Angela Ivery
Heath
Summary
Experienced provider data management and analysis specialist with a strong background in managing and maintaining provider information databases. Proven track record of ensuring data accuracy and supporting system operations. Skilled in data analytics and process optimization. Expertise in maintaining databases and implementing data integrity measurements,
Overview
21
21
years of professional experience
1
1
Certification
Work History
Senior Provider Data Specialist
United-Health Group
01.2023 - Current
- Review and analysis data management load by product system specification, data visualization.
- Implemented quality control measures to identify discrepancies in provider data, ensuring timely resolution of issues.
- Managed a large volume of records efficiently while maintaining attention to detail.
- Evaluate product procedural language according to contractual professional, facility, Hospital
- Work with cross-functional teams to ensure quality throughout the software development lifecycle
- Report bugs and errors to departmental development teams
- Conduct post-release/post-implementation audit and reviews
- Preform action code list review and edit screening
- Analysis annual and quarterly financial comparison reviews
- Transfer hold files from network configuration system to contractual
- Ensure consistency in provider information across multiple platforms.
Network Development Coordinator
HealthSmart
01.2022 - 01.2023
- Conducted prospect research to identify potential contractual agreement, in support of expanding the networks organization's.
- Served as primary point of contact for external and internal inquiries from practitioner, hospital, facility prospective partners, providing timely and accurate information about our organization.
- Developed compelling contractual materials for contractor communications, effectively conveying the organization''s mission and impact on the community.
- Defined and integrated roles, responsibilities, and processes for business team and data management organization.
- Facilitated cross-departmental collaboration between development staff members to maximize resource utilization and team efficiency.
Senior Facility Rate Data Managment Analysis
HealthSmart
05.2019 - 01.2022
- Maintain a strong working knowledge of the business rules specific to the area of rates for contractual health providers fee schedule agreements
- Conducted regular audits of facility systems to identify areas requiring improvement or repair in line with regulatory contractual guidelines.
- Increased health providers satisfaction by addressing concerns promptly, maintaining open communication channels, and providing superior internal customer service.
- Coordinated vendor services effectively for timely completion of projects while maintaining high-quality standards and minimizing disruptions to' daily activities.
Corporate Quality Assurance Analyst
HealthSmart
05.2017 - 06.2019
- Reported progress, test metrics and results to project stakeholders.
- Maintained comprehensive knowledge of relevant industry regulations and standards, ensuring compliance throughout the QA process.
- Acted as a liaison between the QA team and other departments such as Development, Customer Support, and Product Management,
- Championed quality assurance initiatives within the organization by promoting a culture of continuous improvement and striving for excellence in all aspects of product development.
- Reduced defect rates through meticulous attention to detail during code reviews, working closely with developers to address any identified issues quickly.
- Supported company in maintaining work environment focused on quality, communication, collaboration, integration, and teamwork.
- Improved product reliability by executing rigorous test plans and ensuring software met established requirements.
Substitute Teacher
DeSoto Independent School District
11.2015 - 05.2017
- Upheld classroom routines to support student environments and maintain consistent schedules.
- Developed strong rapport with students through consistent encouragement and support, fostering a positive learning atmosphere conducive to academic achievement and growth.
- Kept students on-task with proactive behavior modification and positive reinforcement strategies.
- Maintained day-to-day classroom management and discipline to promote learning initiatives.
- Boosted student engagement with interactive lessons, incorporating real-world examples and hands-on activities.
Corporate Quality Assurance II
Health Management Service (HMS Holdings)
08.2012 - 11.2015
- Collaborate with QA engineers to develop effective strategies and test plans and troubleshoot issues.
- Reduced customer complaints by implementing effective QA processes and protocols.
- Facilitated change management initiatives related to quality assurance policies or procedures.
- Regularly monitored supplier performance through scorecards and evaluations, ensuring alignment with company quality expectations.
- Established an open line of communication with suppliers, working collaboratively to address any quality-related concerns or discrepancies.
- Evaluated accuracy of existing quality assurance measurement techniques, implementing improvements to increase efficacy and reduce errors.
