Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Susan Truax

39555 Persimmon Ave.

Summary

Senior Provider Data Analyst at United Healthcare with a strong focus on data analysis and quality assurance. Improved audit processes and documentation, leading to increased stakeholder engagement and collaboration. Developed training programs that enhanced team capabilities in maintaining provider quality standards, resulting in timely task completion and ongoing improvement initiatives.

Overview

28
28
years of professional experience

Work History

Senior Provider Data Analyst

United Healthcare
11.1997 - Current
  • Prepared comprehensive reports by collecting, analyzing, and summarizing appeals for Provider Quality audits.
  • Created and analyzed calibrations to enhance understanding and accuracy for auditors.
  • Collaborated with audit teams and Business Partners to refine processes and documentation.
  • Maintained a library of model documents, templates, and reusable knowledge assets.
  • Conducted training sessions on platform usage to uphold provider quality standards.
  • Engaged stakeholders in meetings to discuss necessary changes for quality improvement.
  • Managed time efficiently to ensure timely completion of tasks and deadlines.
  • Supported colleagues by fostering a collaborative work environment.

Education

High School Diploma -

Toms River High School South
Toms River, NJ
06-1984

Nursing

Trenton State College
Trenton

Skills

  • Data analysis and reporting
  • Quality assurance
  • Process optimization
  • Stakeholder engagement
  • Training design
  • Knowledge of multiple platforms including NDB, COSMOS, CSP Facets, CIRRUS and NICE

Accomplishments

  • Numerous BRAVO awards include one in April 2024 from Fran Sartell.

Timeline

Senior Provider Data Analyst

United Healthcare
11.1997 - Current

High School Diploma -

Toms River High School South

Nursing

Trenton State College

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