VICTORIA LYNNE SULLIMAN
Plymouth Meeting,PA
Summary
Dynamic professional with a proven track record in eligibility determination, data analysis, and compliance, poised to contribute effectively in a new role. Strong commitment to team collaboration and consistently achieving results. Known for reliability and adaptability, complemented by exceptional problem-solving abilities, communication skills, and meticulous attention to detail. Passionate about leveraging expertise to drive organizational success and enhance operational efficiency.
Overview
32
32
years of professional experience
Work History
Medicare Data Analyst
Aetna/CVS Health
02.1993 - 10.2024
- Analyzed Medicare data to provide actionable insights for cross-functional teams. Utilized Microsoft Excel to streamline data collection and reporting processes. Collaborated with IT and business teams to enhance data accuracy and process efficiency.
- Worked extensively with Availity, connecting insurers with medical eligibility data. Required to verify, input and update Medicare eligibility data accurately and in a timely manner.
- Communicated with daily outreach calls to other insurers to collect health benefits data.
- Collaborated with several coworkers/departments to ensure critical data is not overlooked.
- On a monthly bases, would key in 1,500 to 2,300 MSP medical eligibility data records into our databases.
- Proficient with CMS systems: ECRS and Marx
- Proficient with HRP, ASD systems and Wipro
Education
High school graduate or equivalency certificate (GED) -
Plymouth Whitemarsh High School
06-1990
Skills
- Statistical analysis
- Cross-functional collaboration
- Organizational time strategies
- Experience with Availity eligibility verification
- Strong verbal communication
- Customer engagement
- Ability to adjust to new challenges
- Effective problem resolution
- Strong attention to detail
- Interdepartmental collaboration
Timeline
Medicare Data Analyst
Aetna/CVS Health
02.1993 - 10.2024
High school graduate or equivalency certificate (GED) -
Plymouth Whitemarsh High School