LAURIE J. GARCIA
Summary
- Diligent and results-driven business analytics lead with a strong background in medical management. Recognized for coordinating healthcare services and enhancing department structure. Proven ability to manage complex projects and apply critical thinking to solve problems efficiently, offering practical and innovative solutions to stakeholders. Skilled in troubleshooting, analyzing, improving, and supporting company data systems through data-driven methods to ensure compliance and efficiency. Determined and creative individual who consistently exceeds expectations, earning leadership recommendations and advancing within the company hierarchy. Known for providing excellent customer service to patients, staff, and third-party clientele.
Overview
10
10
years of professional experience
Work History
UAS Lead Operation Medical Management Specialist
Anthem Blue Cross Blue Shield
01.2018 - Current
- 7+ years of experience managing Ad-Hocs and CHHA requests from Care Management department assisting the operation analysis team and ensuring all the requests are scheduled and completed thoroughly within Medicaid guidelines
- Utilize electronic medical record systems to store, retrieve and process 200 members daily
- Use of business analytics software to analyze, clean, and transform data from 4 different sources and combine them for reporting and dashboard purposes
- Assisted in the development of healthcare policies that promoted evidence-based practice and improved quality standards throughout the organization.
- Established strong relationships with external and internal stakeholders, including insurance companies and regulatory agencies, ensuring smooth operations and compliance with relevant guidelines.
- Developed comprehensive training materials for new Medical Management Specialists, ensuring a consistent standard of knowledge across the team.
- Facilitated cross-functional meetings between departments to improve communication and collaboration within the organization.
- Lead, complete and present projects with strict deadlines
- Identified opportunities for cost savings in healthcare delivery, ultimately contributing to overall organizational profitability.
Freelance - Illustrator/ Graphic Designer
ARTAS
05.2015 - 03.2020
- Company Overview: Graphic solutions
- Participated in brainstorming sessions to generate innovative ideas for new projects or campaigns.
- Streamlined the creative process by utilizing various digital tools and software for illustration purposes.
- Developed a strong brand identity for clients through
- Demonstrated versatility in illustrating different subject matters, serving a wide range of industries including publishing, advertising, and animation.
- Produced computer-generated artwork to add depth and cohesiveness to technical journal and publication articles.
Administrative Assistant Accountant
AML Consulting Solutions
11.2016 - 04.2018
- Company Overview: Tax and accounting Services
- Prepare and verify monthly reports using business Microsoft Office for analytics
- Organize and update filing data
- Trained new employees on accounting principles and company procedures.
- Reviewed accounts, resolved coding areas, and tracked recurring expenses for accrual entry.
- Found tax solutions to complicated tax issues or errors from incorrect tax filings.
- Customer service
- Tax and accounting Services
- Answered phone calls regarding financial matters such as payments due.
- Supported audit preparation efforts by compiling relevant documents and addressing auditor inquiries promptly.
Education
Master of Arts - Graphic Design Multimedia
Academy of Fine Arts Napoli
Italy10-2017
Bachelor - Graphic Design Multimedia
Academy of Fine Arts
10.2016
Skills
- Leadership
- Power Automate
- Data Modeling
- Microsoft office
- SQL
- SAS
- Power Query
- DAX
- Power BI
- Adobe
- HIPAA compliance
- Healthcare analytics
- Problem-solving abilities
Accomplishments
- Supervised team of 6 staff members.
- Achieved automations by introducing power automate for documents uploading tasks and and email notifications.
- Documented and resolved staffing issues withing the UAS coordinators department which led to successful restructure of the team.
- Collaborated with team of 10 in the development of a practical plan for a new line of service mandate by the State.
- Used Microsoft Excel to develop tracking spreadsheets.
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Italian
Native or Bilingual
Timeline
UAS Lead Operation Medical Management Specialist
Anthem Blue Cross Blue Shield
01.2018 - Current
Administrative Assistant Accountant
AML Consulting Solutions
11.2016 - 04.2018
Freelance - Illustrator/ Graphic Designer
ARTAS
05.2015 - 03.2020
Bachelor - Graphic Design Multimedia
Academy of Fine Arts
Master of Arts - Graphic Design Multimedia
Academy of Fine Arts Napoli
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