Summary
Overview
Work History
Education
Skills
Timeline
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Stephanie Villanueva

Summary

Adept at data-driven decision making and demonstrating a strong work ethic, I excelled at United Healthcare Group by implementing robust security measures and enhancing data accuracy, leading to a significant improvement in provider data management. Skilled in HIPAA compliance and MS Excel, I thrive in fast-paced environments, prioritizing problem-solving and attention to detail.

Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

Overview

15
15
years of professional experience

Work History

Sr Provider Data Analyst

United Healthcare Group
03.2013 - Current
  • Managed multiple projects simultaneously while maintaining strict deadlines, showcasing exceptional organizational skills in fast-paced environments.
  • Maintained compliance by ensuring accurate documentation and reporting of all relevant provider information.
  • Implemented robust security measures, safeguarding sensitive information while working with confidential datasets containing proprietary industry knowledge.
  • Enhanced data accuracy by implementing rigorous quality assurance processes and procedures.
  • Timely responses to inquiries regarding provider-related matters, demonstrating strong communication skills.
  • Database maintenance, reporting and extracting data for various reports and analysis.
  • Develops and maintains standards for database integrity and quality assurance.
  • Coordinates corrective activities to maintain system sync efforts between NDB and CSP.
  • Identify opportunities to improve processes and performance.
  • Maintains current provider data to ensure the quality of the network.
  • Receive data from multiple inbound sources (e.g. Special Projects, Rosters, Control Reporting, Escalations, FST, spreadsheets & email) and conduct proper research to initiate update/change requests to provider data within CSP Facets.
  • Utilize multiple database systems and tools to enter and/or research provider data to pull in the correct or needed information (e.g., PhyCon, CAQH, CSP Facets, NDB, Impact, CORE, PLMI, etc.).
  • Review system results to determine whether keyed data is correct or updates are necessary.
  • Maintain current knowledge of business strategies, rules, and procedures (e.g., attend training).
  • Demonstrate an understanding of and apply business strategies, rules, and procedures as appropriate (e.g., determine whether to reject or accept data prior to entry).
  • Conduct a full system End to end review on provider installation and administration of assigned tasks
  • Uses pertinent data and facts to identify and solve a range of problems within area of expertise.
  • Investigates and analyzes non-standard requests and problems, with some assistance from others.
  • Use pertinent data and facts to identify and solve a range of problems within area of expertise
  • Investigate non-standard requests and problems, with some assistance from others.
  • Consistently meet target production, quality, and time utilization metrics.
  • Develop and maintain productive work relationships.
  • Prioritize and organize own work to meet deadlines.
  • Ad hoc projects

Retail Sales Associate

Ross Dress for Less
07.2009 - 06.2012
  • Greeted customers and helped with product questions, selections, and purchases.
  • Maintained a clean and organized store environment, enhancing the overall shopping experience for customers.
  • Helped customers complete purchases, and locate items.
  • Handled returns and exchanges professionally, resolving customer issues while adhering to company policies.
  • Accurately processed shipments, and restocking of merchandise as needed.
  • Processed transactions efficiently using point-of-sale systems, minimizing wait times for customers at checkout.
  • Enhanced visual merchandising displays by arranging products strategically, attracting more customers to the store.
  • Contributed to loss prevention efforts by maintaining vigilant awareness of potential theft risks on the sales floor and reporting suspicious activities as required.
  • Supported store leadership in implementing new merchandising strategies to improve product positioning.
  • Engaged with customers on sales floor, offering assistance and improving shopping experience.
  • Managed cash register, ensuring accurate transactions and safeguarding against losses.
  • Trained new employees in sales techniques and store procedures, improving team effectiveness.
  • Handled customer complaints with empathy and patience, resolving issues to maintain positive store reputation.
  • Stocked merchandise, clearly labeling items, and arranging according to size or color.
  • Prioritized helping customers over completing other routine tasks in store.
  • Performed cash, card, and check transactions to complete customer purchases.

Education

High School Diploma -

Oliver Wendell Holmes High School
San Antonio, TX
06-2001

Skills

  • Data cleaning
  • Data-driven decision making
  • Strong work ethic
  • Problem-solving
  • Time management
  • Attention to detail
  • MS Excel
  • Root cause analysis
  • HIPAA compliance

Timeline

Sr Provider Data Analyst

United Healthcare Group
03.2013 - Current

Retail Sales Associate

Ross Dress for Less
07.2009 - 06.2012

High School Diploma -

Oliver Wendell Holmes High School

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Stephanie Villanueva