Oversaw trend data related to quality management and risk adjustment activity, this included compiling data from various data sources, verifying data, analyzing and tracking data.  Validated monthly quality reports to ensure all data for health plans was accounted for Developed interactive specialty dashboards to provide insight into specialty quality measures and areas of improvement for these specialties using visualizations tool such as Tableau.  Worked with various data source to identify quality gaps and how to close these gaps

Spearheaded multiple projects simultaneously, directed guidelines and guaranteed key targets were achieved by all functional areas.Selected Contributions: Created process improvement initiatives to increase the value of project execution for improved efficiency and results.  Explained communication integration requirements and expectations with applicable vendors. Oversaw workflow and communicated with stakeholders when projects were at risk for delay.

Lead a team of analysts in executing projects regarding requirements for healthcare related software information. Provided proactive support to multiple internal levels of management to assess initiatives, provide interactive dashboards, and improve internal procedures. Selected Contributions: Applied data conversion tools such as 835XL to convert raw claims data files. Developed training material for program training and adoption. Supported Revenue Cycle Manager with regular ad-hoc requests.

• Performed financial assessments in compliance with HIPPA and confidentiality regulations to verify patient insurance coverage with third-party payers and negotiate charity claims.Selected Contributions: Performed screenings and ran credit checks for individuals applying for financial assistance.  Calculated DTI and PTI ratios and verified open credit lines to determine an applicant’s ability to pay debts.

Helped customers open and manage their bank accounts and finances• Advised clients on financial services to meet their needs• Reached out to prospective customers to sell our services• Present financial products and services to existing and prospective customers• Responsible for meeting sales and profit goals, activities regarding sales, marketing, customer acquisition• Team work development• Perform support tasks for managers • Relationship building with clients to build and maintain a customer client base