Summary
Overview
Work History
Education
Skills
Timeline
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Jasmine Scott

Rockland,NY

Summary

Results-oriented achiever with a proven ability to consistently exceed targets and drive success in fast-paced environments. Committed to contributing to team success and further developing professional skills. Fueled by a deep passion for driving meaningful change, dedicated to leveraging expertise to create innovative solutions. Continuously seeking opportunities for growth and excited to contribute to the advancement of the healthcare sector.

Overview

9
9
years of professional experience

Work History

Sr. Business Analyst

Optum, Inc.
01.2023 - Current
  • Facilitate data analysis and validation, ensuring accurate payments for a $40M+ annual program
  • Identify and correct data errors to prevent cost overages, perform root cause analysis, and offer strategic solutions to counterparts
  • Consistently achieve monthly payment targets while adeptly managing unforeseen hurdles and changes
  • Collaborate closely with cross-functional teams to develop and enhance dashboards, ensuring data aligns with program rules while collectively highlighting progress and opportunities
  • Deliver comprehensive presentations on payment information, cost trends, and accruals to the VP of Finance and Operations, facilitating informed, data-driven decisions that authorize payment approvals
  • Identify obstacles and information gaps faced by other teams, and proactively design and deliver impactful reports that streamline their work and enhance overall efficiency

Sr. Provider Contract Specialist

Anthem, Inc.
06.2022 - 01.2023
  • Collaborate with market leads and budgeting analysts to develop tiered contracts based on cost and quality of care, aligning business strategies with industry trends
  • Recommend and support improvements to provider enrollment processes, reducing provider and member abrasion
  • Manage provider data housekeeping to align with network participation needs

Sr. Reporting Specialist

Anthem, Inc.
07.2017 - 06.2022
  • Support provider credentialing data system migrations and streamline workflow processes
  • Develop monthly compliance reports to identify and flag discrepancies between actual and planned network services
  • Audit and analyze provider coding accuracy to prevent interest overages from wrongful claim denials
  • Validate network rosters to ensure provider eligibility and enrollment before processing claims
  • Present cost-efficient strategies to upper management and collaborate with various departments to implement proposals based on trend analysis
  • Provide training and serve as a point of contact for colleagues needing further guidance and direction

Credentialing Specialist

Anthem, Inc.
10.2015 - 07.2017
  • Review and process initial applications and contracts for providers, groups, and facilities
  • Collaborate with providers to ensure compliance with NCQA guidelines and department policies by obtaining necessary documentation
  • Conduct monthly audits to verify accurate provider data entry into the company’s databases
  • Work with the Central Intake Unit and Product Data Management teams to correct and update provider records and network information in alignment with contract agreements
  • Participate in large-scale provider credentialing cleanup projects
  • Facilitate the transition of providers to new systems after company acquisition, ensuring compliance with current policies and state regulations

Education

Bachelor of Science - Finance

Ramapo College
NJ

Skills

  • Financial Analysis
  • Data Mining
  • Process Development and Improvement
  • User acceptance testing
  • Requirements gathering
  • Interpersonal and Communication
  • Operations Management
  • Proficient in Microsoft Office Applications
  • Experience with Facets Modules
  • Experienced with Concur Modules

Timeline

Sr. Business Analyst

Optum, Inc.
01.2023 - Current

Sr. Provider Contract Specialist

Anthem, Inc.
06.2022 - 01.2023

Sr. Reporting Specialist

Anthem, Inc.
07.2017 - 06.2022

Credentialing Specialist

Anthem, Inc.
10.2015 - 07.2017

Bachelor of Science - Finance

Ramapo College

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Jasmine Scott