Senior Products-Medicaid | VA Dual Eligibles Program•Developed queries and build reports to communicate findings and reccommenaiton with leadership and business partners.•Utillized Pl/SQL Developer to query and analyze LTSS data to assist with performance management. •Anticipated reporting needs and proactively identify discrepancies within the data. •Recommended effective data and/or reporting solutions to issues the business is facing and work with partners to execute solutions.•Collaborate with cross-functional teams to build and strengthen Humana-specific market knowledge as well as contribute to projects to promote streamline business processes and needs.Process changes and program management functions. •Prepared and analyze data by locating, profiling, extracting, mapping and validating data.•Utilized applications such as Qlikview, Access, Excel and other third party systems. •Trained new employees on systems, processes and reporting requirements.

Worked in large environment with various people who work to achieve a common goal in customer service; friendly and courteous to customers and am able to work in all departments within the bakery. •Cross trained employees.

Conducted moderately complex operations research and economic analysis studies using SAS and other applications. Member of Supply team but also supported distribution and procurement sub teams.•Identified specific concepts and develops procedures for investigating problems of a significant nature which may be broadly stated or ill-defined.•Prepared study plans which define study efforts by providing the background, description, approach, project milestones, resource requirements and costs for each study.•Identified sources of subject matter information, including specialized data.•Performed quantitative, cost/economic analysis and operations research studies requiring the application of such techniques as mathematical modeling, statistical analysis, linear and nonlinear programming, simulation, decision theory and probability theory.•Maintains Secret Security Clearance

Performed moderate queries using SQLwith SME knowledge of VPHP and VPCC database tables and structure.•Created reports in Mitel and provide subscriptions and access to management.•Created SOPs and process maps for various tasks and processes for the department.•Worked assigned ChangeGear tickets which consist mainly of building reports such as OB Registration, Aged, Blind, and Disabled Members, Birth Event reports for the Director of Pharmacy in Medical Management and Director of Disease Management and Health Education. Includes requirements gathering, documenting, building in SQL and presentation via SSRS/Delta Reports.•Led subgroup meetings and create business requirements for assigned projects and communicate effectively, both written and verbal, with technical and clinical personnel. Ran project meetings and assigned tasks to appropriate individuals to complete, ensure meeting run accordingly and projects finished on time. •Helped with implementing the member portal and implementing new claim authorization system for company.Troubleshoot problems with various applications.

Performed simple queries using SQLwith SME knowledge of VPHP database tables and structure.•Was responsible for the Cancer Deck for Medical Economics, including updating the queries, data connections and documenting SOPs and process maps for the team. Created reports to suit the needs of upper management. •Knowledge and experience using QNXT and VITAL software. Managed multiple priorities within daily functions.•Conducted projects for departments and gathered data to support initiatives

Helped health care providers and patients by greeting them in person and by phone, answering questions and requests, and referring inquiries to the pharmacist. Excellent communication skills and strong interpersonal skills.•Maintained pharmacy inventory by checking pharmaceutical stock to determine inventory level; anticipating needed medications and supplies; placing and expediting orders; verifying receipt; removing outdated drugs.•Assisted in streamlining communication with patients, insurance companies, pharmacist and other healthcare-related parties.

Prioritized and made on-the-spot decisions regarding customer transactions and weighing customer satisfaction issues in regards to bank exposure to loss or fraud.•Knowledge of various federal regulations along with all teller roles and responsibilities related to each act. •Ability to work well under pressure in a fast-paced environment as well as consistently meeting all sales goals set.•Organizational and mathematical skills.