Nadeyah Jones
Dover,DE
Summary
Dedicated professional knowledgeable about best practices in field, especially effective leadership strategies to motivate employee performance and job satisfaction. Well-organized in approaching problems to investigate causes and determine optimal solutions. Detailed understanding of organizational and regulatory expectations to drive performance.
Overview
3
3
years of professional experience
Work History
Management Analyst
Department of Services for Children Youth
Wilmington, DE
10.2024 - 03.2025
- Researched industry best practices related to organizational operations.
- Collected, tracked and evaluated current business and market trend data.
- Documented research findings and prepared polished reports highlighting results and potential improvement strategies.
- Conducted data analysis, developed reports and presented findings to senior management.
- Identified, corrected, and reported data entry errors.
- Collected and organized information for entry, prioritizing entries to increase efficiency.
- Performed data entry tasks related to filing activities.
Management Analyst
Department of Health and Human Services
Dover, DE
06.2024 - 10.2024
- Reviewed established procedures to assess areas in need of improvement.
- Conducted data analysis, developed reports and presented findings to senior management.
- Collected, tracked and evaluated current business and market trend data.
- Completed day-to-day duties accurately and efficiently.
- Facilitated easy access to frequently used documents through strategic placement and organization.
- Maintained records of all incoming and outgoing documents, ensuring accuracy and completeness.
- Managed multiple tasks simultaneously while meeting tight deadlines.
Utilization Management Representative
Elevance Health
Indianapolis, IN
06.2022 - 03.2024
- Maintained up-to-date knowledge of changes in healthcare regulations, policies, and evidence-based practices.
- Referred cases to secondary review for failure to meet criteria.
- Provided guidance on appropriate utilization management techniques to other staff members as needed.
- Communicated clinical decisions verbally and in writing to physicians, other health care professionals, and members as appropriate.
- Liaised between patients, healthcare providers, and insurance companies to clarify coverage and authorize services.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Performed administrative tasks such as filing paperwork, updating databases and generating reports.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Provided exceptional customer service to ensure customer satisfaction.
- Monitored customer satisfaction levels through surveys and feedback forms.
- Increased customer satisfaction ratings by effectively answering questions, suggesting effective solutions, and resolving issues quickly.
Education
Certificate - Data Analysis
Coursera
07-2024
Skills
- Data analysis
- Microsoft Excel
- Effective communication
- Problem solving
- Customer service
- Time management
- Attention to detail
- Professional demeanor
- Empathy and patience
- Call center operations
- CRM software proficiency
- Salesforce CRM system proficiency
- Microsoft PowerPoint
- Microsoft Word
Timeline
Management Analyst
Department of Services for Children Youth
10.2024 - 03.2025
Management Analyst
Department of Health and Human Services
06.2024 - 10.2024
Utilization Management Representative
Elevance Health
06.2022 - 03.2024
Certificate - Data Analysis
Coursera
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