Makita Reddick
Jacksonville,FL
Summary
Detail-oriented healthcare analytics professional with a robust background in healthcare claims analysis, cost and utilization review, provider reimbursement, and data validation. Currently enhancing technical expertise through an Associate of Science in Software Application Development, demonstrating a proactive approach to continuous learning. Renowned for effective communication and collaboration skills, consistently driving team success and achieving shared objectives. Passionate about addressing challenges with creativity and fostering strong professional relationships to deliver impactful results.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Credits Service Advocate IV / Claims SME
Florida Blue (GuideWell)
08.2018 - Current
- Perform detailed healthcare claims analysis using contract terms, benefit plans, and processing guidelines
- Identify cost drivers, utilization trends, billing discrepancies, and overpayment recovery opportunities
- Analyze provider reimbursement data and support financial accuracy and compliance initiatives
- Execute claim adjustments and refunds related to incorrect payments and billing errors
- Collaborate with provider relations, analytics, operations, and finance teams to support business outcomes
- Apply statistical concepts and analytical reasoning to support quality improvement and cost management
Service Advocate / Subject Matter Expert (SME)
Florida Blue (GuideWell)
08.2016 - 08.2018
- Supported operational analytics by monitoring inventory, aging reports, and workflow performance
- Analyzed escalated member inquiries using data review and root-cause analysis
- Assisted with training, quality monitoring, and process improvement initiatives
- Provided data-informed recommendations to leadership to support service and quality goals
Accounting Specialist
Vector Security
07.2013 - 08.2016
- Analyzed financial transactions, journal entries, and reconciliation reports for accuracy
- Generated recurring financial, statistical, and operational reports
- Identified data discrepancies and implemented corrective actions
- Supported internal audits and quality control processes
Victim Advocate
State Attorney’s Office
08.2010 - 05.2012
- Conducted investigative data analysis and documentation for complex legal cases
- Reviewed medical and investigative records and prepared analytical reports
- Maintained compliance with confidentiality and regulatory requirements
Education
Associate of Science - Software Application Development – Data Analytics
Rasmussen University
Skills
- Healthcare Analytics
- Claims Analysis
- Cost & Utilization Analysis
- Strong interpersonal communication
- Value-Based Care
- Risk Adjustment
- Imaginative and creative thinker
- Data Validation
- Reporting & Dashboards
- Team collaboration and leadership support
- Business Intelligence
- Statistical Analysis
- Python Programming
- Microsoft Excel (Advanced Formulas)
- Healthcare Data
- Claims Processing
- relationship building and rapport development
- Reimbursement Models
- Process Improvement
- Cross-Functional Collaboration
Certification
- University of North Florida — AI for Work and Life Certificate
- Professional & Lifelong Learning | December 2025
- Applied artificial intelligence concepts in business, analytics, productivity, and ethical decision-making
- GuideWell-supported professional development initiative
CAREER INTEREST
Interest in rotational healthcare analytics roles including provider performance, value-based programs, quality analytics, risk adjustment, and member care analytics.
Timeline
Credits Service Advocate IV / Claims SME
Florida Blue (GuideWell)
08.2018 - Current
Service Advocate / Subject Matter Expert (SME)
Florida Blue (GuideWell)
08.2016 - 08.2018
Accounting Specialist
Vector Security
07.2013 - 08.2016
Victim Advocate
State Attorney’s Office
08.2010 - 05.2012
Associate of Science - Software Application Development – Data Analytics
Rasmussen University