Shaunjanique Chester
@shaunjaniquechester
Healthcare operations leader specializing in patient access, reimbursement workflows, and specialty pharmacy support.
What I'm looking for
I’m a results-driven healthcare operations leader with 10+ years of experience driving patient access, reimbursement strategy, and specialty pharmacy support. I focus on removing barriers to therapy while delivering measurable operational results through process improvements and strong execution.
Most recently, as an Operations Supervisor, Patient Access at CareMetex, I lead daily Patient Access operations supporting benefit verification, prior authorizations, onboarding, and therapy initiation. I supervise, coach, and develop Patient Access Specialists, analyze performance metrics, and implement workflow changes to increase efficiency and reduce turnaround times—while serving as the primary escalation contact for complex patient, provider, and payer concerns.
Before that, at Cencora, I supported enterprise initiatives through UAT testing in Patient Plus and led annual Federal Poverty Level (FPL) updates from 2020–2025. I managed escalations, audits, reporting, and leadership presentations, and acted as a subject matter expert (SME) for reimbursement workflows by identifying process gaps and implementing operational improvements.
Earlier in my career, I served as a Senior Reimbursement Counselor at Cencora, supporting 50+ physician offices with therapy access and reimbursement navigation. I managed benefit investigations, prior authorizations, and appeals, trained and onboarded 40+ employees, and maintained strong provider relationships while consistently exceeding performance targets.
Experience
Work history, roles, and key accomplishments
Operations Supervisor
CareMetex
Dec 2025 - Mar 2026 (3 months)
Led daily Patient Access operations for benefit verification, prior authorizations, onboarding, and therapy initiation. Supervised and coached Patient Access Specialists, analyzed performance metrics to improve efficiency, served as a primary escalation contact, and ensured HIPAA and payer compliance.
Performed UAT testing in Patient Plus for enterprise initiatives and led annual Federal Poverty Level (FPL) updates from 2020 to 2025. Managed escalations, audits, reporting, and leadership presentations while identifying process gaps and improving reimbursement workflows as an SME.
Supported 50+ physician offices with therapy access and reimbursement navigation by managing benefit investigations, prior authorizations, and appeals. Trained and onboarded 40+ employees, maintained provider relationships, and exceeded performance targets.
Customer Service Representative
Aon Hewitt (Alight Solutions)
Sep 2012 - Oct 2016 (4 years 1 month)
Managed high-volume inbound calls and resolved complex benefit inquiries with strong customer satisfaction. Demonstrated conflict resolution and problem-solving skills while delivering efficient, professional customer support.
Education
Degrees, certifications, and relevant coursework
Kaplan University
Associate of Science, Human Services
Earned an Associate of Science in Human Services from Kaplan University.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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