Summary
Overview
Work History
Education
Skills
Timeline
Generic

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
Nadeyah Jones