• Developed interactive dashboards and reports in PowerBI and Tableau to visualize complex datasets, enabling real-time data-driven decision-making for senior management.• Integral resource for driving mission-critical decision within Highmark Health's Enterprise Data Office department • Demonstrated expertise as a Portfolio Analyst, overseeing various facets of assigned portfolios. • Led data and analytics initiatives, including metric identification, target setting, and dashboard development.• Proficient in capability planning, prioritization, and aligning with executive leadership to drive business unit objectives. Successfully managed portfolio monitoring, control, and resource demand. • Led cross-functional teams in business case development and approval processes, establishing valuable relationships with executive leadership in Highmark business areas. • Actively contributed to strategic direction and alignment discussions. • Facilitated meetings for new project requests, providing updates on projects, financial statuses, and addressing change requests requiring management attention. • Collaborated extensively with multi-disciplinary functions and the Project Management Office (PMO). • Coordinated project teams at all management levels, ensuring deliverables met defined benefit program objectives.• Configured and customized Jira platforms to streamline workflows and align with business needs.• Consulted with management at all levels to ensure alignment with business objectives, strategies, and plans.• Facilitated the development and approval of new portfolio business cases.• Actively participated in monthly sub-portfolio meetings, supporting the Annual Planning process. Ensured adherence to portfolio management processes and standards.• Managed effective portfolio communications.• Proven experience in project and/or portfolio management.• Familiarity with project portfolio management (PPM) and oversight processes.

• Consults with product and business stakeholders to analyze, define, and prioritize business requirements, functional specifications in support of regulatory reporting operations, special projects/initiatives and/or operational planning activities.• Develops project scope and identifies objectives, constraints, issues, risks, and assumptions for small to medium-sized programs.• Reconciliations and Regulatory Reporting experience in EMIR, CFTC, MIFID II, SFTR.• Experience with data analysis tools, i.e., SQL, Power BI, and large volume Excel.• Experience in Waterfall and Agile project methodologies and tools.• Formulates and defines program scope and objectives for the work stream with thorough understanding of business processes in the regulatory reporting domain.• Defines and executes the test strategy and detailed test plans.• Documents and communicates implementation impact through process documentation, FAQs, and User Guides.• Partners with technology and vendor resources through the development life cycle.• Represents the team to all areas of IT in resolving issues and developing technology solutions.• Is accountable for overall delivery of assigned functional workstream on a small to medium-scale program.• Assists in developing implementation/conversion strategy and implementation plan.• Manages scope and change throughout the initiative utilizing formal change control and requirements traceability.• Trains users on new or enhanced applications and/or systems of higher complexity.• Serves as point of contact or subject matter expert for the business on specific systems.• Supports testing of new or enhanced applications and/or systems and provides guidance to junior team members on complex testing tasks including case development, requirement traceability analysis, test preparation, script writing, and functional test execution.

• Conducted comprehensive business analysis to identify requirements and enhance processes in Revenue Cycle Management (RCM) and Customer Relationship Management (CRM).• Responsible for developing and supporting systems integration and interfaces including data conversion/ transformation using databases, commercial utilities, and scripting. Manage stakeholder engagement for call center/billing environment. • Worked with Relational Databases such as MySQL, Oracle and SQL Server• Created data dictionary/reporting consistency for programs• Created develop, test, and deploy solutions through, with a focus on database/scripting. • Managed Monthly Downtime Maintenance for our interfaces • Maintained scripts for daily FTP/file transfers to vendors and internal departments; performing data augmentation as needed• Experience conducting data and work flow analysis for process improvement and automation • Understanding of relational data models and experience with databases and reporting tools/techniques • Advanced knowledge of Microsoft Office software, including Excel and PowerPoint• Effective verbal and written communication skills and the ability to present information and respond to questions clearly and professionally to varying levels of individuals • Demonstrated knowledge of healthcare claims submission, receivables management, and remittance processing (ANSI 837, 835, 270/271 transactions) • Previous participation in revenue cycle and EHR system implementation projects • Subject Matter Expert in Allscripts and Corepoint

