Extensive experience in the medical insurance industry ranging from data analysis, process improvement, vendor management and training
Overview
25
25
years of professional experience
1
1
Certification
Work History
Data Analyst
United Healthcare
01.2023 - Current
Work with stakeholders to gather specifications and interpret into functional requirements
Create new reports (ad-hoc and recurring) in support of business needs
Analyze existing code to identify enhancements for report output and database optimization
Provide Management with statistical findings and conclusions from analyzing trends and root cause
Create and maintain procedural documentation in support of team functions
Business Analyst
United Healthcare
04.2021 - 01.2023
Produce reports utilizing SQL & Power BI in support of Marketing, Finance and Product teams
Collect, analyze, and disseminate NPS Data
End to End interface testing
Leverage Google Analytics to track and trend marketplace behaviors
Create Call Center data tracking reports and escalate as appropriate
Create and maintain process documentation
Business Analyst
United Healthcare
07.2010 - 04.2021
Manage projects in Agile method from inception through development release (providing updates and deliverables)
Work with stakeholders of Claim Processing, Billing & Enrollment, Finance and IT to define and document system change requirements, SOW's, and process flows
Develop test cases and work with end users on acceptance testing in UAT environment
Work directly with IT departments (internally & external vendors) to identify and resolve software and file transmission issues
Lead on presenting change details and impacts to senior leadership
Developed & maintained a SharePoint site for tracking and communicating issues and requests
Perform monthly validation of vendor invoices
Lead quarterly scorecard reviews with vendors
Claim Operations Trainer
AmeriHealth Administrators
05.2006 - 07.2010
Created curriculum and conducted training classes for company personnel on system navigation, workflow protocol, and processing procedures
Wrote a User Manual for a new insurance line of released by the company
Developed and maintained a SharePoint site designed to provide Operations with updated policies & procedures
Performed Supervisory role for new hires during 6-week training courses
Monitored production environment to identify processes not consistent with current documentation and training guidelines
Claim Processing Manager
Damage Recovery System, Inc.
06.2001 - 05.2006
Worked with Programmers and Data Analyst to modify/improve database applications to meet customer requests
Trained customer and company personnel on the use and capabilities of claims processing software
Participated in sales meetings and aided manufacturers in completing initial setup procedures
Balanced workflows and allocated claims among staff to meet accuracy and timeline goals
Programmer
WordTech, Inc.
11.1999 - 01.2001
Performed daily conversion/processing of EDI data
Designed and execute AS400 queries based on job specifications
Developed, tested and de-bugged RPG programs in support of sales analysis software
Education
Associates - Computer Programming
PACE Institute
Reading, PA
Diploma - Business
Daniel Boone Area High School
Birdsboro, PA
Skills
Microsoft 365 Suite
SQL Server
Power BI
Toad Data Point
Swift Kanban
Rally
Visio
SharePoint
Six Sigma
Leadership
Teamwork
Organization
Certification
Six Sigma Yellow Belt United Healthcare Foundational Quality
Technical Writing Boyertown School District
Timeline
Data Analyst
United Healthcare
01.2023 - Current
Business Analyst
United Healthcare
04.2021 - 01.2023
Business Analyst
United Healthcare
07.2010 - 04.2021
Claim Operations Trainer
AmeriHealth Administrators
05.2006 - 07.2010
Claim Processing Manager
Damage Recovery System, Inc.
06.2001 - 05.2006
Programmer
WordTech, Inc.
11.1999 - 01.2001
Associates - Computer Programming
PACE Institute
Diploma - Business
Daniel Boone Area High School
Similar Profiles
Tracy OlsonTracy Olson
Senior Data Analyst at United HealthcareSenior Data Analyst at United Healthcare