Coach of the Quarter – Tonya Gamble

Tonya Gamble is an Auditor II who displays diplomacy and humility while motivating her team to become the best.  She is a door-always-open leader and encourages her staff to come to her when they have questions or concerns. She challenges her team to think critically and collaborate to meet all deadlines, exceeds metrics, and complete projects. Her team says "we love learning from Tonya as she takes the time to explain the procedures and reasons behind them. This helps us  understand, evaluate and bring our ideas and suggestions to the projects." Tonya continually builds up her team and coworkers with a smile on her face and enthusiasm for her job.

Team of the Quarter - JM Audit

In the fourth quarter of 2021, the JM Audit team completed 428 desk reviews, 101 wage index reviews, and issued 562 final settlements. The processed workload represented a 38% increase over the same period in the prior year. Additionally, the JM Audit team completed this workload and met new, more strenuous internal metrics, including completing the desk review and issuing the required Pending Settlement Letter (SSI) for jobs three weeks before the due date. The JM Audit team not only met these requirements but exceeded them. The team completed all reviews by mid-November while successfully selecting, onboarding, and training new team members. This team understood the overall goal of the Provider Audit team and embraced the teams' internal "One Audit Team" concept to drive work performance, collaboration, and process improvements.

Team Members: Gabrielle Allen, Pranav Bellukutty, Kenya Bracey, Jeffrey Branyon, Georgina Chiejile, Darryl Cooper, Alexis Cuttino, Christopher Douglas, Tonya Gamble, Gail Goodwin, Sean Janson, Pamela Jennings, Daniel Jordan, Caroline Moore, Sherry Neal, John Palmer, Amanda Paserik, Dhara Patel, Raul Perez, Ronald Renwick, Francee Sams, LaDiamond Shaw, Ryan Shifflet, Dan Stade, Tracy Vargas, Daniel Webster, Ayshia White, James Williams, Nakiya Wilson, Stephen Wood

Process Improvement of the Quarter - Reduction of time and staff to mail post-pay ADRs

The post-pay mill was created to adjust claims for all Document Control Numbers (DCNs) and Internal Control Numbers (ICNs) submitted. The process reduces the number of employees, time, and money spent on manually generating letters. With this new process, the technical specialists and operations analysts no longer need to create, conduct quality control, print, and mail letters. Now all claims are adjusted in the Mill and completed in 30 minutes or less resulting in significant annual savings. 

Team Members: Cheryl Bell, Sheila Bell, Terri Bozard, Mary Hamill, Timothy Oxley, John Rudolph, Shavonne Samuel, Daliyl Skinner, and Chantel Warren

Associate of the Quarter – Valerie Brunson

Valerie Brunson, an Administrative Associate, consistently supports several divisions and departments across the company. While most associates transitioned to remote work during the public health emergency, Valerie continued to work in the office, supporting both onsite and remote workers through consistent communication, and expedient follow-up. Most recently, Valerie has exceeded expectations by assisting the work at home coordinator with equipment mailing and tracking, while continuing to excel in her primary role. Her unwavering commitment to excellence reflects the views, values, and culture of Palmetto GBA.