• Led the scope definition and goal-setting sessions for capital projects in Information Systems, leveraging advanced stakeholder analysis techniques to align project objectives with business strategy and regulatory requirements.• Conducted thorough feasibility studies and cost-benefit analyses for major IS infrastructure upgrades, defining project scope and deliverables that optimized resource allocation and maximized ROI.• Provided governance to ensure the integrity of the Configuration Management Database.• Designed enhancements/improvements for the maturity of the CMDB and Configuration Management process and translated them into business requirements.• Managed the purchasing and inventory for the Information Systems department.• Built/imaged/repaired desktops, laptops, and kiosks.• Answered questions about multiple office applications and medical software for end-users.• Troubleshot any problems HVHS staff may come across.• Responsible for documentation related to this position, updating tickets, project updates.• Escalated service questions and/or calling on-call technicians if appropriate.

• Own monthly financial review process creating management reports and analysis.• Prepare financial reports, charts, tables, and other exhibits as requested.• Identifying and explaining material budget vs actual variances.• Support the department in compliance with regulatory requirements.• Support annual budgeting and planning process for the organization's annual budget.• Ensure that Finance Department requests to IS are resolved and communicated in a timely manner to internal and external parties.• Be audit focal and be liaison to auditors and other outside vendors.• Own department accrual and deferral process with Finance Department• Own department adherence to Time Reporting and convey Capital vs. Operating allocations with Finance Department• Train new employees in financial process and procedures and ensure training material/documentation is kept current.• Own IT department contract process between IT, Supply Chain and Legal.• Assist with management of inventory of assets and supplies, sourcing for suppliers (vendors) and submitting requisitions for purchasing.• Point of contact for Supply, inventory and distribution/distributor related issue.• Responsible for IS department time keeping.• Own onboarding process for new IS resources including liaison to HR.• Responsible for performing special projects to improve process efficiency and performance as assigned by IS management.• Coordinating between departments and operating units in resolving day-to-day administrative and operational problems.• Scheduling and coordinating meetings, interviews, events, and other similar activities as requested by IS management.• Preparing business correspondence, agendas, and presentations, typically using Microsoft Office.• Managing department documents, files and assisting in various daily operations.• Creates end-user documentation for supported applications.• Work efficiently and cooperatively as a member of a team.

Collects, organizes and verifies accuracy of data before it is entered.Supported project managers in ServiceNow implementations and enhancements, ensuring alignment with business objectives.Processes source documents or source database file by reviewing data for deficiencies; resolving discrepancies by using standard policies and/or procedures or returning incomplete documents to the team leader for resolution.Enters data by inputting alphabetic and numeric information on keyboard or optical scanner according to screen format.Compares data entered into computer with data listed on the original documents or source file, or re-enters data in verification format on screen to detect errors.Conducts spot checks to verify that data is correctly entered.Verifies entered data within company databases by reviewing, correcting, deleting, or reentering data; combining data from multiple systems when information is incomplete; purging files to eliminate duplication of data.Keep record of work completed.Tests system changes and upgrades by inputting new data; reviewing output.Contributes to team effort by accomplishing related results with quality and timeliness.Maintain accurate and up-to-date data on behalf of the company.Produces automated reports as requested.Serves as a member of various employee committees, as assigned.

• ServiceNow Analysis: Evaluate the business need, problem or opportunity to justify the investment necessary to deliver the solution, assess the capability of the enterprise to leverage in developing a solution, and determine the most feasible solution.• Responsible for the review and routing of incoming deduction claims. Additionally, based on review of incoming deductions, will be responsible for routing deductions of certain complexity to Senior Deduction Analyst.• Will be responsible for making initial contact with internal and external customers to collect data and claim detail for claim review.• Based on review of incoming claims will be responsible for the processing of the deduction through the claim system & collection of invoices resulting in rebilling.• Ensure appropriate approvals and documentation is received in order to resolve outstanding deductions. Approvals will need to fall within an established limit of authority matrix.• Will be responsible in assisting other Deduction Analysts and Credit Analysts in compiling the information necessary to make successful collection presentations to customers.• Abide by Robinson-Pattman Act, Fair Debt Collection Practices Act, Cannons of Business Credit Ethics, and Eaton Ethics Policy at all times.

