Jessica Schneider
Houston
Summary
Adept at driving operational excellence, I leveraged cross-functional leadership and strategic planning at Elevance Health to enhance profitability and efficiency. My expertise in regulatory compliance and knack for fostering team collaboration resulted in innovative solutions and a culture of continuous improvement, significantly optimizing resource allocation.
Personable and analytical, with keen eye for streamlining operations and improving processes. Possesses foundational knowledge in operations management and skilled in data analysis and project coordination. Committed to driving operational efficiency and contributing to team success.
Overview
8
8
years of professional experience
Work History
Operations Expert
Elevance Health
01.2021 - Current
- Collaborated with cross-functional teams to develop innovative solutions for complex operational challenges.
- Identified areas for improvement through regular audits, recommending process enhancements that ultimately led to increased profitability.
- Reduced operational costs through careful analysis of expenditures and implementing cost-saving measures.
- Championed continuous improvement efforts within the organization, instilling a culture that valued adaptability and embraced change.
- Review single case agreements from providers to assure accuracy for all organ, stem cell, & gene therapy cases.
- Ensured compliance with relevant regulations and industry best practices through thorough documentation and reporting.
- Facilitated interdepartmental communication to streamline processes, eliminate redundancies, and improve overall efficiency.
- Implemented quality control measures to ensure consistent product output and adherence to industry standards.
- Developed comprehensive training programs for new hires, ensuring quick onboarding and proficiency in job tasks.
- Conducted regular performance evaluations of team members, providing constructive feedback and guidance for professional growth.
- Enhanced productivity by identifying bottlenecks and optimizing resource allocation.
Medical Claims Analyst
TriCare
09.2018 - 12.2020
- Supported management''s decision-making process by providing insightful reports analyzing historical claims data.
- Assisted in the development of standardized processes for claim adjudication across multiple insurance products.
- Enhanced claim processing efficiency by implementing automated workflows and streamlining procedures.
- Achieved successful resolutions on disputed claims through effective collaboration between internal departments such as legal counsel and clinical experts.
- Maintained regulatory compliance by staying current with industry guidelines, state laws, and federal regulations.
- Mentored junior analysts within the team to promote professional growth opportunities amongst peers.
- Increased departmental accuracy by implementing quality control measures for claim submissions and reimbursements.
- Reduced fraudulent claims by conducting thorough investigations and collaborating with the fraud detection team.
- Regularly attended industry conferences to stay informed about emerging trends and best practices in medical claims analysis.
- Managed high-volume caseloads for optimal productivity while maintaining strict attention to detail.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Document Control Specialist
VASTEC
08.2016 - 09.2018
- Maintained version control for all documents, ensuring that only the most recent updates were in circulation at any given time.
- Provided assistance with inbound and outbound document processes, document sorting, logging, and work order creation.
- Maintained document control system and updated work instructions, procedures and associated databases.
- Facilitated timely project completion by managing the distribution of essential documentation to project team members.
- Converted documents from one application to another.
- Performed document reproduction, printing documents from electronic sources such as email attachments, PDF files and cloud storage.
- Streamlined document control processes by implementing efficient organization and filing systems.
- Supported successful audits through meticulous maintenance of accurate records and thorough preparation of required materials.
- Assisted with document troubleshooting and recovery of corrupt documents and files.
- Scanned, filed and transmitted various documents and adhered to digital filing procedures.
- Checked accuracy and completeness of documents to identify deficiencies and recommend corrective actions.
- Carefully reviewed all documents and reports for completeness and accuracy.
Education
Advanced Studies Diploma -
Heritage High School
Newport News, VA06.2012
Skills
- Operations analysis
- Cross-functional team leadership
- Strategic planning and execution
- Operations management
- Leadership training
- Operations oversight
- Delegation
- Cross-functional coordination
- Teamwork and collaboration
- Time management
- Attention to detail
- Team collaboration
Timeline
Operations Expert
Elevance Health
01.2021 - Current
Medical Claims Analyst
TriCare
09.2018 - 12.2020
Document Control Specialist
VASTEC
08.2016 - 09.2018
Advanced Studies Diploma -
Heritage High School