Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
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John Pham

Murphy,TX

Summary

Accomplished Lead Benefit Analyst with 7+ years of experience in managing and optimizing employee health benefits programs for large organizations. Proven expertise in accommodating comprehensive benefits strategies, driving cost-effective solutions, and ensuring regulatory compliance. Adept at leading cross-functional teams, fostering collaboration, and communicating complex benefits information to diverse audiences. Known for exceptional analytical skills, data-driven decision-making, and a track record of successful deliverables. Seeking to leverage leadership and strategic abilities to drive innovation and elevate the benefits experience for both employees and the organization.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Lead Benefit Analyst

OptumRX, UHG
04.2016 - Current
  • Serve as BOM's primary representative in numerous Demand Management (DM) projects, which aims to improve business processes and client/member experiences, by working with different teams and stakeholders, as high as senior levels, to seek or develop capabilities to support new clinical reviews, programs or products imposed by State Mandates.
  • Document and translate business requirements from DM projects into actionable features and development of user stories. Additionally, coordinate user acceptance testing (UAT) to validate developed features meet intended business needs.
  • Lead BOM Admin team in monitoring, maintaining, and improving the Automated Benefit Testing (ABT) web-base application.
  • Partially own the Annual GPI Replication process, and provide backup supports for daily Medi-Span reporting.
  • Act as Subject Matter Expert for any BOM related issues, escalations, system capability, and claims or inquiry research.
  • Perform quality audits. Conduct installation of client accounts. Research & resolve BOM Inquiries.
  • As a team Lead, assist and support the team, and provide on-the-job trainings to new members.
  • Authored and revised various SOPs, P&Ps, as well as multiple Excel Macro & Tools to optimize user experience.

Business Operation Analyst

CoreLogic Credco (Acquired LandSafe)
12.2014 - 08.2015
  • Partially owned Executive Governance Dashboard, which houses high level operational data analysis.
  • Identified critical risks from data analysis and provide resolutions to appropriate LOBs.
  • Maintained daily/monthly data reports. Provided ad-hoc reports as needed.
  • Assisted with developing useful statistical QA & QC metrics for data analysis.
  • Performed QA audits on Credit Consumer Calls. Facilitated findings & recommendation to the appropriate team.

Quality Assurance Operation Analyst

LandSafe (subdivision Of BofA)
10.2013 - 12.2014
  • Equally owned parts of high-level analytical dashboard known as Manage-ByFact (MBF).
  • Analyzed data from the MBF. Provided trends, KPIs/KRIs, and resolutions to appropriate audiences.
  • Assisted with Consumer Escalation Emails Project that utilized Agile Methodology with several UAT cases.
  • Utilized MS Access/SQL for data storage, extraction, and ad-hoc reports as requested.
  • Analyzed Merged Credit Reports to identify risks for process improvement in Credit Reporting.

Senior Mortgage Specialist

Bank Of America
10.2010 - 10.2013
  • Developed new achievable metrics for Account Receivables.
  • Prepared daily operating reports. Maintained and updated the Operation Dashboard via SharePoint.
  • Lead a Collection team. Effectively revised the Collection process which resulted in higher responses.
  • Received Global Award for resolving high profile loans, particularly in one case prevented $1,000,000.00 in losses.
  • Act as liaison between LOBs in revising various P&Ps and SOPs.

Senior Personal Banker

Woodforest National Bank
08.2002 - 10.2010

Certified Pharmacy Tech

Walmart
06.2004 - 06.2005

Education

Bachelor of Science - Business Administration

University of Texas At Dallas (UTD)
Dallas, TX
12.2009

Skills

  • Rx/Med Claims, Payment Operations
  • Documents, Requirements Analysis
  • User Story Writing, Testing, Validation
  • Health Care Domain Knowledge
  • Communication & Collaboration
  • Data Analysis, QA/QC, Risk Mitigation
  • Tech-savvy: MS Suite, Visio, AS400, NextGen
  • Quick To Adapt, Attention To Detail

Certification

Certified Pharmacy Technician

Languages

Vietnamese
Native or Bilingual
English
Native or Bilingual

Timeline

Lead Benefit Analyst

OptumRX, UHG
04.2016 - Current

Business Operation Analyst

CoreLogic Credco (Acquired LandSafe)
12.2014 - 08.2015

Quality Assurance Operation Analyst

LandSafe (subdivision Of BofA)
10.2013 - 12.2014

Senior Mortgage Specialist

Bank Of America
10.2010 - 10.2013

Certified Pharmacy Tech

Walmart
06.2004 - 06.2005

Senior Personal Banker

Woodforest National Bank
08.2002 - 10.2010

Bachelor of Science - Business Administration

University of Texas At Dallas (UTD)

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John Pham