Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

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
Springhill, USA
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
Oldsmar, USA
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
NATHALIE V. CARDONA