Amanda Evans Email & Phone Number

Cameron, NC, US

Remote

• Ensured provider data accuracy for Accountable Care Organization groups per a roster/register by data extraction and analysis using various systems and databases such as Examiner, ARC, Impact, NDB, etc.
• Developed, maintained, coordinated updates for database integrity while meeting quality assurance standards and retaining our customers
• Collaborated with other departments regarding database and systems improvements
• Assisted in audits and data quality improvement initiatives
• Partnered with UnitedHealth Networks, Health Plans, care providers and medical groups to maintain current roster, demographics, and network status to ensure the accuracy of network profiles
• Performed comprehensive data and contract reconciliations along with ensuring new contract provisions were successfully executed across all platforms and processes

• Proficient with UnitedHealth Group systems - NDB, CSP Facets, COSMOS, PhyCon, Titan, Orbit, and SharePoint platforms
• Subject matter expert (SME) on a cross-functional team responsible for identifying root causes to assist with quality defect reduction with Provider Data Operations and implemented training along with updating.
• Part of the Value Check Project with the Contract Analytics Team; this project used root cause analysis to identify which area of contract loading were having quality issues, trained the Data Loading Analysts on their.
• Collaborated with other departments to assist with their projects: Community & State/Medicaid Orphan Member Burndown and Load Before Effective Date (LBED)
• Developed improvement plans for Data Loading Analysts (DLAs) in the Buddy Program through auditing and training to improve their overall performance
• Lead On-Job-Training (OJT) development virtually and on-site in Phoenix, AZ and Richardson, TX for Regional Contract Loading (RCL) teams

• Installed provider contracts accurately utilizing various databases and systems
• Audited contract loads for adherence to quality measures and reporting standards
• Investigated urgent contract issues and processed corrections within a 24-hour turnaround time
• Audited new hires work to correct possible errors, improving overall quality

• Accurately and efficiently processed all lines of business in Clinical Services
• Managed inventory of Blended Census Report and assigned work to the team
• Tracked and confirmed admissions and discharges
• Applied knowledge of ICD-9, DRG/NON-DRG, and CPT codes to ensure proper payment to providers
• Trained new hires promptly after starting the position
• Received several awards for performance between June 2015 and November 2015

Greensboro/Winston-Salem, North Carolina Area

Cosmetology/Cosmetologist, General

Computer And Information Sciences And Support Services