Jocelyn Jules
Holbrook,MA
Summary
Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Senior Data Analyst
Blue Cross and Blue Shield
Hingham, MA
01.2020 - Current
- Investigated and conducted studies on the forecasts, demand, and capital of proposed products
- Planned and developed designs and procedures for metrics reports
- Conducted data interpretation, identifying patterns and anomalies to provide insights for security strategies
- Collaborated with the team to prepare comprehensive reports and presentations summarizing key metrics and trends with effective data visualization
- Supported risk assessments and vulnerability assessments, contributing to the identification of security risks
- Actively participated in process improvement initiatives, streamlining data analysis workflows by 15%
- Monitored compliance with security policies, ensuring 100% alignment with industry regulations and best practices
- Reviewed prior authorizations
- Developed complex SQL queries to analyze large datasets for trends and insights.
- Created data visualizations in Tableau to present findings to stakeholders.
- Performed statistical analysis on customer data to identify patterns and correlations.
Pharmacy Associate - Prior Authorization Specialist
Blue Cross and Blue Shield
Hingham, MA
01.2017 - 01.2020
- Assessed, identified, and resolved provider inquiries in a timely and professional manner.
- Researched and managed complex requests in an appropriate period with effective follow-up.
- Reviewed and managed personal inventory in a timely manner, including aged inquiries.
- Communicated in a clear and concise manner to providers, doctors, coworkers, and all levels of leadership.
- Conducted onboarding sessions for newly joined staff on relevant tools
- Maintained inventory of pharmaceutical supplies by tracking orders, restocking shelves, and verifying expiration dates.
- Provided customer service to patients in a courteous and professional manner.
- Organized pharmacy files for efficient retrieval of records and data entry.
Customer Service Rep - Prior Authorization Specialist
Maximus
Boston, MA
02.2016 - 11.2016
- Functioned as the front-line contact for all members by responding to a high volume of incoming calls from members and prospective members.
- Provided members with all current MCO options available to promote member choice within the assigned network or managed care providers.
- Assisted in educating and instructing members on routine policy matters, such as, but not limited to, eligibility and enrollment, claims and premium billing, managed care, covered services, transportation, and special programs.
- Performed data entry functions to reflect members' or providers' activity and transactions.
- Conducted all interactions with members and providers in a discreet, courteous, and professional manner.
- Reviewed and processed prior authorizations.
- Answered customer inquiries and provided accurate information regarding products and services.
Administrative Associate (Internship)
State Street Bank
Quincy, MA
08.2014 - 07.2015
- Processed check deposits for internal and external clients
- Retrieved and presented required information in various formats
- Presented morning and evening reports to managers
- Customer service for internal and external clients
- Verified, updated, and corrected source documents
Team Manager - Direct Sales
Legacy Marketing
Waltham, MA
04.2013 - 08.2014
- Engaged in conversation with 300 people daily.
- Monitored sales activities and proactively took necessary action to redirect efforts.
- Filled in forms with customers and completed all administrative tasks.
- Trained recent sales team members and complied with all operational and regulatory rules.
- Consistently met weekly inventory quota.
- Developed and implemented team-building strategies to promote collaboration and cohesion.
- Monitored team performance, tracked progress towards goals, identified areas of improvement and provided feedback to employees.
- Identified training needs, created a comprehensive onboarding program and conducted orientation sessions for new hires.
- Created a positive work environment by setting clear expectations and providing resources necessary for success.
Education
Some College (No Degree) -
Mass Bay Community College
Wellesley, MASkills
- Data Analysis
- Risk Analysis
- Project Management
- Leadership
- Client Support
- SQL Databases
- Insurance claim processing
- Billing Processes
- Microsoft Office
- Microsoft Word
- Marketing
- Sales
- Advanced Excel
- Data Acquisition
- Documentation
- Financial Analysis
- Time Management
- Tableau
- Strong Work Ethic
- Direct Sales
- De-Escalation Techniques
- Call Documentation
- Customer service
Languages
- English
- French
- Haitian Creole
Certification
- Finance Certificate July 2014
Languages
English
Native/ Bilingual
Haitian Creole
Professional
French
Limited
Spanish
Elementary
References
References available upon request.
Timeline
Senior Data Analyst
Blue Cross and Blue Shield
01.2020 - Current
Pharmacy Associate - Prior Authorization Specialist
Blue Cross and Blue Shield
01.2017 - 01.2020
Customer Service Rep - Prior Authorization Specialist
Maximus
02.2016 - 11.2016
Administrative Associate (Internship)
State Street Bank
08.2014 - 07.2015
Team Manager - Direct Sales
Legacy Marketing
04.2013 - 08.2014
Some College (No Degree) -
Mass Bay Community College