Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
5
5
years of professional experience
Work History
Quality Audit & Review Lead Analyst
Cigna
03.2024 - Current
Enhanced data quality by developing comprehensive data validation processes and working closely with IT teams to address system issues.
Expanded Quality automation into new generative AI technologies within Quality Tools Program
Utilized an in depth understanding of technical principles, theories, and concepts in the field of quality to perform thorough root cause and corrective action analysis
Engaged in strategic initiatives to drive continuous improvement in the process to support our enterprise business
Collaborated with Business Partners to ensure correct root cause is established and corrective action/preventive action is in place
Continuously updated knowledge of industry best practices and emerging trends, sharing insights with colleagues to drive continuous improvement within the team.
Optimized resource allocation by creating customized dashboards for monitoring project progress and tracking key performance indicators.
Operations Leadership Development Program Analyst
Cigna
07.2022 - Current
Supported critical operational processes that impact end-to-end client/customer/provider experience
Created reliable reporting and dashboards that provide visibility into operational processes
Learned management operating systems and influenced partners in matrixed environment
Gained leadership experience through working in areas of recruitment, public speaking, and networking
Led the Campus Engagement Team for OLDP's recruitment season
Led the OLDP's DE&I Committee
Participated in the Engage Group of the Enterprise Operations DE&I Committee and coordinated monthly events
Service Coordinator Supervisor
Cigna
08.2022 - 03.2024
Manages the day to day oversight and operational activities of two teams compiled of 21 Service Coordinators
Investigated/resolved escalated customer/client service concerns and conduct service issue analysis
Dealt with Call/Claim issues and communicated outcome and next steps with Client Service Executives;
Handled transactional tasks including customer/provider outreach calls;
Pulled claim reports and analyze data and trends; navigate multiple Cigna systems including client self-service portals, claim systems and tracking systems;
Led the innovation of the eviCore Outreach Project and managed a team of 10 that decreased over 10,000 cases for National Accounts in the first year
Streamlined workflow processes within the service coordination team, reducing delays in project completion times.
Client Operations Intern
ReferWell
05.2021 - 12.2021
Learned to become an expert in the system's capabilities and in being the liaison between the client, management, and the development team
Monitored accounts of premium specialists to ensure they have calendar availability; ensure that they are communicating effectively with PCPs, i.e updating referral status, closing the loop; offer refresher training as needed
Began Follow-up on first referral sent to basic accounts and communicate with their office staff to ensure that the patient is contacted; activated administrators in the system; set up a time for the system demo; assist the Ops team with account mass updates, i.e assigning each account to their respective owners in Salesforce
Ran reports for existing clients (Sinai, UPB, CHN, CL, PE) to understand what tracking looks like
Work on the mapping of insurance aliases for new Clients/FQHCs
Assisted with QA, testing to ensure that new features meet the specs as defined, before GO-LIVE
Initiated the partnership of Telehealth Collaboration with Clemson University and MUSC
College Program Intern
UNC Rex Hospital
08.2019 - 08.2021
Worked in the MSICU unit at UNC Rex Hospital in Raleigh, North Carolina
Required to restock supplies within each patient's tub, properly answered phone calls and aid with assistance to patients
Provided any accessible items to patients in need, properly set and broke down beds for incoming patients and worked intensively with medical professions to oversee all the basic tasks needed to be handled