Demaris Scarpelli
Soddy Daisy,TN
Summary
Seeking a position that will allow professional growth on a team that is diverse in job duties. Forward-thinking Operations Specialist bringing 10 years of expertise in data analysis for healthcare sector businesses. Cultivates rapport with individuals to optimize project goals and output, resolve complex problems and deliver innovative improvement strategies. Proficient in SAS and Microsoft Office Suite.
Overview
20
20
years of professional experience
Work History
Business Analytics Advisor
Cigna Corporation
05.2024 - Current
- Work within Data Directory Compliance Department applying state and federal guidelines to Data Extraction and Remediation Processes
- Analyzed data to identify root causes of problems and recommend corrective actions.
- Created and maintain 5 SAS Projects
- Maintain and update as necessary 12 SAS Projects created by colleagues
- Troubleshoot data discrepancies and provide direction based on pattern observations
- Partner with team to develop and refine 7 automation processes
Business Analytics Lead Analyst
CIGNA Corporation
01.2021 - 05.2024
- Responsible for data extraction from DB2 and Oracle databases, providing in detail analysis for quality and remediation through automated processes
- Reduced process run time by 80%
- Implemented process improvements that increased efficiency within the department, allowing for greater focus on high-impact projects.
- Updated and developed scripts and queries to extract and analyze data from multiple sources.
Business Analytics Lead Analyst
CIGNA Corporation
06.2020 - 12.2020
- Validated approximately 400+ Medicare providers weekly via internet research or communication with provider office
- Entered findings in Microsoft Access Database
- Collaborated with team on research best practices
Business Analytics Lead Analyst
CIGNA Corporation
08.2018 - 05.2020
- Provided 7-10 detailed files monthly utilizing SAS code creation for state compliance
- Partnered with Business Advisors to understand needs for ADHOC requests to develop accurate data files
- Streamlined reporting processes to save time and improve accessibility of critical information for team to include leadership
Business Sr Analyst
CIGNA Corporation
02.2017 - 08.2018
- Collaborated with Business Advisors and stakeholders to understand what claims would be impacted for manual claim payment
- Create reports via SAS code and documented process via Microsoft Access database
- Assisted with documentation of processes and policies
- Worked within the expected time frame for process completion
Plan Implementation SR Associate
CIGNA Corporation
12.2010 - 02.2017
- Responsible for the management of 20 - 30 Client Specific Networks to include maintaining provider data on various systems as well as fee schedule creation and maintenance
- Lead for 80 Client Specific Networks aligned to the Mirrored Process
- Responsible for data extraction using SAS code for data validation
- Submission of remediation as identified from Mirrored Process comparisons
- Provided detailed descriptions of updates to Network Owners on Bi Monthly and Monthly schedule
- Effectively managed multiple competing priorities while maintaining focus on delivering exceptional results for clients and the organization
- Completed simple monthly dashboard for management review of remediation efforts and timing for Mirrored Networks
SR Customer Service Representative
UNUM
10.2004 - 11.2010
- Assisted between 40 and 100 incoming calls daily
- Provided various claims status and policy explanations to Policy Owners while meeting Call Center guidelines for quality & accuracy
- Resolved customer service issues using company processes and policies and provided updates to customers
- Demonstrated excellent multitasking abilities by managing multiple concurrent tasks while ensuring timely completion
- Mentored Call Center Trainees to provide accurate information to customers
Education
High School Diploma -
Greenbrier High School
Greenbrier, TN05.1991
Skills
- Strong analytical and communication skills
- Ability to identify complex provider data issues and assist in resolution
- Seek to determine opportunities for improvement of data extraction / remediation through analysis based on facts
- Creation and modification of SAS Code logic to extract data from multiple data sources
- Expansive understanding of provider and claims data
- Understanding of Network Operations process maps to provide accurate data flow through business processes
- Understanding of network relationships and data structure
- Compile and analyze data results to identify process improvement opportunities
- Experience in reporting tools: SAS, Excel, Access Database, QMF, SSIS
- Collaborate with Business Partners to achieve successful remediation through automation processes
- Root cause analysis of system issues across multiple applications
- Ability to prioritize daily activities based off impacts of business process problems or issues
- Fast learner, considerate team player and contribute to a culture of a positive work environment
- Train and mentor team members as needed
- Effectively communicate data analysis results, issues, and concerns
- Excellent and broad understanding of provider data applications
- Work with utmost integrity and seek to grow skillsets and knowledge daily
Accomplishments
- Collaborated with team of 5 in the development of State Mandated Directory Compliance
TRAINING
SAS Programming 1 and 2, SAS Institute
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Business Analytics Advisor
Cigna Corporation
05.2024 - Current
Business Analytics Lead Analyst
CIGNA Corporation
01.2021 - 05.2024
Business Analytics Lead Analyst
CIGNA Corporation
06.2020 - 12.2020
Business Analytics Lead Analyst
CIGNA Corporation
08.2018 - 05.2020
Business Sr Analyst
CIGNA Corporation
02.2017 - 08.2018
Plan Implementation SR Associate
CIGNA Corporation
12.2010 - 02.2017
SR Customer Service Representative
UNUM
10.2004 - 11.2010
High School Diploma -
Greenbrier High School
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