Summary
Overview
Work History
Education
Skills
Timeline
Generic

Afreeka M. Baez

Sicklerville,USA

Summary

Results-driven UAT Manager and Medicaid Operations Specialist with over 20 years of experience in business analysis, user acceptance testing (UAT), and eligibility coordination within New Jersey’s public healthcare programs. Adept at leading cross-functional teams, implementing system improvements, and analyzing data to optimize processes. Recognized for streamlining operations, improving data accuracy, and maintaining compliance with regulatory standards.

Overview

20
20
years of professional experience

Work History

User Acceptance Testing (UAT) Manager / Business Operations Analyst II

Conduent
08.2023 - Current
  • Lead a team of five in planning, designing, and executing UAT for system upgrades, ensuring all business requirements are met
  • Assume HR-related duties for the team, including tracking attendance, managing FMLA claims, approving time-off requests, and ensuring compliance with company policies
  • Oversee the creation and execution of 400+ test scenarios for routine upgrades, ensuring system integrity
  • Collaborate across departments to identify gaps in business processes and implement corrective actions
  • Provide subject matter expertise to improve accuracy and efficiency in Medicaid business requirements approvals, processing 75+ weekly approvals
  • Managed and motivated employees to be productive and engaged in work.
  • Accomplished multiple tasks within established timeframes.

Business Operations Analyst II / UAT Acting Supervisor

Conduent
07.2021 - 08.2023
  • Designed, tested, and executed thousands of business system processes for large-scale healthcare contracts
  • Supported cross-functional teams by identifying systemic deficiencies and reducing error rates by 98% through data analysis and SQL scripting
  • Created 100+ JIRA tickets monthly to address and resolve operational errors and inefficiencies
  • Coordinated a team of four to meet project deadlines, ensuring compliance with Service Level Agreements (SLA)
  • Acted as SME for five departments, providing expertise in business processes and driving continuous improvement
  • Managed cross-functional projects to ensure timely delivery of high-quality results.

Business Operations Analyst

Conduent
08.2009 - 07.2021
  • Troubleshot and resolved thousands of data discrepancies, reducing SLA turnaround time from one month to one day
  • Analyzed daily reports to identify root causes of data errors, implementing solutions to prevent recurrence
  • Acted as a liaison between technical teams and business units, managing change requests and ensuring seamless implementation
  • Developed comprehensive reports to inform strategic decision-making for senior leadership.
  • Implemented data-driven approaches to improve overall efficiency in day-to-day operations.

Health Benefits Coordinator

Conduent
09.2005 - 08.2009
  • Processed NJ FamilyCare eligibility applications and referred potentially eligible individuals to DMAHS for Medicaid review.
  • Entered eligibility data into the NJ FamilyCare web-based system while navigating multiple NJ-specific databases.
  • Communicated with beneficiaries, updated records as new information was received, and responded to service requests.
  • Assisted consumers in completing new and renewal applications to ensure uninterrupted program enrollment.
  • Participated in community outreach efforts, including events and health fairs, to promote NJ FamilyCare enrollment.
  • Delivered presentations and collaborated with advocacy groups to build program awareness.
  • Provided accurate, objective guidance to applicants based on a thorough understanding of NJ FamilyCare policies.
  • Managed coordination of benefits and redeterminations for 250+ high-priority households, ensuring compliance with NJ FamilyCare regulations
  • Verified income and citizenship documentation for over 300 applications weekly, ensuring accuracy and timely processing
  • Conducted outbound calls to assist beneficiaries in submitting necessary documentation, improving submission rates during peak periods
  • Maintained confidentiality of all employee information.
  • Answered questions about eligibility determinations and plan options.

Patient Access Representative (Part-Time)

Capital Health Regional
06.2022 - 06.2023
  • Registered patients following standard operating procedures to ensure accurate demographic and insurance data collection
  • Complied with Medicare, Medicaid, and commercial insurance pre-authorization and verification requirements
  • Presented forms and obtained patient signatures using standardized scripts and processes
  • Referred eligible patients to Medicaid and Charity Care through financial screening procedures
  • Collaborated with physician offices and ancillary departments to resolve access or documentation issues
  • Attended all mandatory departmental meetings and supported quality performance initiatives
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Stayed calm under pressure to and successfully dealt with difficult situations.

Education

Some College (No Degree) -

Strayer University

Skills

  • Microsoft Office Proficiency
  • SharePoint
  • TOAD
  • Benthic Golden
  • Azure
  • Bugzilla
  • JIRA
  • NJ Office of Information Technology (OIT)
  • Business Objects
  • DHS Online Verification Eligibility System
  • Medicaid Eligibility System
  • NJ Public Notary
  • Microsoft Excel
  • Operational efficiency
  • Creative solutions

Timeline

User Acceptance Testing (UAT) Manager / Business Operations Analyst II

Conduent
08.2023 - Current

Patient Access Representative (Part-Time)

Capital Health Regional
06.2022 - 06.2023

Business Operations Analyst II / UAT Acting Supervisor

Conduent
07.2021 - 08.2023

Business Operations Analyst

Conduent
08.2009 - 07.2021

Health Benefits Coordinator

Conduent
09.2005 - 08.2009

Some College (No Degree) -

Strayer University

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