Results-driven Sr. Analyst and Internal Process Trainer with expertise in RxCLAIM and Salesforce, recognized for mentoring teams to elevate performance standards. Demonstrated success in refining training materials, leading to enhanced project outcomes and team capabilities. Proficient in strategic planning, prioritization, and delivering effective client solutions.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Sr. Analyst/ Internal Process Trainer
Client Services, Training & Communications Team/ Delivery & Implementations
02.2019 - Current
Facilitate technical skill training courses for Client Services such as Configurations, Requirements, Quality and Clinical Teams with a proven track record for delivering successful results
Courses: Benefit Coder New Hire, Foundations in Requirements, Foundations in Quality, Introduction to FMS, FMS-MOB, COA New Hire
Proficient navigation through various systems & tools such as RxCLAIM, Salesforce, Webex Meeting, Webex Training, LearningHub, KnowledgeHub, Benefit Performance Support Site, and various sharepoint sites
Perform administrative and project management duties for training sessions such as preparing and closing out training courses
Sending out communications to leadership for specific systems requirements
Sending communications to participants on class requirements
Creating Webex Meetings for training courses and sending invites to participants
Ensuring participants are equipped with all systems access prior to class start date
Keep track of participant information such as progress, evaluations, scoring/grades, and course completion for key stakeholders
Communicating feedback results to Client Services leadership on participant course completion status and next steps to enhance continued development
Collaborate with other teams to gain a complete understanding behind system functions and processes to help improve training materials and curriculum
Create, design, and update Job Aids, Reference Guides, and other work instructions detailing out specific steps and functions for systems navigation through RxCLAIM/AS400, LearningHub, and other systems and sites
Create recorded training materials using SnagIt video and Webex
Update Instructor Guides, Participant Guides, and course handouts to utilize the most up-to-date processes, system functions, and knowledge bases
Create PowerPoint presentations and host soft skill presentations for ‘Investing in You’ sessions, short training sessions, and Lunch & Learn sessions
Clinical Consultant
Clinical Client Services, Product Support Team (PST)
04.2015 - 02.2019
Extensive knowledge of RX CLAIM/AS400, Salesforce, Sequel/EZ Query, CCA/EZ Test
Analyze and determine best approach to client benefit requests per Clinical Plan Management document
Code, test, and review Stand Alone Modules, and Stand-Alone Master Drug Lists
Create and maintain Specialty Guideline Management drug lists
Maintain drug lists for Formulary Exclusions, Value Formulary-Utilization Management, Medicare D-Utilization Management, Compounds
Assist with large- and small-scale special projects, including Generic Step Therapy conversions from GPI to J lists, and Product Support Team workflow process
Spear-headed project for Specialty Guideline Management conversion from GPI to J lists
Develop, revise, and maintain step-by-step coding work instruction documents for the Product Support Team
Set-up, initiate, and lead training for Product Support Team
Train in various environments such as classroom, WebEx, one-on-one, and Snag-It video training on how to code, test, and QA work cases
Coach and lead team members in best practices for streamlining coding skills and assignments
Report to management and provide feedback regarding Product Support Team training outcomes
Benefits Representative, II
CLIENT SERVICES, AETNA SBU DIVISION
01.2013 - 04.2015
Develop internal and external client relationships and maintain contact based on client needs
Analyze and determine best approach to client benefit requests for plan set up
Code, test, and review Stand Alone Modules, drug lists, member pricing, client pricing, accumulations, and overall plan detail
Knowledge of client plan outline of Client Required Document
Research client requests and member issues and recommend and /or implement best solution to clients with results driven outcome
Assist Client Services team with special projects based on both large and small scale
Help create departmental training documents for peers to use for daily duties
Coach and lead team members in best practices for streamlining coding skills and assignments
Benefits Analyst
CLIENT SERVICES, TPA DIVISION
06.2009 - 01.2013
Analyze and determine best approach to client benefit requests for plan set up
Create/code, test, and review client/member pricing, accumulations, and drug rules
Knowledge of plan overview, creation, and set up
Research client requests/member issues, recommend and implement best solution to internal clients with a results driven outcome
Assist Client Services team with special projects, both on a small and large scale
Education
Business Administration
Tarrant County College
Fort Worth, TX
Skills
Planning
Prioritization
Organization
AS400
RxCLAIM
Salesforce
EZ Test
EZ Query
Microsoft software programs
Meeting deadlines
Building relationships
Interpersonal skills
Relationship-building
Communication
Leadership
Customer service
Self-management
Teamwork
Adaptability
Problem-solving
Mentoring
Training
Coding skills
Certification
International Customer Service Association, 11/2003
Texas State Board of Pharmacy, 04/2004
National Pharmacy Technician, 11/1999
ATD Training Certification, 12/2020
Accomplishments
Outstanding Performance Award – AETNA SBU Client Operations 02/2014
CVS Health Breakthrough Award 05/2019
Timeline
Sr. Analyst/ Internal Process Trainer
Client Services, Training & Communications Team/ Delivery & Implementations
02.2019 - Current
Clinical Consultant
Clinical Client Services, Product Support Team (PST)
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