- Improved product quality by implementing rigorous testing processes and pro
Foreclosure Banking Analyst
Bank of American Home Loans
11.2009 - 08.2012
- Reinforced written procedures and guidelines for foreclosure and bankruptcy Home-loans
- Conducted Microsoft Excel training for internal sales groups to increase revenue
- Prepared documents required by attorneys for bank foreclosure contracts.
- Communicated with internal departments, government agencies, vendors, mortgagors.
- Management portfolio of time-sensitive correspondence for audit reports compliance
- Collaborated with cross-functional teams to optimize banking processes, resulting in improved efficiency.
Financial Office Manager
Maximum Towing
09.2007 - 11.2009
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
- Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
- Managed vendor relationships, negotiating contracts for cost savings while maintaining high-quality services.
Senior Financial Counselor
University of Colorado Hospital (Transplant Case Division)
04.2004 - 09.2007
- Worked with departments to develop an efficient reimbursement process for all Medicare and Medicaid insurance organ transplants patients
- Assisted in the development and coordination of a workflow process to organize tasks and deadlines related to organ donation and transplants, compliance
- Audited patient reimbursement accounts for physician and hospital transplant cases
- Billed and pre-coded bills for Medicare, Medicaid, PPO, HMO claims for all major insurance provider
- Increased client base by cultivating relationships with potential customers, attending networking events, and providing exceptional service.
- Collaborated with cross-functional physician teams to develop innovative solutions addressing complex financial challenges faced by transplant patients.
- Maintained strict adherence to industry regulations and ethical standards, upholding a reputation for integrity within the financial services sector.
- Analyzed financial needs of patients and developed tailored strategies to meet goals.
Education
Technical Support Representative Certification -
Capella University
Project Management Associate -
Data Analytic Essential Certification -
UT Austin McCombs School of Business
08.2024
No Degree - Data Analytics
McCombs UT Austin University
Austin, TX08-2024
BBA - Business Administration And Minor Ecommerce
Strayer University
Glen Allen, VA10-2005
Bachelors of Arts - Business, Administration
Strayer University
Glen Allen, VA01.2005
High School Diploma -
Memorial High School
Tulsa, OK05-1989
Skills
- Quality Improvement
- Data Essential Analytic Certification
- Health Rules Payor Designer
- Optum, IWS portal
- NMS
- Mainframe
- SQL Certification
- Microsoft- Excel
- Microsoft- PowerPoint
- Knowledge QA methodologies
- Project Manager
- CMS Fee Schedule Data Management
- Quality Technical Support Certified
- FileZilla Portable
- Crystal Report
- AS400
- Microsoft Excel
- Audit preparation
- Microsoft SQL Server
- Report Generation
- Data lifecycle management
- Database structures
Certification
- Certified Data Professional (CDP)
- Google IT Support Professional Certificate
- Basic Life Support Certification (BLS)
- SQL Certifications McComb's UT Austin 2024/August
- Python McComb's UT Austin 2024/August
- Data Essential Analytics McComb's UT Austin 2024/August
SQL Certification
Structured Query Language a programming language for storing and processing information/UT Austin Texas Macomb's School of Business
Timeline
Senior Provider Data Specialist
United-Health Group
01.2023 - Current
Network Development Coordinator
HealthSmart
01.2022 - 01.2023
Senior Facility Rate Data Managment Analysis
HealthSmart
05.2019 - 01.2022
Corporate Quality Assurance Analyst
HealthSmart
05.2017 - 06.2019
Substitute Teacher
DeSoto Independent School District
11.2015 - 05.2017
Corporate Quality Assurance II
Health Management Service (HMS Holdings)
08.2012 - 11.2015
Foreclosure Banking Analyst
Bank of American Home Loans
11.2009 - 08.2012
Financial Office Manager
Maximum Towing
09.2007 - 11.2009
Senior Financial Counselor
University of Colorado Hospital (Transplant Case Division)
04.2004 - 09.2007
Project Management Associate -
Bachelors of Arts - Business, Administration
Strayer University
Technical Support Representative Certification -
Capella University
Data Analytic Essential Certification -
UT Austin McCombs School of Business
No Degree - Data Analytics
McCombs UT Austin University
BBA - Business Administration And Minor Ecommerce
Strayer University
High School Diploma -
Memorial High School
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