Nicole Spickard Email & Phone Number

Pittsburgh, Pa, Us

Pittsburgh, Pennsylvania, United States

• Responsible for intermediate tasks, projects, initiatives, relying on solid technical, analytical, and reporting skills to not only trend and offer recommendations, but to articulate these opportunities to internal and external audiences, implement the solutions, and track and monitor progress. Acts as the point of contact at an expert level for SQL & Power Bi data analysis. Technically proficient; exhibits independence, broader scope of responsibility. Serves as an operations process, knowledge/reporting expert, and TPA Claim liaison to TPA clients and internal departments. Provides ongoing trouble shooting support and maintenance for efficient processes, flows, systems, issue trends. Identifies areas of concern that may compromise customer satisfaction through data analysis, research, testing, and propose solutions based on findings, expertise, and research, along with the ability to present results to a non-technical audience both internal and external to the department. Builds and executes test plans within Microsoft Azure that coincide with Scrum ceremonies.

Pittsburgh, Pennsylvania, United States

• Supports disciplines and technologies such as business intelligence tools and methodologies; business implementation and project management skills; client account management; operations optimization; quality assurance; risk management; and modern technology to help exceed Client/UPMC business objectives. Supports small to medium scale tasks, projects, and initiatives, as well as easy to intermediate specification extractions of claims and performance data for reports, trends, and analysis. Projects/Tasks have included, but are not limited to, 834 file implementation for CLI, report automation via IDW/Power Bi, and Azure application development.

Pittsburgh, Pennsylvania, United States

• Conducts routine membership reconciliation, analyzing root causes of data discrepancies to identify and recommend process improvement opportunities. Regularly communicates with other departments to implement process changes and ensures departments, such as Workforce Management, receive necessary files to be loaded into Genesys. Independently manages various enrollment processes, such as queries, to ensure timely and satisfactory completion. Performs QA for CLI Enrollment. Subject matter expert for CCBH & CLI Enrollment, ACI & HICS Reporting, and Pharmacy Rejects. Discovered a discrepancy via ACI Reporting where Open Enrollment member eligibility files canceled many active selection re-enrollments for the 2022 plan year, alerted management, and worked overtime to resolve the issue, resulting in members regaining coverage. Assists in the development of workflows, trainings, and reference materials.

Bachelor’S Degree, Mass Communication/Media Studies

Public Relations Emphasis Developed skills within video production, Adobe Creative Suite, communication skills, crisis management, public.

Associate’S Degree, Photography

Experience with studio, field, sports photography, lighting, photo editing, graphic design, typography