Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team and department goals.
Overview
11
11
years of professional experience
Work History
Performance Senior Analyst
Kaiser Permanente
07.2022 - Current
Maintaining the purpose of the Quality Program by acknowledging and commending AARs on the exceptional quality of 100% for any given month
Completes work assignments autonomously by applying up-to-date expertise in subject area to generate consistency
Auditing Manual Enrollments, Web Enrollments, Family Account Changes, Electronic File Kick outs, Retroactivity adjustments, Manual batch processing, Refunds, Call Quality calls, Electronic Premium Standard Files, Electronic HI MAG Files, New group set up for Commercial lines of business, etc
Participating in Quality review focus trainings for continued success
Provides insight and supports the development and implementation of business initiatives for OneMAQP
Participating in Quality focus meetings weekly to review trends for driven results
Auditing Customer service phone calls for Commercial Lines of Business
Performs data analyses to support business initiatives by using appropriate data analysis tools for business performance
Providing Quality Feeback auditing for consistency in Lines of Business
Participating with Operations for tactical meetings to provide training to staff
Associate Improvement Lean Six Sigma training
Manages moderately complex projects
Supports organizational alignment of business initiatives by evaluating performance metrics
Team Lead
Kaiser Permanente
09.2021 - 02.2022
Improving enrollment processing for temporary staff in a virtual setting
Establishing rapport with temporary staff for assistance in enrollment processing, special projects, delayed enrollments
Executed aging reports for Senior Level Management
Resolving discrepancies with election forms to provide accuracy in processing across the board
Participating in numerous training classes for extensive knowledge
Consulting with senior management for process updates, production, and quality program consistency
Offering knowledge for temporary staff success in role
Main participant for on-the-job training as point of contact for temporary staff
Exceeding expectations in quality program trends and improvement for temporary staff, tackling trends for improvement in department goals
Managed distribution of daily assignments & team goals daily
Developed Desk Level Procedures for consistency across the department staff
Worked different stations to provide optimal coverage and meet production goals.
Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
Developed monthly and daily production output plans to deliver on customer service and financial metrics.
Audited team performance and compliance with Type and Type standards.
Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
Built strong relationships with customers through positive attitude and attentive response.
Supervised team members to confirm compliance with set procedures and quality requirements.
Established open and professional relationships with team members to achieve quick resolutions for various issues.
Worked with team to identify areas of improvement and devised solutions based on findings.
Conducted training and mentored team members to promote productivity, accuracy, and commitment to friendly service.
Promoted high standerds through personal example to help each member understand expected behavious and standards.
Conducted training and mentored team members to promote productivity and commitment to friendly service.
Held weekly team meetings to inform team members on company news and updates.
Communicated KPIs outlined in annual plan to inform employees of expectations and deliverables.
Coached team members in techniques necessary to complete job tasks.
Mentored and guided employees to foster proper completion of assigned duties.
Assisted in recruitment of new team members, hiring highest qualified to build team of top performers.
Business Analyst
Kaiser Permanente
02.2022 - 07.2022
Reconciliation of ESRD data analysis to locate discrepancy between Center for Medicare/Medicaid & Kaiser Permanente files
Making outbound calls to Facilities to verify Modality chronic end stage renal disease information
Analyzing data for Affiliated & Non-affiliated members while updating the End Stage Renal Disease Access Database
Recommended business process improvements to allow more efficient streamlining and betterment of existing processes and data storage
Identifying trends in improved internal processes, systems, etc
Verifying Medicare information and updating data throughout numerous platforms
Ensuring all workflow items are completed within the set turn-around-time within quality expectations
Responsible for assignment distribution of End Stage Renal Disease Variances, New Starts, and Modality Change, and Claims files for all California, Regions outside of California, and Mid-Atlantic States
Participating in Trainings & Team Meetings for consistent learning and growth
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