Summary
Overview
Work History
Education
Skills
Accomplishments
Additional Information
Timeline
Generic

Viktoria Simms

Royal Oak,MI

Summary

Focused Quality Analyst experienced in developing and executing manual and automated test cases. Highly proficient in testing tools, systems and software. Ambitious Quality Analyst with track record of dependability and leadership. Knowledgeable in QA methodology with proven history of reducing errors to increase quality. Proficient in preparing test cases, plans and scripts. Dedicated to analyzing and resolving defects. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.

Overview

25
25
years of professional experience

Work History

Quality Analyst

Carelon Health
11.2017 - 10.2023
  • Improved product quality by implementing rigorous testing procedures and adhering to industry standards.
  • Identified process inefficiencies through meticulous data analysis, leading to streamlined operations and increased productivity.
  • Enhanced customer satisfaction by addressing and resolving complaints in a timely manner, demonstrating commitment to exceptional service.
  • Collaborated with cross-functional teams to develop and implement targeted solutions for identified quality issues, ensuring continuous improvement.
  • Conducted thorough root cause analyses on recurring defects, resulting in the implementation of effective corrective actions.
  • Evaluated vendor performance by conducting regular audits, ensuring adherence to established quality standards and requirements.
  • Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
  • Ensured compliance with regulatory requirements by meticulously reviewing documentation and maintaining accurate records.
  • Administered 20 internal quality audits and assessed results to inform corrective action measures.

Director of HEDIS Compliance

Beacon Health Options
07.2014 - 11.2017
  • Increased company revenue by streamlining processes and implementing cost-saving measures.
  • Enhanced team collaboration through regular communication, goal setting, and performance evaluations.
  • Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
  • Improved project efficiency with strategic planning, resource allocation, and time management practices.
  • Developed 20 targeted training programs to increase employee awareness and understanding of compliance requirements.
  • Negotiated favorable outcomes during regulatory examinations by effectively communicating company''s commitment to maintaining a strong compliance program.

Quality Analyst

Beacon Health Options
06.1998 - 07.2014
  • Enhanced customer satisfaction by addressing and resolving complaints in a timely manner, demonstrating commitment to exceptional service.
  • Conducted thorough root cause analyses on recurring defects, resulting in the implementation of effective corrective actions.
  • Developed comprehensive training materials for new hires, fostering a culture of knowledge sharing and continuous learning within the team.
  • Reduced production downtime by proactively identifying potential bottlenecks and developing strategies to address them efficiently.
  • Maintained up-to-date knowledge of industry best practices, incorporating relevant methodologies into daily work processes for optimal results.
  • Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
  • Ensured compliance with regulatory requirements by meticulously reviewing documentation and maintaining accurate records.
  • Developed a robust system for tracking non-conformance issues, facilitating timely resolution and minimizing overall impact on product quality.
  • Analyzed quality and performance data to support operational decision-making.
  • Monitored KPIs to proactively address bottlenecks and quality issues.
  • Administered over 15 internal quality audits and assessed results to inform corrective action measures.

Education

MBA - Business Administration

Chadwick University
Birmingham, AL
08.1994

BBA - Business Administration And Management

Chadwick University
Birmingham, AL
08.1992

Skills

Continuous Improvement

  • Correction Action Planning
  • Sampling
  • Audit Processes
  • Project Planning
  • Statistical Analysis
  • Performance Metrics
  • Root Cause Analysis
  • Strong Problem Solver
  • Cross-Functional Team Collaboration
  • Client Requirements
  • Key Performance Indicator Tracking
  • QA Methodologies Mastery
  • Performance Assessment
  • Requirements Analysis
  • Data Validation
  • Results and Deadline-Driven
  • Compliance Testing

Accomplishments

  • Collaborated with team of 20 + in the development of NCQA Accreditations
  • Supervised team of 10 staff members.
  • Achieved positive result through effectively helping with NCQA Health Equity Accreditation.
  • Documented and resolved HEDIS reporting which led to increases in rates.


Additional Information

Veteran: United States Air Force - Honorable Discharge

Timeline

Quality Analyst

Carelon Health
11.2017 - 10.2023

Director of HEDIS Compliance

Beacon Health Options
07.2014 - 11.2017

Quality Analyst

Beacon Health Options
06.1998 - 07.2014

MBA - Business Administration

Chadwick University

BBA - Business Administration And Management

Chadwick University

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Viktoria Simms