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lakeshia mccoy

@lakeshiamccoy

Experienced healthcare appeals manager driving compliance, quality, and team performance.

United States
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What I'm looking for

I seek a role where I can lead appeals/grievances or quality teams, ensure compliance, mentor staff, and improve operational performance.

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

UN
Current

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.

NH

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 logoBC

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

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lakeshia mccoy - Appeals & Grievance Manager - UnitedHealthcare | Himalayas