Happenings
Congratulations to Our December 2025 Associate of the Month Winners
Division 1M – Jurisdiction J Operations, Customer Service
Jada Graham
Jada Graham, Customer Service Coordinator in the Electronic Data Interchange (EDI) Department, is known for her superior customer service. She leverages her extensive expertise to elevate organizational quality through her engaging training programs, especially the comprehensive “EDI Boot Camp,” which has boosted Quality Assurance scores and supported both new and experienced associates. Jada fosters a collaborative, team environment with her open-door approach and weekly updates. Her process improvements, including a structured new hire training system, detailed backup procedures and specialized EDI training for Part B associates, reflect her commitment to service and innovation, making her an invaluable asset to the team and 1M’s Associate of the Month.
Division 4M – Prior Authorization Programs
Bonnie Moore
Quality Assurance and Training Coordinator, Bonnie Moore supports the Outpatient Department (OPD) Prior Authorization contract. In addition to her regular duties, she played a crucial role in launching the new Ambulatory Surgical Centers (ASC) prior authorization contract. Her calm presence and adaptability to changing situations helped both teams. Her exceptional training and educational skills helped ASC reviewers learn and thrive under her guidance. She exceeded every expectation for her work on the new contract while continuing to support OPD. Her colleague describes working with her as a true gift and awarded her Associate of the Month.
Division 6M – Jurisdiction J Operations, Audit & Reimbursement
David Robinette
David Robinette, Accounting Technician I, is a valued member of the Provider Audit and Reimbursement team. He consistently demonstrates a strong commitment to quality in every aspect of his work. David has proactively identified opportunities to enhance the efficiency and accuracy of the desk review workload templates and has taken the initiative to implement those improvements. He also developed Visual Basic code to automate the End Stage Renal Disease Team’s initial file setup process, streamlining a key operational step. To date, he has completed 140 desk reviews for Notice of Program Reimbursement. David sets a high standard through his work ethic, innovation and dedication.
Division 10 – Support Operations
Carol Jones
Business Analyst II, Carol Jones’ commitment to training and process improvement has noticeably strengthened the quality of service across the department and earned her the Associate of the Month award. Her comprehensive job aids, quick‑reference guides and streamlined onboarding processes have reduced errors, enhanced compliance and increased efficiency.
Carol promotes collaboration, encourages open communication and consistently offers support on complex inquiries, making her an invaluable resource for both new hires and seasoned analysts.
Division 34 – Systems & Support
David Tilley
A Senior Developer, David Tilley consistently delivers exceptional customer service by translating complex requirements into clear technical solutions and communicating with clarity and professionalism. He is responsive, thorough and routinely goes above expectations to ensure accurate, high‑quality outcomes. David also champions quality across the department and identified and resolved process inefficiencies.
David was a key contributor for the Encounters Data Warehouse project, ensuring that data integrity, accuracy and performance standards were maintained throughout the development lifecycle. He combined technical expertise with a strong sense of teamwork by staying available for one-on-one conversations, peer support and cross-functional coordination. His commitment to continuous improvement and teamwork has made a positive impact on the department and makes him a standout for Associate of the Month.
Division 54 – Finance & Accounting
Shavonne Grant
Associate of the Month winner, Shavonne Grant, Business Analyst I, consistently demonstrates a strong work ethic and plays a vital role in ensuring the Overpayment Appeals area meets its metrics. She assists staff with questions about Part B overpayments, Healthcare Integrated General Ledger Accounting System decision processing and appeals cases. Shavonne recently devised an updated process and work instructions for timely processing of appeal decisions.
She also supports the team by monitoring daily workloads and balancing assignments to keep cases moving efficiently. Her detailed tracking updates help management respond to inquiries effectively. Shavonne’s positive attitude and willingness to always help make her an invaluable member of the Overpayment Appeals team.
Division 93 – Augusta Operations
Chanice Ward
Document Prep Clerk, Chanice Ward brings positive energy and a fresh perspective to the Document Control team. She is a quick learner and adaptable, managing multiple projects with ease. Her solution‑oriented mindset and systematic approach helped her develop several process improvements and implement quality checks that prevent errors and enhance workflow efficiency.
Chanice consistently promotes quality by performing thorough pre‑ and post‑processing reviews, achieving zero errors, zero protected health information violations and 100 percent accuracy on daily metrics. Chanice independently manages all Railroad Medicare outgoing mail and collaborates effectively with teammates. Her dedication to a high-quality work product has earned her Associate of the Month.
Divisions 5/29 – Shared Services
Sabrina Holland
Quality & Training Assurance Coordinator Sabrina Holland earned Associate of the Month standing for delivering outstanding customer service. She consistently provides clear, detailed decision letters and thoroughly researches responses to internal and external customer questions. She also strengthened organizational quality by helping update quality assurance forms to enhance record keeping for quality checks and tracking. Demonstrating strong communication and teamwork, Sabrina successfully cross‑trained six clinicians while managing her full workload. From August to December, she led training across multiple inpatient claim types, while ensuring regular workloads were completed timely. Additionally, she contributed to process improvements by helping clarify overpayment language in beneficiary letters and developing training materials and tools for inpatient education. Thank you, Sabrina, for your dedication to team success.
