Experience

Inspirus (a Pluxee company)

• United States
• Human Resources Services
• 1 - 100 Employee

• Senior Solutions Architect

  • May 2015 - Present



Kaiser Permanente

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Business Analyst

  • Dec 2002 - May 2015

  Business Intelligence & Analysis Created and implemented new designs to financial reports and analysis in an effort to increase efficiency, accelerate customer satisfaction and reduce rework. Developed project scope, analyzing data, creating new report designs, creating and implementing training and coordinating with all management teams affectedAnalyze financial records for large groups, commercial and individual accountsComplete weekly, monthly and quarterly reporting to leadership pertaining to membership, financial reconciliations and company audits. Build direct relationship and ensure all service level agreement between individual companies are met Individual Enrollment Team Manager Serving as a Leader and Consultant for 17 direct employees and five different state Liaisons Key Contributions:Distributed assignments, progressions reports, and address escalated emailsParticipated and implemented projects that were used to streamlined policies and procedures Improved departmental processing of efficiency with the internal Quality Assurance TeamAnalyzed Membership Revenue, Outstanding Accounts, and Accounts Receivable in order to map and retro trends and root causes to internal and external customersPerformed internal audits on system reports (Common Membership, Macess, and Corona)Assessed individual customer’s appeals for delinquency payment options and provided notifications of approval or denial Maintained activities required by federal laws to for individual COBRA membershipCompiled data pertaining to enrollments, disenrollment, billing reconciling, and operations for Senior LeadershipConverted daily/monthly data into charts and graphs to display department progress and area of improvementBuilt relationship with the internal User Acceptance testing team in order to create, process, and implement regression testing and monitor install for changes to department al structure and reports

• Account Service Representative III

  • Dec 2002 - May 2015

  Coordinated with company training department to create departmental training documents for all new employeesChaired of a department committee for Policies and ProcedureIncreased departmental phone metrics to meet overall company abandonment rateCompiled data for process improvement project teamsEnrolled, terminated, and processed plan changes for individual health insurance customersMonitored monthly electronic payment of insurance premiums Leader of the department CORE Team used to process reports, handle escalated calls, and team member training

• Business Analyst

  • Dec 2002 - Oct 2014

• Project Manager

  • Jan 2001 - Jan 2014

  Business Intelligence & Analysis Streamlined business practices for operational Business Analyst. Key activities entail hiring and training staff, creating training materials; inter facing with staff and clients during business cycles and meeting monthly milestones and delivery datesManaged and inherited multiple projects that were jeopardized during the companies’ transition from Fort Worth, Texas to Denver, CO. Through a series of project and development plans was able to deliver reports that were accurate, complete and delivered to leader teams in order to correct transition planning phasesSpearhead in improvements to several complex policies and procedures cross-functional teams, daily task and job functionsServed as the coordinator and project lead onsite for Membership Administration, to comply with federal government and individual state policies and regulations pertaining to the implantation of Health Care ReformDesigned client and user test plans in order to deploy coding and changes to software system. Coordinating efforts with IT experts. Project Engineers and subject matter expertsDocumenting processes and workflows in Oracle and People Soft systems.