Nicole R. Allman
Boston,MA
Summary
Results-driven professional with five years of experience in behavioral health, specializing in data collection, cleansing, validation, and analysis to deliver insightful reporting. Adept at leveraging Excel, Outlook, and Teams to streamline data processes and ensure accurate, actionable insights. Holds a Master's in Health Informatics, focusing on utilizing data to optimize healthcare operations and decision-making.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Utilization Management Representative I
Carelon Behavioral Health
Boston, MA
10.2018 - Current
- Act as the primary liaison between the Utilization Review and After-Care Follow-Up teams, ensuring seamless patient transitions through timely discharge processing, and comprehensive outpatient handoffs.
- Improved discharge processing by 20% through policy updates.
- Achieved 95% follow-up compliance for over 500 discharged members annually.
- Maintained 98% accuracy in documentation using tools like FlexCare and ServiceConnect.
- Entry-level data analyst skilled in ensuring data accuracy and integrity through rigorous validation and quality review processes.
- Reduced data entry errors by 30% and improved accuracy for over 2,000 provider records.
- Increased provider data update efficiency by 25% with new validation protocols.
- Boosted provider engagement by 15% through trend analysis and reporting.
- Automated data analysis tasks cut manual workload by 40%.
- Proficient in utilizing SQL and Excel to manage complex datasets, perform in-depth analyses, and generate actionable insights
- Improved data integrity by 10% through KPI monitoring and reporting
Education
Master of Science - Health Informatics and Analytics
Tufts University School of Medicine
Bachelor of Science - Health Care Administration
Northeastern University
Skills
- Data Analysis
- Networking Basics
- Utilization Management
- Computer Hardware Basics
- Customer Service
- Problem-Solving
- Regulatory Compliance
- Team Collaboration
- Training and Development
- Communication
- Continuous Improvement
- Patient Care Coordination
Certification
- Google Business Intelligence
- Google Data Analytics
Projects
Spreadsheets, Developed foundational data entry, formatting, and calculation skills, including relative and absolute cell references. Proficient in basic functions (concatenate, split, sum, average, median, min, max, count, counta) and advanced functions (vlookup, if statements, logical operators, error handling with iferror, countif/s, averageif/s, sumif/s). Gained expertise in managing error messages, applying conditional formatting, filtering, sorting, and creating basic charts for data visualization. Applied these skills to create a spreadsheet model for analyzing household expenses, demonstrating the ability to organize and interpret data effectively. Database, Utilized SQL to query a database of a simulated company, extracting targeted data to address business challenges. Leveraged SQL coding to identify employees eligible for performance-based bonuses by analyzing performance metrics.
Timeline
Utilization Management Representative I
Carelon Behavioral Health
10.2018 - Current
Master of Science - Health Informatics and Analytics
Tufts University School of Medicine
Bachelor of Science - Health Care Administration
Northeastern University
Similar Profiles
Christina BrownChristina Brown
Customer Service Rep at Carelon Behavioral Health (Elevance Health)Customer Service Rep at Carelon Behavioral Health (Elevance Health)
Evalynne MartinEvalynne Martin
Utilization Review Manager at Carelon Behavioral HealthUtilization Review Manager at Carelon Behavioral Health
Sarah M. AlquistSarah M. Alquist
Chief Growth Officer/SVP Growth at Carelon Behavioral HealthChief Growth Officer/SVP Growth at Carelon Behavioral Health