Victoria L. Mathis
Molina Healthcare
Westerville,OH
13
years of professional experience
Detail-oriented professional with strong analytical skills. Experienced in healthcare data analysis and effective communication, driving operational efficiencies and enhancing care management strategies.
Work History
Associate Analyst
7 Years 6 Months- Analyzed healthcare data to identify operational efficiencies and support decision-making processes.
- Collaborated with cross-functional teams to improve care management strategies and enhance provider outcomes.
- Conducted quality performanyce checks to ensure data integrity and identify discrepancies or errors
- Maintained compliance with company policies, industry regulations, and legal requirements related to data privacy
- Managed multiple databases
Member and Provider Team Lead
2 Years 6 Months- Developed and implemented training programs for new team members, improving onboarding processes.
- Analyzed workflow processes to identify opportunities for improvement and implement solutions.
- Mentored junior staff on best practices, fostering a culture of continuous learning and development.
- Trained new team members by relaying information on company procedures and safety requirements.
- Coached team members in techniques necessary to complete job tasks.
- Increased customer satisfaction by ensuring timely completion of projects and adherence to high-quality standards.
- Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
- Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
Provider Services Representative
5 Months- Facilitated communication between healthcare providers and members to enhance service delivery.
- Resolved provider inquiries by utilizing knowledge of health plan benefits and services.
- Monitored account statuses and followed up on outstanding issues to ensure timely resolutions.
- Coordinated with internal departments on behalf of providers to ensure timely payment resolution for claims disputes or other financial matters.
- Enhanced provider satisfaction by efficiently resolving provider inquiries and concerns.
Client Services Member Representative
2 Years 5 Months- Streamlined processes for onboarding new clients, improving efficiency and reducing turnaround time.
- Analyzed client feedback to drive improvements in services offered, aligning with business objectives.
- Led initiatives aimed at increasing member retention through personalized outreach efforts and follow-up communications.
- Collaborated with team members to achieve monthly sales targets, contributing to overall company success.
- Built trust among both colleagues and clients through consistent demonstration of expertise in the Member Representative role.
- Promoted a welcoming environment for both existing and prospective members through consistent professionalism and friendly demeanor.
- Participated in training programs continuously, staying up-to-date on industry trends and company policies.
Education
High School Diploma
- Capital University Scholarship Recipient
- 3.6 GPA
- Ranked in Top 3% of class
- magna cum laude graduate
Skills
Business intelligence
Microsoft Excel
Project deadlines
Dependability
Deadline adherence
Dependable
Team collaboration
Active listeningggggg
Positive demeanor
Active listening
Calm under pressure
Positive attitude
Timeline
Associate Analyst
Molina Healthcare
02.2019 - CurrentRead More
Member and Provider Team Lead
Molina Healthcare
08.2016 - 02.2019Read More
Provider Services Representative
Buckeye Health Plan
12.2015 - 05.2016Read More
Client Services Member Representative
Alliance Data Systems Corp
04.2013 - 09.2015Read More
FCI Academy High School
High School Diploma
Read More