Willania Ortiz
Jersey City
Summary
Dynamic Health Plan Configuration Analyst with a proven track record at Bradley Corporation, excelling in data analysis and benefit adjudication. Bilingual and adept at project methodology, I successfully implemented compliance controls and enhanced system integrations, ensuring alignment with regulatory standards and delivering impactful results under tight deadlines.
Overview
8
8
years of professional experience
Work History
Health Plank Configuration Analyst
Bradley Corporation
02.2020 - 01.2024
- Executed the build and implementation of benefit adjudication rules.
- Analyzed larger sets claims data to evaluate patterns of billing as it relates to benefit design and configuration.
- Implemented change control, configuration status accounting and configuration audits.
- Kept CM work aligned with project's configuration management plan.
Configuration Specialist / Business Analyst
Melaleuca
03.2016 - 09.2019
- Oversaw document development across project workstreams to create internal control statements per compliance and regulatory standards.
- Performed internal system acceptance to deliver well-tested enhancements and meet business requirements.
- Coordinate the integration or conversion of new clients and/or products as needed, often under aggressive timelines.
Education
Master of Science - Business Administration And Management
University of Phoenix
Tempe, AZ11-2021
Bachelor of Science - Communications
University of Phoenix
Tempe, AZ08-2017
Skills
- Data analysis
- Proficiency with ICD-10, CPT, Revenue codes
- Medical Terminology
- Experience with project methodology
- Bilingual
- Network administration
Timeline
Health Plank Configuration Analyst
Bradley Corporation
02.2020 - 01.2024
Configuration Specialist / Business Analyst
Melaleuca
03.2016 - 09.2019
Master of Science - Business Administration And Management
University of Phoenix
Bachelor of Science - Communications
University of Phoenix
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