Experience

Peak Health

• United States
• Insurance
• 1 - 100 Employee

• Manager Benefits Configuration

  • May 2023 - Present

  Morgantown, West Virginia, United States

• Manager, Member and Provider Services

  • Nov 2021 - May 2023

  Morgantown, West Virginia, United States Develop objectives for the call center’s day-to-day activities Conduct effective resource planning to maximize the productivity of the call center resources. Collect and analyze call-center statistics. Develop training curriculum and departmental best practices. Also support benefit creation and product benefits coding.



Quick Med Claims, LLC

• United States
• Financial Services
• 1 - 100 Employee

• Business Data Analyst

  • Jun 2017 - Oct 2021

  Pittsburgh, Pennsylvania Create business processes to help streamline cross department communications Measure and monitor revenue trends; tracking and trending DSO and AR Support new application implementation such as Expensify, Smartsheets and NetSuite. Provide system administration for NetSuite and Expensify. Capture productivity data for analysis and trending. Provide reporting for revenue cycle management



Highmark Health

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

• Business Technical Analyst Consultant

  • Jul 2013 - Jun 2017

  Greater Pittsburgh Area Provide expert data analysis or consultation regarding complex data processes, business processes and interfaces to support various platform & business areas to enable project teams to make decisions on the integration of enterprise-wide applications. Leverage current and emerging technologies to develop business solutions, and perform functional decomposition techniques to reengineer processes for continuous improvement Provide expert consultation on applications &… Show more Provide expert data analysis or consultation regarding complex data processes, business processes and interfaces to support various platform & business areas to enable project teams to make decisions on the integration of enterprise-wide applications. Leverage current and emerging technologies to develop business solutions, and perform functional decomposition techniques to reengineer processes for continuous improvement Provide expert consultation on applications & multiple/cross-platforms on complex and/or highly visible projects using project management and business expertise. Coach, consult and mentor team members on multi-faceted, highly complex business/systems processes.

• Operations Supervisor Benefit Coding

  • Dec 2010 - Jul 2013

  Greater Pittsburgh Area Effectively supervised all assigned exempt personnel in support of benefits coding for external and internal systems. Monitored and assured acceptable levels of performance, productivity and quality were met for all personnel. Coached and mentored employees to maximize performance and behaviors. Monitored and communicated the performance of employees, recommended corrective action for employees when performance standards declined. Provided career development to maximize… Show more Effectively supervised all assigned exempt personnel in support of benefits coding for external and internal systems. Monitored and assured acceptable levels of performance, productivity and quality were met for all personnel. Coached and mentored employees to maximize performance and behaviors. Monitored and communicated the performance of employees, recommended corrective action for employees when performance standards declined. Provided career development to maximize employees performance. Completed administrative tasks such as performance reviews, time and attendance, training requests, system access, move requests, disciplinary actions Provided assistance and guidance to staff on more complex issues. Reviewed daily inventory and staffing levels and makes assignments accordingly. Reviewed trends to ensure adequate staffing and resources are available to ensure performance goals are met and maintained Planned and coordinated project activities and resources. Managed one or more projects within the constraint of scope, quality, time and cost, to deliver specified requirements and successful implementation of projects to meet customer satisfaction.

• Technical Business Analyst IV

  • Apr 2007 - Dec 2010

  Greater Pittsburgh Area Developed communication plans, leadership engagement plans, resistance management plans, transition and training plans for a large multi platform system upgrade project. Design and lead effective meetings with senior executives, managers, and stakeholders as appropriate; Identify and work to remove barriers that slow or prevent the successful change initiative and administrative efficiency that will lead to cost containment and/or reduction; Work collaboratively with project… Show more Developed communication plans, leadership engagement plans, resistance management plans, transition and training plans for a large multi platform system upgrade project. Design and lead effective meetings with senior executives, managers, and stakeholders as appropriate; Identify and work to remove barriers that slow or prevent the successful change initiative and administrative efficiency that will lead to cost containment and/or reduction; Work collaboratively with project team members to identify mitigation strategies, take early action to resolve issues and address cross-team impacts, working with appropriate resources including but not limited to Human Resources, Information Technology, and a variety of business units; When appropriate, provide direct support, consultation and coaching to change managers within other business units Participate in delivery of training Change Management best practices; Demonstrate excellent communication skills, both written and oral, communicate effectively with senior management, process owners, stakeholders, and other audiences;

• Business Staff Analyst Specialist

  • Jul 2001 - Apr 2007

  Worked closely with IT and created documentation and functional specifications for the customer service inquiry systems.

• Business Staff Analyst II

  • Feb 2000 - Jul 2001

  Provided reporting for specific customer service systems, including phone integration, productivity reporting and training.