lakeshia mccoy
@lakeshiamccoy
Experienced healthcare appeals manager driving compliance, quality, and team performance.
What I'm looking for
I am an experienced healthcare appeals and grievances manager with a strong track record in audit, compliance, and operational oversight within managed care organizations. At UnitedHealthcare I prepared and delivered detailed reports, monitored case timeliness and quality, and ensured adherence to regulatory and accreditation standards while mentoring and developing team members.
I consistently managed workflows, assessed workloads, and partnered cross-functionally with clients, vendors and internal stakeholders to resolve appeals and grievances accurately and promptly. I bring hands-on experience in productivity monitoring, performance reviews, staff orientation and training, and a commitment to maintaining a positive team environment focused on compliance and continuous improvement.
Experience
Work history, roles, and key accomplishments
Appeals & Grievance Manager
UnitedHealthcare
Sep 2008 - Present (17 years 1 month)
Managed Appeals & Grievance team, overseeing audits, quality monitoring, and reporting to ensure compliance with regulatory and accreditation standards; improved timeliness and accuracy of case resolution. Led hiring, training, mentoring, performance reviews, and cross-department stakeholder coordination to maintain operational performance.
Customer Outreach Specialist
Nations Health
Jan 2005 - Aug 2008 (3 years 7 months)
Contacted customers to coordinate replacement insulin pumps and discuss diabetic supplies and Medicare Advantage options, supporting continuity of care and product adoption. Maintained member engagement and facilitated transitions at warranty expiration.
Education
Degrees, certifications, and relevant coursework
Broward Community College
Grade: 4.0%
Attended Broward Community College; education details provided without specific program or dates.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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