Summary
Overview
Work History
Education
Skills
Certification
Software
Interest
Timeline
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TEMINA BOYD

TEMINA BOYD

San Diego,CA

Summary

Manged Care Professional with 10+ years of experience specializing in workers' compensation resources, managed care services, and billing practice analysis. Detail-focused with knowledge in data warehousing, process validation and business needs analysis. Proven ability to create exceptional experiences and deliver positive outcomes. Dedicated and hard-working with passion for growth and positive change.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Sr Managed Care Analyst

Sedgwick CMS
11.2023 - Current
  • Collaborated with cross-functional teams to identify opportunities for process improvement and increased efficiency.
  • Validated results and performed quality assurance to assess accuracy of data.
  • Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures for various tasks.
  • Queried databases for information needed for report processing.
  • Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
  • Identified trends and patterns in large datasets, leading to actionable insights for business growth.

Vendor Management Analyst

Sedgwick CMS
08.2021 - 11.2023
  • Coordinated with internal teams to establish clear expectations for vendor deliverables, streamlining internal workflows as a result.
  • Optimized vendor relations and fostered a successful partnership that focused on decreasing the vendor aged AR balances and creating goals to maximize results.
  • Created strategic processes and applied effective communication, that contributed to reduction in overall balances.
  • Conducted thorough vendor billing practices, tracked trends, highlighted progress, identified areas of improvement and provided constructive feedback and solutions.

Data Analyst

Sedgwick CMS
07.2020 - 08.2021
  • Develop rapport with vendor partners to cultivate commitment to performance improvement and client satisfaction.
  • Synthesize current business intelligence data to produce reports and polished presentations, highlighting findings and recommending changes.
  • Supports internal and external users including reports, JURIS, payment authorization, systems navigation,etc.
  • Vendor contact for OCCM Diagnostics, Transportation & Language, DME, and Homelink. Responsible for decreasing vendors' AR aged over 90 days, monthly bulk refunds, and assist with problem solving and solutions.

Surgical Coordinator

Sedgwick CMS
04.2014 - 07.2020
  • Fostered collaborative relationships among health care team by communicating, responding to requests and building rapport.
  • Increased the number of surgical cases accepted by collecting and documenting surgery data to analyze trends and outcomes.
  • Reported trend analysis by creating various Excel documents and Microsoft Access databases to assist with pulling metrics data and presenting information to senior leadership for concise explanations of best placement for needed resources and growth of program.

Project Coordinator

Connected Dots
04.2012 - 01.2014
  • Managed multiple projects from project start through delivery by prioritizing needs and delegating assignments.
  • Conducted audits and consistently monitored for quality and state compliance.
  • Kept projects on schedule by managing deadlines and adjusting workflows.

Education

Bachelor of Professional Studies - Health Administration

University of Memphis
Memphis, TN

Skills

  • Data validation
  • Data analysis
  • Collaboration
  • Relationship building and retention
  • Analytical skills
  • Flexible & Adaptable
  • Training & Development
  • MS Office Skills
  • Team Collaboration and Leadership
  • Documentation And Reporting

Certification

Certified Case Manager License - 4245113

Software

Microsoft Office 365, Power BI, Visio, Lists, Forms


JURIS

Sedgwick Data Warehouse- BO

SIR

Strataware

SharePoint

Interest

Hiking, backpacking, kayaking, and good reads.

Timeline

Sr Managed Care Analyst

Sedgwick CMS
11.2023 - Current

Vendor Management Analyst

Sedgwick CMS
08.2021 - 11.2023

Data Analyst

Sedgwick CMS
07.2020 - 08.2021

Surgical Coordinator

Sedgwick CMS
04.2014 - 07.2020

Project Coordinator

Connected Dots
04.2012 - 01.2014

Bachelor of Professional Studies - Health Administration

University of Memphis

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TEMINA BOYD