Alisa Vincent
Business System Analyst
Lowell,MA
Summary
Accomplished Senior Business Analyst with a proven track record at Point 32 Health, adept in SQL and process development. Demonstrated ability to lead with a detail-oriented approach, enhancing operational efficiencies and compliance. Skilled in collaborative problem-solving, significantly reducing turnaround times and optimizing workflows. Showcases effective decision-making and a forward-thinking approach, driving notable achievements in regulatory and client service domains.
Overview
9
9
years of professional experience
Work History
Business Systems Analyst
Point 32 Health
03.2022 - Current
- Conducted insightful, ad hoc analyses to investigate ongoing or one-time operational issues.
- Ensured all documentation was compliant with CMS regulations and guidelines.
- Responded promptly to audit requests from internal departments or external agencies such as CMS or Joint Commission.
- Oversaw quarterly updates to the regulatory fee schedule.
- Optimized workflows, leading to a notable decline in turnaround periods.
- Implemented improvements in code loader, eliminating a five-day business wait time.
- Revise supplier agreements in line with contract terms.
- Addressed and resolved ServiceNow requests efficiently.
Associate Contract Specialist
Tufts Health Plan
08.2020 - 03.2022
- Coordinated addition and termination processes after receiving notices from provider organizations for TMP and SCO providers.
- Handled provider enrollment, claims, and contract questions.
- Monitored compliance with contractual guidelines.
- Executed annual contract rate increases for major healthcare providers through Configuration Workflow Management Systems.
- Support Contract Managers by ensuring quality control of rates during contract negotiations.
- Prepared reports summarizing key information from executed contracts for senior management review.
- Developed contractual agreements, including terms and conditions, in accordance with established policies and procedures.
Account Associate
Tufts Health Plan
10.2018 - 07.2020
- Distributed verified reports to Broker partners.
- Assisted clients daily with enrollment inquiries and benefit-related questions.
- Delivered swift solutions to client service issues.
- Delivered benefit presentations during the Open Enrollment period across Massachusetts.
- Supported Account Managers in conducting plan performance reviews.
- Crafting thorough records through Salesforce.
- Collaborated with colleagues on initiatives that improved client services delivery.
- Provided guidance and support to junior members of the client services team.
Marketing Coordinator
Tufts Health Plan
04.2017 - 10.2018
- Liaised with Program Managers to guarantee timely regulatory mailings completion.
- Ensured timely delivery of member materials on a weekly basis across multiple products.
- Collaborated with management to meet project expense targets.
- Oversaw three cost centers to meet budgetary requirements.
- Enhanced comprehension of EXTRAs rewards for both members and internal teams.
- Evaluated marketing materials for consistent quality.
Provider Services Representative
Tufts Health Plan
09.2015 - 04.2017
- Consistently surpassed established service and quality benchmarks.
- Enhanced call center operations significantly.
- Resolved Provider concerns promptly and effectively.
- Managed high call volume with tact and professionalism
- Diffused volatile Providers calmly and courteously
Education
BACHELOR OF SCIENCE - Organizational Psychology
University of Massachusetts Lowell
05.2020
Skills
- Effective Decision-Making
- Self-motivated
- Ability to meet deadlines
- Forward-Thinking Approach
- Detail-Oriented Approach
- Collaborative Team Member
- Experienced with CRM and Management Systems
- Achievement-Focused
- SQL proficiency
- Process development
Timeline
Business Systems Analyst
Point 32 Health
03.2022 - Current
Associate Contract Specialist
Tufts Health Plan
08.2020 - 03.2022
Account Associate
Tufts Health Plan
10.2018 - 07.2020
Marketing Coordinator
Tufts Health Plan
04.2017 - 10.2018
Provider Services Representative
Tufts Health Plan
09.2015 - 04.2017
BACHELOR OF SCIENCE - Organizational Psychology
University of Massachusetts Lowell
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