Kamille Gholson
Vallejo,CA
Summary
Dynamic [Job Title] committed to optimizing systems performance for reduced operational costs and streamlined workflows. Performs timely software installations and tests alongside routine troubleshooting to facilitate system transitions and minimize downtime. Simplifies complex topics and processes to make technical interactions less intimidating for average users.
Overview
11
11
years of professional experience
Work History
Configuration Analyst I
Partnership Healthplan of CA
07.2021 - Current
- Prepares monthly rate fee schedules for MediCal, Medicare and UA/UB
- Uploads fee schedules to multiple environments
- Database management
- Coordinates testing, quality assurance, configuration, installation, and support to ensure smooth
- Collaborated with upper management to drive strategy and implement new processes.
- Communicated and explained business requirements to team members to understand and implement functional demands.
- Performed internal system acceptance to deliver well-tested enhancements and meet business requirements.
- Proven ability to learn quickly and adapt to new situations.
- Worked well in a team setting, providing support and guidance.
Financial Analyst I
Partnership Healthplan of CA
07.2017 - 07.2021
- Prepares and distributes standard monthly and quarterly Business Objects reports
- Creates ad-hoc data reports to serve a wide variety of organizational needs
- Works with internal data requesters to refine needs and ensure data is appropriate for the purpose intended
- Serves as primary support contact for Amisys Letter Generator issues for various departments
- Processes capitation adjustments and ensures proper accounting of retro-active adjustments and pay-and-deduct claim adjustments
- Collected data and developed detailed spreadsheets to identify trends and create revenue, profitability, and expense forecasts.
- Conducted detailed financial analysis to identify and evaluate changes in operations, trends and potential areas of improvement.
- Performed complex financial and budget analyses to determine requirements and justify requested funding.
- Collected data from other divisions to support quarterly forecasts.
- Developed and implemented financial models to analyze complex information and assess health of organization.
Finance Data Coordinator
Partnership Healthplan of CA
10.2013 - 06.2017
- To provide data coordination and perform, and assist in the performance of, duties that ensure the accuracy of financial data and reporting for internal and external purposes
- Reconcile capitation reports to check the register
- Prepare diagnosis data for submission to CMS through the Risk Adjustment Processing System
- Maintain a log of data submissions to and from CMS
- Assist in preparation of monthly Quality Improvement reports, including performing data validation and database maintenance
- Monitored data entry processes and worked to improve efficiency and performance.
- Verified accuracy of data before transcribing.
- Identified data errors and discrepancies and implemented swift corrections.
- Compiled and verified accuracy and sorting information to prepare source data for computer entry.
Claims Clerical Assistant
Partnership Healthplan of CA
07.2012 - 10.2013
- To provide clerical and general office support for department functions
- Opens, sorts, batches, and distributes incoming and outgoing mail for the department
- Organizes and maintains departmental files and documentation to include making copies, documenting in multiple types of computer programs, sending faxes and generating correspondence as necessary.
Education
MBA - Healthcare Administration -
Brandman University
Fairfield, CA10.2019
Bachelor in Science - Marketing -
Alabama A &M University
Normal, AL05.2005
Skills
- Obtaining a position that will utilize the education and previous work experience which includes innovation, team building, and evaluation of communication skills Enjoy working directly with people that will positively impact the organization
- Quality Assurance
- Test Planning
- Scripting Languages
- Process Mapping
- Data Analysis
- Problem Solving
- Cross-functional Collaboration
- Business Process Improvement
- Database Management
- Software Configuration
- Requirements Analysis
Timeline
Configuration Analyst I
Partnership Healthplan of CA
07.2021 - Current
Financial Analyst I
Partnership Healthplan of CA
07.2017 - 07.2021
Finance Data Coordinator
Partnership Healthplan of CA
10.2013 - 06.2017
Claims Clerical Assistant
Partnership Healthplan of CA
07.2012 - 10.2013
MBA - Healthcare Administration -
Brandman University
Bachelor in Science - Marketing -
Alabama A &M University
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