Exceptional healthcare compliance analyst with 8+ years of demonstrated history of working in business process analysis within healthcare, including documenting business processes and gathering requirements, particularly in pharmacy benefit management and claims payment/analysis. Proficient in advanced Microsoft Applications for comprehensive data analysis, quality reporting and client satisfaction. Knowledgeable in managed care information systems with experience in benefits administration, pricing, contracting, and claims, ensuring accurate provider reimbursement methodologies and regulatory compliance, and conducted structured testing to enhance system reliability, documented defects, and managed data transitions for consistent quality assurance and operational improvement.Areas of Expertise:Audit and Quality Assurance, Healthcare Administration, Customer Service, Pharmacy Benefit Manager, Advanced Microsoft Applications, Policy and Procedure DevelopmentIndustry Experience:Data Analysis and Reporting, Database management, Communication skills, Operational ImprovementFeel free to reach out to me directly on LinkedIn or at amaynard924@icloud.comHave a great day!
Frequently Asked Questions about Andrea M.
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Andrea M.'s current role is Quality Assurance | Healthcare Administration | Compliance.
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Andrea Whelan
Savannah, Ga2comcast.net, jcb.com
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