MARC J. CLORURI

• Own the end-to-end management and design of outbound member data files supporting the vendor portal utilized by members and healthcare providers

• Responsible for investigating and updating all eligibility and claims 834/837 inbound and outbound file processes.

• Leading and coordinating projects using both Agile and Scrum methodologies.

Provided oversight and presentation of reports for management and clients.

• Design, create, coordinate and document production job scheduling for all platforms (Windows, Unix, AS/400) utilizing the Tidal Job Scheduler
• Executed gatekeeper responsibilities for migrating code changes into production environments, safeguarding system integrity and minimizing disruptions.
• Implemented data backups, retention policies, and recovery processes, enhancing data security and availability.
• Monitored and provided Level 1 support for infrastructure services, ensuring optimal performance of servers, network appliances, applications, and operational support products.

• Developed, modified, and tested SQL queries to optimize business processes and ensure data accuracy
• Monitored and measured process performance, providing actionable feedback for continuous improvement
• Delivered detailed reports on process lifecycle to support data-driven decision-making
• Interact with representatives from all levels of the corporate structure to analyze and enhance processes

• Executed diverse audit tests/procedures, interpreting results against defined criteria to identify compliance and operational gaps
• Applied internal control concepts across various processes, assessing exposures from ineffective practices to enhance risk management
• Understands the financial, operational, and compliance risks which could affect business units
• Prepared statistical and key performance indicator reports for Operational Department, providing insights to support decision-making