Ashley Gonzalez Email & Phone Number

Miami, Florida, United States

• Engineered and implemented a robust data infrastructure tailored for intricate med-cost analyses, ensuring seamless efficiency in managing deliverables and accommodating ad-hoc requests.• Cultivated a high-performing team of senior analysts through comprehensive training and mentorship, empowering them to deliver actionable insights on cost dynamics, utilization patterns, and other pivotal performance metrics, significantly enhancing divisional and company-wide outcomes.• Orchestrated Extract, Load, Transform (ELT) processes for critical company datasets, guaranteeing meticulous audit capabilities to pinpoint variances in claims, member eligibility, payor service fund files, and payor settlement files.• Pioneered the creation of dynamic month-to-month and year-to-date sizing models at various levels, alongside a sophisticated platform to scrutinize and rectify discrepancies between actuary files, payor settlement files, and claims data.• Provided support to stakeholders and leadership by gauging the potential impact of forthcoming programs and initiatives, like Palliative Care and End Stage Renal Disease (ESRD) utilizing rigorous internal processes to develop comprehensive business models that forecast key program metrics, ramp-up timelines, launch costs, and return on investment.• Drove operational efficiency through the optimization, streamlining, and automation of internal processes, resulting in accelerated deliverable turnaround times and enhanced analytical capabilities.• With leadership feedback, developed and deliver the monthly "Med Cost Insights package," a cornerstone resource for c-suite and divisional leadership with actionable data-driven insights, value summaries, trends, and clinical perspectives.• Fostered collaborative relationships across functions to harness diverse perspectives, share knowledge, and synthesize industry analyses into actionable best practices, driving innovation and organizational excellence.

Plantation, Florida, United States

- Working with the Market Plan President and Directors, bridging the gap between the current and desired business performance levels.- Balancing short-term business needs with long-term perspectives on success to ensure desired results.- Collecting data from large databases using SQL- Storytelling, report building, analyzing data, and reengineering current processes within the department for efficiency, accuracy, and opening time for business creativity- Participating in developing/modifying reporting, business design specifications, and documentation for teams within our department, our directors or even for corporate leaders/business analysts.

Interim manager for the Medicaid Specialty Populations Reporting Analytics department for Q3 of 2021 before the merge into a larger branch. Co-managed a team to make sure all ad-hoc, recurring operational to state/regulatory reporting was being completed on time for market directors. Included monthly meetings with market leads to provide insight into what has been completed and what's in scope for the upcoming timeline, as well as an open block to consult in any current project that required assistance. After the merger, I transitioned to a Senior Business Analyst for all of Anthem's Medicaid eastern markets, working closely with managers, directors to executives to complete all level of intake request. As well as being a Medicaid Specialty Population Consultant for other analyst within the department to make sure the necessary requirements for the scope of the project have been gathered, the need is understood and a plan of action is established to make sure the need is met for the request owner.

Pembroke Pines, Florida

Within my first 75 days, I was in charge of managing my own department and reporting. Within the first year, I received in 3 separate occasions, by directors, awards of recognition for my efforts in drastically improving department processing, improving and establishing new metric based reporting. As well for quick responsiveness and determination in assisting and taking the role of leadership in developing the required tools to track and effectively assist our thousands of members during unexpected crises.I work in the the GBD Medicaid sector collecting data from our internal databases using SQL and Excel’s Power Query, analyzing the data, and putting together reports for directors, corporate leaders and the LTSS management team.Participating in developing/modifying reporting, business design specifications, and documentation for teams within our department, our directors or even for corporate leaders/other analysts.Create/Optimize monthly, quarterly, yearly compliance reporting required by the state of Florida/AHCA.Serve as liaison between users of software and technical staff.Train new business analyst in developing their skills to understand and manage data sets. As well as creating their own queries using SQL, advance understanding of Microsoft Excel and Power Query.Translate business requirements documentation (BRD) to the technical staff to ensure that our requirements are incorporated into the system design.Test and document reporting and business solutions.Create reporting templates that allow for fast response times on ad-hoc requests regarding member plan of care, authorizations, member claims, provider claims and services and other department related requests.Creating urgent reports workflows with dashboards for our large team of managers and case managers during hurricane season, epidemics and other scenarios crises like scenarios using Microsoft Excel, Office 365, Power Query, SQL to even Share Point 2013.

Miami/Fort Lauderdale Area

- Research and work with our partners’ catalogs to ensure our company’s catalog is accurate and up to date with products our customers go on our site to purchase.- Update our products descriptions, packaging, cost, pricing, and other fields. - Cadence reporting that included weekly, monthly and quarterly price / cost updates- Developed internal methods of data collection and reporting- Optimized our pipeline through simple to complex multi-criteria formulas in excel. - Join and modifying database tables with Excel’s Power BI querying tools to help improve production time, accuracy, and create new reporting that at times included pivot tables.

Miami/Fort Lauderdale Area

- Create and manage company’s Excel data file containing e-commerce product templates which provides necessary data to third-party partners. - Create queries that extract data from the master data file, through Power Query, in order to efficiently inform partners of updates and new products.- Verify that company products are displaying correct information, pictures and established IMAP pricing on partner websites. - Generate weekly and monthly reports of sales, top selling products and ad hoc reports. - Process new orders and provide support to Third party partners regarding products and order updates.- Manage company website by adding newly created products, updating or creating new pages for the site to improve user experience, and maintaining the database of stored customer and product information.- Register new clients for the back-end of the company website.- Answer client questions and concerns via email or phone.

Miami/Fort Lauderdale Area

- Design and submit approved graphics to print shops, advertising agencies, and for use in mass e-mails distributed to client list. - Manage the company website, by adding newly created products, and updating or adding new pages to improve user experience.- Maintain the database which stores customer and product information. - Generate ad hoc reports regarding mass e-mails, sales on e-commerce sites, and user experiences, through WordPress plugins and Google analytics.- Create 3D concept renderings for clients and outsourced production companies.- Oversee Excel database containing e-commerce products.- Automate the extraction of data from Excel database through the creation of unique templates used to add new, or modify existing, product data. - Register new accounts on the client portal of the company site. - Respond to e-mail and phone inquiries.

Doral, Florida

- Designed and maintained financial and performance reporting for analyzation of financial standings, investments, product quality and ad hoc scenarios.- Developed reports for call center metrics, Marketing ROI, and Physician scorecards- Managed project and team that developed an application tracking and maintenance system. Contributions to the project included front-end user interface design and development, and front-end data validation. - Generated commissions for over 250 agents on a weekly and monthly basis during and after the Obama Care Enrollment period, respectively. - Maintained front end consumer websites.- Monitor customer preferences to determine focus of sales efforts.- Responded to e-mail and phone inquiries from health industry agents

Miami/Fort Lauderdale Area

- Art Director and Creator for Media and Web Design. - Created 3D Models required for events, media, or future manufactured products including blue prints, photography, and partial web development. - Assisted client-vendor relations by overseeing customer inquiries at events.

Studying in texturing 3d assets with 2d and 3d procedural's and creating new 3d environments to expand my portfolio. Gave lectures in class to students and provided critiques and guidance towards choices made for student demo reels and assets.

Master Of Science Data Analytics, Data Processing And Data Processing Technology/Technician

Through this degree, i worked on strengthening my understanding of the Data Analytics Lifecycle, Data Science, Advanced Analytics.

Computer Animation Bachelor'S Degree, Environment Modeling