Recovered deductibles for various claims: Workers Compensation, Bodily Injury, Medical Malpractice, and more.Reviewed medical policies, endorsements, and declaration pages to verify coverage and deductible.Contact policyholders in order to follow up on unpaid deductible invoices. Answer questions and resolve problems for insureds, agents, and/or attorneys.Utilize internal resources to gain necessary claims or policy information.Contact claims adjusters, underwriters and/or agents to acquire necessary information or paperwork to help the recover process.Make determinations of whether or not a pay plan should be offered to a client to resolve debt.Make determinations in regards to offering a waiver percentage of the amount owed to resolve debt.Performed duties of the Sr. Recovery Specialist.Managed recovery for the Subrogation department regarding matters of Uninsured Motorist claims.

• Coordinated and executed data-driven analytics projects to support strategic decision-making, ensuring alignment with company objectives and goals:• Managed end-to-end analytics projects, including metric identification, target setting, and dashboard development, to provide actionable insights for senior management and stakeholders.• Collaborated with cross-functional teams to define project scope, goals, and deliverables, ensuring consistency with company strategy and commitments.• Implemented robust project control mechanisms to monitor and track project progress, ensuring adherence to timelines and quality standards:• Planned and scheduled project timelines, conducting necessary weekly, daily, and ad hoc meetings to track progress and address any issues or deviations.• Developed and maintained project documentation, including project plans, risk registers, and status reports, to provide transparency and accountability to stakeholders.• Contributed to continuous improvement initiatives by identifying and resolving information gaps, optimizing data processes, and enhancing project efficiency:• Modified policies and procedures at the operational level, following established guidelines and utilizing internal tracking systems to ensure accurate and up-to-date information.• Proactively communicated with external stakeholders, including carriers and agencies, to gather necessary data and update systems and records as appropriate.• Demonstrated strong organizational and communication skills to effectively manage individual performance and contribute to team effectiveness:• Set and tracked work-related goals, communicated achievements, and identified improvement opportunities to support personal and team development.• Participated in cross-training and knowledge-sharing activities to enhance skills and support multiple workflows, contributing to the effectiveness of the team and organization.

• Met performance expectations for collection efforts for assigned accounts based upon individual goals and objectives, e.g., a minimum calls per day, contact percentage, promises/calls ratio, promises kept. • Placed or received calls in priority order as established by management.• Negotiated payment arrangements with clients to cure delinquency, evaluating ability and to willingness to pay. Navigated and interpreted various screens and relay information to clients accurately and professionally. • Determined cause of delinquency and best course of action to assist delinquent customer. • Documented all collection efforts for each assigned account in accordance with established procedures, which may include using action and reaction codes, rescheduling feature, “scratch pad” entries, etc. in the collection system.• Communicated collection efforts to branch lenders on assigned accounts in accordance with established standards. • Ordered update credit bureau report or initiate skip tracing process in accordance with established standards. • Reviewed files form Loan Services in accordance with established standards. • Initiated deferrals on accounts based upon written policy guidelines. • Communicated regularly with collections supervisor on status of problem accounts in accordance with established standards.• Ensured that appropriate letters are sent to debtors. • Processed customers’ payments through electronic draft. • Processed account maintenance transactions according to established guidelines. • Performed other duties as assigned.

• Supervised 15 enumerators during field operations and met daily in order to conduct quality control on their paperwork to ensure accuracy and completeness.• Submitted completed materials to supervisor each week.• Raised public awareness of the 2010 Census by staffing local events.• Prepared presentation and promotional materials and distributed to the public.• Maintained files, scheduled appointments, and made follow-up calls.