Ashley Rodriguez Email and Phone Number
Ashley Rodriguez work email
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Ashley Rodriguez personal email
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At Florida Blue, my role as Specialist IIIa – Product Owner centers on transforming the Claims Pay for Care Journey. My competencies span across agile methodologies, journey mapping, and medical claims processing, enabling me to spearhead initiatives that simplify our claims system UI and enhance user experience. These efforts are critical in reducing administrative costs while ensuring alignment with technical requirements and regulatory compliance.My recent work has involved significant collaboration with cross-functional teams to define objectives, identify risks, and implement solutions. With a focus on product management and a dedication to continuous improvement, I’ve successfully managed large project initiatives and established robust operational readiness plans. This dedication to excellence reflects our company's culture of innovation and commitment to delivering value for our customers and stakeholders.
Florida Blue
View- Website:
- floridablue.com
- Employees:
- 6602
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Specialist Iiia – Product OwnerFlorida Blue Aug 2022 - PresentJacksonville, Florida, United States• Responsible for the execution of business transformation initiatives directly impacting the Claims Pay for Care Journey with the potential and probability for Enterprise engagement and support.• Served as Product Owner for initiatives with focus on simplifying our claims system UI, improving claims system user experience, and reducing administrative costs.• Provided consultation to define and achieve objectives, identify risk, and implement both technology & business-only solutions.• Analyzed and documented business and user needs & ensured technical requirements and project plans were in alignment.• Ensured compliance with regulatory agencies and governing bodies, minimized risk to the business and ensured that operational and financial controls were effectively managed using compliance, risk, or internal audit methodologies and practices.
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Analyst Iii - Pay For Care (Claims)Florida Blue May 2019 - Aug 2022Jacksonville, Florida Area• Created and managed requirements documents for large project initiatives including WebTPA and Continuity of Care• Established and managed Enrollment & Billing issues within the Pay For Care Journey and acted as the primary point of contact for IT for assigned initiatives• Ensured projects and outcomes met business objectives, KPIs, and metrics and that Operational Readiness plans were executed efficiently.• Oversaw progress of projects and coordinated with business leads to understand operational impact at initiative level by reviewing process mapping, business rules and user requirements.• Identified opportunities for transformational change to claims application and technology solutions.• Prepared detailed business analysis reports regarding HMO Member Liability and presented results to Executive Leadership
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Business Analyst Iii - Customer Issue Management (Em&B)Florida Blue Aug 2018 - May 2019Jacksonville, Florida Area• Obtained and analyzed data to resolve escalated internal and external customer issues by working with IT to determine root cause.• Tracked and communicated final results of issue resolution plans and status to both internal and external customers at all levels.
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Service Advocate Iv - Consumer Enrollment Maintenance & BillingFlorida Blue Jun 2016 - Aug 2018Jacksonville, Florida, United States• Utilized enrollment processing programs to resolve enrollment, membership and billing issues across multiple products and systems including performing financial audits and resolved billing account balance issues. • Created effective written team communications and DTPs for multiple processes to include Suspense Cash Exceptions, Billing Recon Exceptions and Continuous Credit Balance inventory reduction projects
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Service Advocate Iii - Bluecard Home Claims AdjustmentsFlorida Blue Dec 2011 - Aug 2016Jacksonville, Florida, United States• Completed adjustments and held claims of BlueCard Home complex or escalated claims processing issues to include employee group, SAO, Worldwide, Med Advantage and NSA products.• As team lead for the finance open cash reduction project, ensured that agreed upon goals were met daily and reported to the appropriate leaders.
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Service Advocate Iii - Bluecard Host Provider Call CenterFlorida Blue Sep 2006 - Dec 2011Jacksonville, Florida, United States• Answered incoming provider calls regarding claim status and created service requests for any identified claims processing issues or interacted with other Blues Plans to resolve claims issues.
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Dispatching SupervisorNotifymd, A Stericycle Communication Solutions Company Mar 2005 - Aug 2006Jacksonville, Florida, United States -
Answering Service RepSanta Cruz Answering Service Jun 2004 - Sep 2004Santa Cruz, California, United States -
Answering Service RepNotifymd, A Stericycle Communication Solutions Company Sep 2001 - Aug 2003Jacksonville, Florida, United StatesSupervised 4 dispatchers to insure that urgent after-hours messages were delivered in a timely manner and according to protocol outlined by physicians.
Ashley Rodriguez Skills
Ashley Rodriguez Education Details
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Graphic Design
Frequently Asked Questions about Ashley Rodriguez
What company does Ashley Rodriguez work for?
Ashley Rodriguez works for Florida Blue
What is Ashley Rodriguez's role at the current company?
Ashley Rodriguez's current role is Product Owner @ Florida Blue | Business Transformation, Claims System.
What is Ashley Rodriguez's email address?
Ashley Rodriguez's email address is as****@****aol.com
What schools did Ashley Rodriguez attend?
Ashley Rodriguez attended Coursera, Florida State College At Jacksonville.
What skills is Ashley Rodriguez known for?
Ashley Rodriguez has skills like Healthcare, Powerpoint, Microsoft Office, Photoshop, Adobe Acrobat, Microsoft Word, Visio, Outlook, Insurance, Adobe Creative Suite, Word.
Who are Ashley Rodriguez's colleagues?
Ashley Rodriguez's colleagues are Asanovich Jean Baptiste, Lily Kinmonth, Edith Oakes, Miles Andrews, Rebecca Sampayo, Melissa Mcclusky, Denise Young.
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Ashley Rodriguez
Corporate Recruiter @ Rms Energy | Electrical Engineering | Substation Design | Relay Technician | Field Technician | Neta TechnicianDeltona, Fl -
Ashley Rodriguez
Los Angeles Metropolitan Area -
Ashley Rodriguez
🚀 Fractional Cmo🧠 Io Psychology🕊 Marketing With Soul💭 Humanizing Business🇺🇸 Army VeteranAustin, Tx1hawkemedia.com
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