NATHALIE V. CARDONA
Tampa
Summary
Detail-oriented professional with experience in quality assurance, data analysis, process optimization, and project management. Seeking a Business Process Engineer Analyst role to enhance operational efficiency and drive process improvements.
Overview
13
13
years of professional experience
Work History
Sr. Quality Analyst
Ultimate Health Plans
01.2021 - Current
- Daily job function: Monitor enrollment data quality, coordinated with team, update documentation, provide training, and report on process improvements
- Time Management: Ensure compliance deadlines are met daily
- Reporting: Compiled and presented key enrollment data for leadership review
- Quality Team Leader and Trainer: Managed escalations to resolve issues efficiently
- Assisted in the development of training materials
Eligibility Analyst
United Healthcare
01.2012 - 01.2019
- Account Management: Organized and led client calls via Outlook, Zoom, and Teams, ensuring efficient onboarding of new and existing clients
- Workflow & Deadlines: Managed high-volume enrollments (100K+) meeting compliance deadlines to prevent coverage disruptions
- Reporting & Presentations: Led quarterly reports for Latin America clients, analyzing enrollment data and SLA performance
- Created and issued all verifications of benefits (100+ daily) to providers
- Customer Service & Escalations: Conducted RCA and resolved escalations, ensuring top-tier client support
- Collaboration: Worked closely with cross-functional teams, communicated effectively with staff, management, and sales on quality concerns
Education
Business Administration -
Hillsborough Community College
03.2025
Skills
- Excel Proficiency
- Quality Assurance
- Process Improvement
- Project & Deadline Management
- Reporting & Analysis
- Account Management
- Fluent English and Spanish
- Time Management
- Compliance Management
- Skilled in VLOOKUP for data retrieval in Excel
Languages
Spanish
English
Timeline
Sr. Quality Analyst
Ultimate Health Plans
01.2021 - Current
Eligibility Analyst
United Healthcare
01.2012 - 01.2019
Business Administration -
Hillsborough Community College
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