Summary
Overview
Work History
Education
Skills
Skills Inventory
Timeline
Generic

Jonathan Brown

Katy,Texas

Summary

Dynamic professional with extensive experience in data analysis and stakeholder collaboration at Liviniti. Proven ability to drive operational improvements and enhance client care through strategic oversight. Skilled in developing impactful training programs and fostering cross-functional partnerships, with a strong focus on leadership and quality assurance in healthcare management.

Overview

16
16
years of professional experience

Work History

MEMBER SERIVICES AUDIT SPEICIALIST

Liviniti
01.2023 - Current
  • Evaluates the utilization and financial experience of customers and prospects.
  • Performs claims re-pricing analyses for the most complex external claims data.
  • Provides support to Sales, Marketing and Client Engagement, assisting in the development of client presentations and negotiations pertaining to pricing and guarantees.
  • Consults with departments such as Legal, IT, HPS and Marketing, and participates in meetings as required on issues that have financial implications.
  • Develop collaborative partnerships with business operations SMEs and leaders, providing value-added perspective, insights, guidance and tools.
  • Support operational improvements by facilitating formal corrective actions - i.e., CAP, Internal Audit findings and other audit remediation efforts with Stakeholders.
  • Oversee and create Job aid materials for business operations and ensure materials matches business needs.
  • Provide analytic support for product development/compliance requests.
  • Assist with project management tasks for cross-functional projects to ensure alignment.

CUSTOMER SUCCESS SUPERVISOR

Wipro
07.2021 - 01.2023
  • Drove business growth by networking with industry leaders to cultivate favorable partnerships external to the organization.
  • Collaborate with Quality, Sales, and Marketing teams to review KPIs and improve performance.
  • Support departmental recruiting needs, including coordinating and executing interviews.
  • Spearheaded a Long-term Services and Supports (LTSS) program to improve overall business growth.
  • Developed and monitored performance metrics focused on driving the results of business areas such as Quality improvement and Provider Services.
  • Monitored internal compliance metrics for changing health and Safety guidelines on disease transmission countermeasures.
  • Facilitated and assisted with technical compliance related to Business Reporting Requirements (BRR).
  • Conducted compliance audits to evaluate the effectiveness of internal controls.
  • Worked with senior managers to analyze and revise policies governing business operations.
  • Developed strategies to mitigate company compliance risks across interconnected operational areas.

CONTACT TRACING SUPERVISOR

Fort Bend ISD
12.2019 - 07.2021
  • Develop training courses and presentations to keep cross functional teams informed of changing requirements.
  • Analyzed and assessed the efficiency of control systems to recommend effective improvements.
  • Worked with internal and external management teams, CDC project managers and Fort Bend ISD administration to meet and exceed Covid-19 contact tracing expectations.
  • Require minimal oversight to complete job tasks, meeting all deadlines and goals.
  • Train new staff in internal compliance requirements.
  • Create and update SOPs to keep operations in compliance with Regulations.

Customer Service Supervisor-Remote

Express Scripts
09.2009 - 09.2019
  • Created culture of continuous improvement, inspiring employees to take action to solve problems.
  • Developed department leadership among team members by coaching and providing challenging assignments.
  • Assigned tasks to team members based on individual strengths and promoted teamwork-driven environment to meet goals.
  • Worked alongside leaders, stakeholders, and project managers to achieve product successes against stated objectives.
  • Used management skills and Project Management Institute (PMI) expertise to help team build optimal solutions for both end-users and team members.
  • Managed definition and delivery of healthcare product suite, including handling priorities, backlogs, and communications.
  • Established goals and provided direction required to design, develop, and deliver technology solutions and supporting processes.
  • Inspected pre-release progress, recommended changes, and consistently met timelines.
  • Managed processes and routines needed to deliver product value and adjusted planning to overcome financial, control, and processes roadblocks.

Education

MASTER OF ARTS - COUNSELING AND PSYCHOLOGICAL SERVICES

Saint Mary's University
Minneapolis, MN
05.2017

BACHELORS OF SCIENCE - SOCIOLOGY

Texas College
Tyler, Texas
05.2007

Skills

  • Process improvement strategies
  • Data analysis and validation
  • Quality Assurance
  • Analytical problem resolution
  • Quality assurance focus
  • Stakeholder collaboration
  • Oral and written communication
  • Meticulous organization
  • Client care expertise
  • Business acumen
  • Consultative approach
  • Strategic oversight
  • Cross-functional collaboration
  • Interpersonal communication proficiency
  • Impact-driven leader
  • Microsoft Office applications
  • Healthcare management skills
  • HR systems and training platforms
    Employee development and onboarding
    Performance management strategies
  • Subject Matter Expert

Skills Inventory

  • Business/Technical Analysis, Synthesizes, summarizes and interprets data efficiently and effectively, Recognizes areas for improvement through data analysis and provides recommendations/solutions, Strong problem-solving abilities
  • Quality Assurance, Data analysis and validation, Meticulous attention to detail and accuracy in quality work product
  • Client Interaction, Outstanding written and oral communication, Organized and detail oriented, Customer support/assistance, Strong business acumen, Consultative mindset and desire to learn
  • Leadership, Effectively collaborates in cross-functional teams, Strong relationship-building capabilities to drive team members towards a common goal, Self-starter and influence-driven leader

Timeline

MEMBER SERIVICES AUDIT SPEICIALIST

Liviniti
01.2023 - Current

CUSTOMER SUCCESS SUPERVISOR

Wipro
07.2021 - 01.2023

CONTACT TRACING SUPERVISOR

Fort Bend ISD
12.2019 - 07.2021

Customer Service Supervisor-Remote

Express Scripts
09.2009 - 09.2019

MASTER OF ARTS - COUNSELING AND PSYCHOLOGICAL SERVICES

Saint Mary's University

BACHELORS OF SCIENCE - SOCIOLOGY

Texas College

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