Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Karen Juron

Fultonville,New York

Summary

Sales Operations Analyst with over 20 years of experience in health insurance. Worked with multiple managers to help simplify/clarify SOP's for clear understanding by all utilizing. Enjoy detail oriented projects.

Overview

25
25
years of professional experience
1
1
Certification

Work History

Security Escort

HANA Associates
01.2025 - Current

Escorting uncleared subcontractors at all times while on site while performing work.

Sales Operations Analyst

United Healthcare
07.2017 - Current
  • Group rate quotes for 2-100 segment
  • Fully Insured/Level Funded medical and ancillary
  • Creating companion quotes for existing coverage groups during renewal
  • Working with sales/brokers/GA's to obtain clear documentation for quote/install

HEDIS Project Coordinator

United Healthcare
12.2015 - 07.2017
  • Requesting/collecting medical records for HEDIS review from providers/state databases
  • Contacting providers vendors were unable to work with - alleviate issues, obtain records
  • Record review to determine if diagnosis and/or documentation sufficient to meet measure
  • Coordinating with third party vendors to resolve pended work items

Assistant Manager/Store Manager

SMG Group
07.2012 - 09.2016
  • Scheduling, payroll review, ordering, inventory and maintenance for three locations
  • Completing daily, weekly and monthly paperwork required by HQ and NYS DEC

Enrollment & Eligibility Specialist/Initial Claims

MVP Healthcare
08.2000 - 02.2013
  • Enroll/Change/Term member level benefits following company and state guidelines
  • Contract worker supervision - Training, QC and work assignments

Education

Nursing -

Schenectady County Community College
Schenectady, NY
09.2018

Skills

  • Microsoft Office Suite
  • Organizing and evaluating data
  • Maintaining confidentiality
  • Customer focused problem resolution

Certification

DOE L clearance

Timeline

Security Escort

HANA Associates
01.2025 - Current

Sales Operations Analyst

United Healthcare
07.2017 - Current

HEDIS Project Coordinator

United Healthcare
12.2015 - 07.2017

Assistant Manager/Store Manager

SMG Group
07.2012 - 09.2016

Enrollment & Eligibility Specialist/Initial Claims

MVP Healthcare
08.2000 - 02.2013

Nursing -

Schenectady County Community College
Karen Juron