Summary
Overview
Work History
Education
Skills
Certification
Affiliations
Accomplishments
Timeline
CustomerServiceRepresentative

Lawnie Pawlak

Senior Business Analyst
Minneapolis,MN

Summary

Enthusiastic Senior Business Analyst with a proven track record at United Healthcare and Optum, adept in data analysis and time management. Excelled in developing solutions and fraud prevention strategies, enhancing operational efficiency. Skilled in Internal Databases, my approach significantly improved project outcomes, demonstrating a unique blend of analytical and interpersonal skills. Perceptive Senior Business Analyst with 11 years driving successful business processes for United Healthcare/Optum. Dedicated to maximizing impact of key performance metrics to enhance and expand business operations. Known for leveraging both macro and micro-scale analyses to generate holistic images of ongoing business operations for immediate actionability. Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives. Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Senior Business Analyst

United Healthcare
08.2022 - Current
  • Manage abusive billing concepts from identification to monitoring
  • Work with research analytics team to develop savings opportunities
  • Evaluate policies, CPT guidelines, and contracts related to concepts
  • Collaborate across business departments to drive projects
  • Perform data review and analysis, presenting findings concisely
  • Develop and modify SOPs, job aids, and policies.

Senior Fraud Investigator

Optum
01.2018 - 08.2022
  • Investigate highly complex cases of fraud, waste, and abuse
  • Develop and deploy effective investigative strategies
  • Maintain accurate case information in the tracking system
  • Collect, secure, and summarize evidence
  • Analyze and interpret data related to fraud referrals
  • Ensure compliance with federal/state regulations
  • Communicate effectively in written and verbal forms
  • Track progress and adapt to changing priorities
  • Assisted with training new staff members.

Senior Recovery Resolution Analyst

Optum
02.2014 - 01.2018
  • Developed innovative approaches for resolving difficult cases
  • Assisted with training new staff members
  • Developed effective solutions to complex customer issues
  • Collaborated with other departments to ensure all relevant information was considered when making decisions
  • Analyzed data from multiple sources to ensure accuracy
  • Complied with federal, state and company policies, procedures, and regulations.

Education

Bachelor of Science (B.S.) - Sociology/Psychology

University of Wisconsin-River Falls
WI, US

Post Baccalaureate Paralegal -

Hamline University
MN, US

Skills

  • Time Management
  • Risk Assessment
  • Regulatory Compliance
  • Legal Research
  • Decision Making
  • Critical Thinking
  • Investigative Techniques
  • Data Analysis
  • Case Management
  • Adaptability
  • Data Mining
  • Team Collaboration
  • User Acceptance Testing
  • Case Management
  • Adaptability
  • Data Mining
  • Team Collaboration
  • Process Mapping
  • Pivot tables
  • Business intelligence tools
  • Tableau Experience
  • Gap analysis
  • Documentation
  • Process Improvement
  • Presentations and Decks
  • Specifications Documentation
  • Investigative Approach
  • Public Information Research

Certification

  • Associate Internet Research Specialist
  • Accredited Healthcare Fraud Investigator (AHFI)

Affiliations

  • NHCAA
  • Associate Internet Research Specialist

Accomplishments

Who's Who Among Universities and Colleges

Timeline

Senior Business Analyst

United Healthcare
08.2022 - Current

Senior Fraud Investigator

Optum
01.2018 - 08.2022

Senior Recovery Resolution Analyst

Optum
02.2014 - 01.2018

Bachelor of Science (B.S.) - Sociology/Psychology

University of Wisconsin-River Falls

Post Baccalaureate Paralegal -

Hamline University
Lawnie PawlakSenior Business Analyst