review
- Medical necessity determination
- Clinical documentation
- Compliance monitoring
- Process improvement
- Healthcare management
- Policy communication
- Quality assurance
- Data analysis
- Regulatory compliance
- Technical reporting
- Healthcare coordination
- Production efficiency
- Effective communication
- Staff training
- Lab collaboration
- Data interpretation
- Investigation support
- Product Inspections
- Materials inspections
- Customer focus
- Backlog management
- Technical research
- Audit processes
Timeline
Utilization Review Coordinator
Populus Group
03.2014 - 03.2026
Section Leader
Swift Textiles
02.1997 - 03.2010
Infantryman
US Army
08.1992 - 12.1996
Bachelor of Science - Nursing
Columbus State University