Detail-oriented Business Analyst with over 10 years of progressive experience in healthcare operations, eligibility processing, and data analysis. Proven ability to identify process gaps, streamline operations, and implement data-driven solutions. Adept at cross-functional collaboration, project management, and ensuring compliance with HIPAA regulations. Skilled in business process mapping, testing, and client communication.
Overview
11
11
years of professional experience
Work History
Business Support Analyst III
Kaiser Permanente – Consulting, Analytics & Business Services
02.2020 - Current
Conduct gap analyses to identify inefficiencies and recommend actionable solutions.
Map and test eligibility and premium files to align with business requirements and improve client satisfaction.
Validate eligibility contracts and maintain up-to-date documentation in tracking systems.
Drive improvements in collection processes and support "test and learn" strategies.
Develop operational reporting strategies and promote continuous process improvement.
Analyzed large datasets to identify discrepancies, trends, and data integrity issues, delivering detailed reports to stakeholders for resolution and decision-making.
Collaborated with cross-functional teams including NEBO, NEDI and Liasons to ensure data accuracy and process alignment.
Automated routine reporting tasks, improving efficiency and reducing manual errors
Business Support Analyst I
Kaiser Permanente - Consulting, Analytics & Business Services
02.2018 - 02.2020
Analyzed and cleaned group data to ensure file accuracy and compliance.
Updated administrative tracking tools to support SLA requirements.
Resolved client issues and implemented solutions to improve process efficiency.
Processed high-priority performance guarantee groups on tight deadlines.
Ensured patient data privacy by adhering to HIPAA standards
Account Administration Representative
Kaiser Permanente
08.2014 - 02.2018
Administered commercial group accounts by processing member eligibility and reconciliation to ensure accuracy.
Processed enrollments, family account changes with accuracy to avoid membership overlays and duplicates.
Review group contracts for eligibility and processing.
Directly resolve issues with group.
Responded to customer requests for products, services, and company information.
Consulted directly with clients to resolve group-level issues.
Reviewed contracts and managed reconciliation for groups with up to 30,000 members and $100M in value.
Acted as Subject Matter Expert (SME) for enrollment training initiatives.
Process electronic eligibility files.
Education
Associate of Arts - Business Administration and Management
University of Phoenix
06.2020
Skills
Business Process Improvement
Data Analysis & Reporting
Requirements Gathering
Business Process Mapping
Stakeholder Communication
SQL
Tableau
Power BI
Macro
Microsoft Office Suite
Timeline
Business Support Analyst III
Kaiser Permanente – Consulting, Analytics & Business Services
02.2020 - Current
Business Support Analyst I
Kaiser Permanente - Consulting, Analytics & Business Services
02.2018 - 02.2020
Account Administration Representative
Kaiser Permanente
08.2014 - 02.2018
Associate of Arts - Business Administration and Management