TANGELA PERRY
Summary
Experienced healthcare and operations professional with expertise in case management, data analysis, and client service. Skilled in driving efficiency, improving patient outcomes, and ensuring compliance through collaborative and analytical approaches.
Overview
12
12
years of professional experience
Work History
Case Management Analyst, Case Management
CVS Health/Aetna
10.2017 - Current
- Conduct comprehensive evaluations of member needs using care management tools and data analysis.
- Coordinate care plans, monitor progress, and consult with clinical teams to enhance outcomes.
- Identify risk factors and ensure compliance with healthcare standards and member benefits.
Client Pricing Analyst, Network Pricing
CVS Health/Aetna
03.2019 - 12.2024
- Developed SQL logic to streamline pharmacy data processing and support pricing analytics.
- Managed pharmacy directory files for regulatory reporting and stakeholder use.Led pricing initiatives and partnered with internal and external stakeholders across various business segments.
- Analyzed claims and pricing data to inform strategy and support business decisions.
Senior Assistant, Accounts Receivable
Senior Assistant, Accounts Receivable
12.2017 - 03.2019
- Used Salesforce to track client interactions and improve service delivery metrics.
- Delivered high-quality customer service, resolving member issues and ensuring policy compliance.
- Processed payments and maintained accurate account records.
Release of Information Clerk (Contract)
Riverside California Community Hospital
06.2017 - 10.2017
- Processed medical record requests and subpoenas, ensuring HIPAA compliance.
- Handled high-volume data entry and coordinated with hospital departments for timely record delivery.
- Assisted patients and staff in navigating the release of information process.
- Coordinated with healthcare providers to facilitate timely information release.
Massage Therapist
Massage Green Spa
01.2015 - 01.2017
- Delivered personalized therapeutic services and maintained detailed treatment records.
- Managed scheduling and client communications using computer-based systems.
Health Plan Renewals Representative
Molina Healthcare
01.2013 - 01.2015
- Supported Medi-Cal beneficiaries in renewal processes and eligibility verifications.
- Provided guidance on policy updates and ensured seamless benefit access.
Education
Associate of Arts -
University of Phoenix
Medical Clinical Administrative Professional Certificate - undefined
Riverside School of Career Education
Diploma - Massage Therapy
American Career College
Skills
- Microsoft Office Suite
- Salesforce
- SQL
- RxClaim
- HIPAA & PBM Compliance
- Data Mining
- Quality Assurance
- Claims Adjudication
- Medical Records Systems
Timeline
Client Pricing Analyst, Network Pricing
CVS Health/Aetna
03.2019 - 12.2024
Senior Assistant, Accounts Receivable
Senior Assistant, Accounts Receivable
12.2017 - 03.2019
Case Management Analyst, Case Management
CVS Health/Aetna
10.2017 - Current
Release of Information Clerk (Contract)
Riverside California Community Hospital
06.2017 - 10.2017
Massage Therapist
Massage Green Spa
01.2015 - 01.2017
Health Plan Renewals Representative
Molina Healthcare
01.2013 - 01.2015
Medical Clinical Administrative Professional Certificate - undefined
Riverside School of Career Education
Diploma - Massage Therapy
American Career College
Associate of Arts -
University of Phoenix
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