Ashley Mcintosh
MIAMI,FL
Summary
Strategic Healthcare Product Leader and Systems Data Architect with 8 years of experience in engineering data-driven workflows and claims adjudication logic. Combines algorithmic modeling skills from Aerospace Engineering with extensive quality assurance expertise. Optimizes AI/ML product specifications by isolating software anomalies and auditing complex data pipelines.
Overview
1
1
Certification
3
3
years of post-secondary education
9
9
years of professional experience
Work History
QUALITY ASSURANCE (QA) SPECIALIST
FedEx:Ground
West Palm Beach, Florida
05.2026 - Current
- Executed root-cause defect isolation to effectively trace, diagnose, and resolve backend network anomalies, enhancing system reliability.
- Directed end-to-end data integrity validation across enterprise networks, ensuring accurate data transmission and reducing errors.
- Collaborated with cross-functional software engineers and data science teams to optimize platform performance, improving overall user experience.
INDEPENDENT OPERATIONS & CLINICAL CONSULTANT
Self Employed Services
01.2024 - 04.2026
- Managed progress metrics and scheduling databases; implemented behavioral analytics loops for 15+ concurrent accounts to enhance tracking precision.
- Utilized empirical outcomes analysis to continuously optimize structural workflows and program delivery tracking parameters
- Managed progress metrics and scheduling databases, implementing behavioral analytics loops for 15+ concurrent accounts to enhance tracking precision.
LEAD REIMBURSEMENT & INTAKE SPECIALIST
Hospice of West Palm Beach
West Palm Beach
11.2020 - 11.2024
- Managed progress metrics, scheduling databases, and behavioral analytics for 15+ concurrent accounts; enhancing tracking and accountability.
- Orchestrated logistics and data monitoring for multi-provider complex oncology and specialty medication regimens, ensuring seamless resource allocation.
- Utilized outcomes analysis to optimize workflows and program delivery tracking, improving overall operational effectiveness.
LEAD PHARMACY TECHNICIAN / OPERATION
CVS Pharmacy
Lake Worth, Florida
03.2018 - 11.2022
- Managed inventory levels and coordinated medication orders for timely supply.
- Supervised pharmacy staff to ensure compliance with safety regulations.
- Trained new technicians on pharmacy procedures and software systems.
Education
Bachelor of Science - Aerospace Engineering
Embry-Riddle Aeronautical University
Daytona Beach, FL 09.2026 - 12.2029
Skills
- AI/ML Fraud Modeling
- Agile Backlog Management
- Fraud, Waste, & Abuse (FWA) Detection
- Claims Adjudication Systems
- Prior Authorizations (Oncology/Specialty) HIPAA & CMS Compliance
- Platform Performance Audits
- Continuous Quality Improvement
- Remote Operations Coaching
- Root cause analysis
- Project management
- Internal audits
Certification
- Registered / Certified Pharmacy Technician (CPhT)– Florida
- Epic, Cerner, Jira, Confluence, SQL Data Queries, API Testing, Agile / Scrum Frameworks.
Timeline
Bachelor of Science - Aerospace Engineering
Embry-Riddle Aeronautical University
09.2026 - 12.2029
QUALITY ASSURANCE (QA) SPECIALIST
FedEx:Ground
05.2026 - Current
INDEPENDENT OPERATIONS & CLINICAL CONSULTANT
Self Employed Services
01.2024 - 04.2026
LEAD REIMBURSEMENT & INTAKE SPECIALIST
Hospice of West Palm Beach
11.2020 - 11.2024
LEAD PHARMACY TECHNICIAN / OPERATION
CVS Pharmacy
03.2018 - 11.2022