Jesse Boardman
Oxford,GA
Summary
Versatile healthcare professional with a blend of Medicare auditing, project management, and military leadership experience. Skilled in audit compliance, process improvement, and team coordination, with a sharp focus on accuracy, efficiency, and delivering impactful results.
Overview
1
1
Certification
8
8
years of professional experience
Work History
Medicare Auditor (Remote)
Palmetto GBA
Columbia, SC
10.2025 - Current
- Conducted 20 Medicare desk reviews for SSI hospitals, ensuring compliance with Medicare reimbursement standards and contributing to accurate financial reporting.
- Assisted Senior auditors on 5 Organ Procurement Organization (OPO) desk reviews, facilitating audit issue resolution and maintaining quality control in Medicare reimbursement processes.
- Executed and documented desk review procedures using Microsoft Excel, Healthcare Integrated General Ledger Accounting System (HIGLAS), Health Financial Systems (HFS), System for Tracking Audit and Reimbursement (STAR), Provider Statistical and Reimbursement Report (PS&R), and Fiscal Intermediary Standard System (FISS) to retrieve, categorize, and analyze financial information in support of CMS compliance.
Provider Auditor I (Remote)
Noridian Healthcare Solutions
Shelbyville, TN
06.2023 - 09.2025
- Executed initiation and planning of financial procedures for 100+ Desk Reviews, utilizing Microsoft Excel to ensure alignment with CMS guidelines.
- Planned, coordinated, and mentored team of over twenty mixed division personnel, responsible for timely finalization of 684 NPRs (Notice of Program Reimbursement) over a 30-day period.
- Collaborated on quarterly MCE (MAC Customer Experience) initiatives to enhance provider experience and quality control, contributing to process and procedural improvements through cross-functional brainstorming and implementation efforts.
Business Development Analyst
Ascension
New Bern, NC
08.2022 - 06.2023
- Engineered data-driven strategies using advanced analytics to boost client acquisition by 25% leveraging CRM software to uncover untapped market opportunities and trends.
- Coordinated oversight and analysis of support tools and metrics with lead project manager, delivering key performance indicators and trend analysis to stakeholders.
- Assisted in developing and implementing data visualization tools and related databases, enabling identification of profitable business opportunities and enhancing system efficiency.
Assistant Operations Officer
United States Marine Corps
Cherry Point, NC
06.2021 - 08.2022
- Refined and implemented corporate-level internal processes for operational and training exercises, improving efficiency as Current Operations Officer.
- Managed logistics for 5 cross-functional teams across 5 international locations, leveraging Microsoft Teams for communication and training of 2,300 personnel.
- Standardized training modules for air-defense, increasing engagement of 2,000 specialists through effective use of presentation tools and technical guidelines.
Project Manager
United States Marine Corps
Cherry Point, NC
08.2018 - 06.2021
- Led 30-personnel team in accountability, training, and administrative supervision for 6 operations, exercises, and events, achieving 100% completion of annual business team training metrics.
- Enhanced risk management processes using data analytics, leading to a 30% boost in program effectiveness and 5 programs earning accolades during inspections.
- Oversaw $150,000 in equipment for aircraft integration and safety, ensuring execution of risk measures and effective communication between aviation and ground units.
Education
B.S. / Bachelor of Science - Accounting
PENSACOLA CHRISTIAN COLLEGE
Pensacola, FL05-2018
Skills
- Data Analysis
- Process Improvement
- Risk Management
- Communication
- Attention to Detail
- Microsoft Excel
- STAR/PS&R
- HIGLAS
- HFS
- FISS
Certification
- Secret Security Clearance (Active, Exp. 2029)
AWARDS & HONORS
Navy & Marine Corps Achievement Medal, MCAS, Cherry Point, North Carolina 2020, Awarded for leading overhaul of corporate practices resulting in 30% increase in efficiency on biennial Commanding General's Inspection.
Timeline
Medicare Auditor (Remote)
Palmetto GBA
10.2025 - Current
Provider Auditor I (Remote)
Noridian Healthcare Solutions
06.2023 - 09.2025
Business Development Analyst
Ascension
08.2022 - 06.2023
Assistant Operations Officer
United States Marine Corps
06.2021 - 08.2022
Project Manager
United States Marine Corps
08.2018 - 06.2021
B.S. / Bachelor of Science - Accounting
PENSACOLA CHRISTIAN COLLEGE