Summary
Overview
Work History
Education
Skills
CORE SKILLS
Timeline
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VANESSA CLARK

Davenport,Florida

Summary

Detail-oriented healthcare professional with experience in team leadership, claims processing, workflow coordination, and healthcare program support. Skilled in managing cross-functional communication, resolving complex operational issues, and improving efficiency across healthcare and insurance operations. Strong background in insurance processes, authorizations, patient workflows, and customer experience.

Overview

12
12
years of professional experience

Work History

Program Coordinator

AmeriHealth Caritas
02.2022 - 12.2025
  • Supported healthcare and administrative programs through schedule, task, and communication coordination.
  • Maintained detailed records, reporting dashboards, and project documentation.
  • Assisted with planning, execution, and monitoring of program milestones.
  • Collaborated with cross-functional teams to ensure project alignment and on-time delivery.
  • Improved operational processes through workflow analysis and data tracking.

Team Lead

Centene
01.2014 - 02.2022
  • Supervised daily team operations, assigned workloads, and ensured timely task completion.
  • Trained new staff, monitored quality, and coached team members to improve performance.
  • Managed escalated issues and ensured resolution while maintaining service standards.
  • Collaborated with leadership to optimize workflows and improve departmental efficiency.
  • Tracked performance metrics and ensured adherence to organizational policies.

Claims Specialist

Centene
01.2014 - 02.2022
  • Reviewed and processed medical and insurance claims in accordance with policy guidelines.
  • Coordinated with patients, providers, and insurance partners to resolve claim discrepancies.
  • Completed prior authorizations, policy reviews, and benefit verifications.
  • Investigated claim details, documented findings, and ensured timely adjudication.
  • Communicated claim decisions and next steps clearly to members.

Education

Google Project Management Certificate -

Coursera
Davenport, FL
01-2022

Certificate -

Proof Reading
Davenport
05-2021

Certificate -

Iris Reading- Speed Reading
Davenport, FL
05-2019

Skills

  • Microsoft Office Suite
  • EMR/EHR Familiarity
  • CRM Systems
  • Claims Platforms
  • Project Tracking Tools
  • SharePoint
  • Adobe Creative Suite
  • Webex Teams
  • One Drive
  • FileMaker Pro
  • Workfront
  • JIRA
  • Slack
  • Salesforce
  • Wrike
  • Project/Program Trainer

CORE SKILLS

  • Project Coordination & Workflow Management
  • Claims Processing & Insurance Operations
  • Team Leadership & Training
  • Healthcare Program Support
  • Process Improvement & Documentation
  • Customer Experience & Issue Resolution
  • Cross-Functional Communication
  • Data Tracking & Reporting

Timeline

Program Coordinator

AmeriHealth Caritas
02.2022 - 12.2025

Team Lead

Centene
01.2014 - 02.2022

Claims Specialist

Centene
01.2014 - 02.2022

Google Project Management Certificate -

Coursera

Certificate -

Proof Reading

Certificate -

Iris Reading- Speed Reading
VANESSA CLARK