Melanie Sura
Puyallup,WA
Summary
Seasoned Senior Consultant with 6-year background in auditing. Strong structured thinking and problem-solving skills. Unfailingly collaborate closely with internal teams to improve performance. Talented in using advanced statistical techniques and methods.
Overview
7
7
years of professional experience
Work History
Senior Consultant
Booz Allen Hamilton
Puyallup, WA
01.2022 - Current
- Create efficiency in the consulting profession while supporting healthcare clients at the forefront of Medicaid policy initiatives
- Work with a client's organization to help solve challenges and build better business processes
- Conduct research and data analysis for consulting projects as we build organizational and process solutions
- Build a trusted relationship with the client and identify and anticipate needs
- Assist with automation sub-projects providing in depth feedback to ensure project conformance and strategic suggestions for improvement and implementation.
Quality Assurance Auditor
Parallon
Las Vegas, NV
01.2021 - 12.2021
- Assisted with resume review, interview process, and selection of candidate(s) for corporate audit department
- Provided training and support to team to help fulfill potential as well as meet position standards
- Created, coordinated, and presented company-wide training and policy presentation
- Reviewed accounts for proper screening, follow-up, and application processes (Medicaid, Disability, etc.) in accordance with policies and expectations
- Ensured company, state, and federal policies were followed and cases worked effectively
- Completed timely quality reports highlighting deficiencies and recommending corrective actions to high level management teams
- Audit trends were reported via Microsoft Excel spreadsheets as well as regular meetings where findings and solutions were presented.
Lead Patient Benefits Advisor
Parallon
Denver, CO
10.2017 - 01.2021
- Assisted with resume review, interview process, and selection of candidate(s) for advisor department
- Provided regular training and support for employees
- Conducted employee reviews and presented findings with solutions
- Planned and presented regular meetings with hospital case management team for high-risk patients
- Screened patients for state and federal programs (Medicaid, Disability, etc.) and assisted with application process from beginning to end if linkage was identified.
Patient Benefits Advisor
Parallon
Denver, CO
05.2017 - 09.2017
- Screened patients for state and federal programs (Medicaid, SSI/SSDI, etc.) and assisted with application process from beginning to end if linkage was identified
- Maintained a workload that met company standards as well as followed procedures per company policies
- I was a lead in FL but had to relocate to CO where there was no lead position
- Once that position was created, I became a lead again.
Lead Patient Benefits Advisor
Parallon
Orlando, FL
10.2016 - 05.2017
- Assisted with resume review, interview process, and selection of candidate(s) for advisor department
- Provided regular training and support for employees
- Conducted employee reviews and presented findings with solutions
- Planned and presented regular meetings with hospital case management team for high-risk patients
- Screened patients for state and federal programs (Medicaid, Disability, etc.) and assisted with application process from beginning to end if linkage was identified.
Education
Bachelor of Arts (B.A.) - Art History -
University of Central Florida
01.2014
Associate of Arts (A.A.) - General Studies -
Valencia College
01.2011
Skills
- Business Analysis
- Productivity Improvement
- Teamwork Mindset
- Understanding of Team Building
- Employee Supervision
- Systems Analysis
- Corrective Actions
- Compliance Understanding
- Reporting Skills
- Regulatory Understanding
- Research Proficiency
- Compliance Protocols
- Quality Control
- Investigative Reporting
- Data Verification
- Risk Mitigation
- Risk Assessment
Timeline
Senior Consultant
Booz Allen Hamilton
01.2022 - Current
Quality Assurance Auditor
Parallon
01.2021 - 12.2021
Lead Patient Benefits Advisor
Parallon
10.2017 - 01.2021
Patient Benefits Advisor
Parallon
05.2017 - 09.2017
Lead Patient Benefits Advisor
Parallon
10.2016 - 05.2017
Bachelor of Arts (B.A.) - Art History -
University of Central Florida
Associate of Arts (A.A.) - General Studies -
Valencia College
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