Chandra L. Toure
About Chandra L. Toure
Chandra L. Toure is a Senior Business Analyst in Operations at Avalon Healthcare Solutions, where she focuses on claims issues and provider support. With extensive experience at Blue Cross Blue Shield Association, she has developed solutions for claims trends and collaborates with major stakeholders to ensure project success.
Current Role at Avalon Healthcare Solutions
Chandra L. Toure serves as a Senior Business Analyst in Operations at Avalon Healthcare Solutions since 2018. In this role, Toure leads investigations into provider issues and implements resolutions. Toure develops training materials and facilitates training sessions for the Avalon Provider Support staff. Additionally, Toure collaborates with major stakeholders, including BCBS, LabCorp, and Quest, to ensure timely project deliverables. Toure utilizes JIRA for tracking project tasks and conducting weekly project status update meetings.
Previous Experience at Blue Cross Blue Shield Association
Chandra L. Toure has extensive experience at Blue Cross Blue Shield Association, where Toure held multiple roles over a span of 27 years. Toure worked as a Claims Process Optimization Analyst from 1984 to 2011, followed by a position as Claims Support Analyst from 2011 to 2014. Toure also served as a Claims Quality Analyst BroadPath from 2014 to 2016 and as a Provider Relations & Accurity Consultant for six months in 2016. In these roles, Toure conducted research on claims issues, developed solutions, and acted as the main point of contact for providers regarding HSA/FSA issues.
Educational Background in Healthcare Management and Psychology
Chandra L. Toure studied at Liberty University, where Toure earned a Bachelor's degree in Healthcare Management and Psychology. This educational journey spanned five years, from 2013 to 2018. The knowledge gained during this period has contributed to Toure's expertise in managing provider support projects and understanding the complexities of healthcare operations.
Project Management Expertise
Chandra L. Toure possesses expertise in managing provider support projects using both Waterfall and Agile project management methodologies. Toure leads quality assurance and risk management efforts, including auditing provider claims for Finance/Deloitte using AMMS and SQL. Toure's ability to create data visualizations aids senior leadership in informed decision-making and strategic planning.