Project management-centered business analyst with 8 years of experience in healthcare field. Strongly adept at manipulating pivot tables for advanced reporting, project planning, information analysis and clear client communication. Highly proficient with administration tasks centered around claims, product and affordability projects and objectives.
Overview
9
9
years of professional experience
Work History
Associate Business Analyst
United Healthcare Group
01.2024 - Current
Investigate service related issues to identify root cause of issues; identify and communicate business needs assessments as necessary.
Develop forecasting tools using current technology/systems
Translate business requirements and assist IT with the development of technical specifications.
Develop solutions based on data analysis to increase business efficiency.
Lead or participate in internal and external project workgroup(s) and presentations.
Conduct User Acceptance Testing (UAT) for projects, implementations, system fixes and enhancements, etc.
Prepare materials for internal and external audit activities; review audit findings/reports for accuracy and completeness. If appropriate, formulate rebuttal and/or corrective action steps.
Create and follow up on PGAs, INCs, RITMs, Audit Rule Requests, and AHA!
Collaborate with the Affordability and Healthcare Economics team to analyze cost trends and ensure accurate claims adjudication aligned with financial targets.
Monitor payment integrity and support initiatives that improve affordability, leveraging data insights to validate claim accuracy and identify systemic issues.
Partner with the Product team to create benefit comparison documents, review portfolio grids, and ensure alignment with product standards and Summary Plan Descriptions (SPDs).
Oversee benefit configuration accuracy across systems; proactively communicate plan variations to relevant stakeholders to ensure operational readiness and member clarity.
Senior Customer Service Representative: Provider Service Advocate
United Healthcare Group
11.2022 - 01.2024
Taking inbound calls with medical doctors, nurse practitioners, registered nurses, and office associates.
Crossed trained to assist different lines of business such as E&I
Crossed trained to assist providers through LivePerson Chat
Apart of a small pilot program for WellMed that only has 20 other people involved
Offline project time to assist multiple teams in their group answer other advocates questions that they have in a timely fashion
Give accuracy and efficiency information in order to provide the best service for our providers and in turn our members
Analyze claims and research to assist providers on ways to proceed
Medical Assistant and Administrative Assistant
Orthopaedic Institute of Central Jersey
01.2021 - 11.2022
Supported a spine surgeon in a fast-paced clinical setting, managing complex schedules and ensuring operational readiness.
Registered new patients, verified benefits, and obtained authorizations for imaging and surgical procedures.
Coordinated pre-admission testing and surgical clearances across hospitals, labs, and physician offices.
Prepared pre-op packets and ensured all documentation was complete and routed to appropriate providers.
Checked in patients, updated insurance and billing information, and processed co-payments.
Submitted prescriptions via EHR and maintained accurate records to support clinical efficiency.
Triaged calls from hospitals and surgery centers, providing timely and informed responses.
Anticipated physician needs and maintained order in exam rooms to support seamless patient care.
Medical Assistant and Administrative Assistant
Shore Orthopaedic Group
04.2017 - 12.2020
Supported three physicians weekly in a high-volume orthopedic practice, ensuring smooth clinic flow and exceptional patient care.
Completed physical therapy, diagnostic, and disability forms to support timely patient access to care.
Ordered x-rays through the EHR system and ensured imaging was uploaded and available for physician review.
Reviewed NJPMP AWARE for pain management patients to ensure compliance and safe prescribing practices.
Submitted physician-ordered medications through the EHR system, maintaining accuracy and timeliness.
Scribed patient visit notes and maintained organized, up-to-date records to support clinical decision-making.
Prepared diagnostic reports and ensured all relevant information was available prior to each appointment.
Answered and triaged clinical calls transferred by the operator, responding promptly and professionally to patient needs.
Maintained order and readiness in exam rooms, anticipating physician needs and supporting efficient patient flow.
Medical Assistant Internship
Stern Family Practice
01.2017 - 04.2017
Updated insurance information, and collected co-payments with attention to accuracy and patient comfort.
Contacted insurance providers for prior authorizations and followed up with laboratories to obtain timely patient results.
Recorded vital signs, updated medications, and completed EHR system questionnaires to support efficient clinical documentation.
Drafted patient letters, faxed documentation, and scanned records into appropriate electronic health files to maintain organized and compliant medical records.
Explained treatment procedures, medications, dietary guidelines, and physician instructions with empathy and clarity to support patient understanding and adherence.
Education
Medical Assistant - Medical Assistant
Harris School of Business
Hamilton, NJ
01-2017
Associate of Applied Science - Applied Science
Brookdale Community College
Lincroft, NJ
06.2016
Skills
Data Analysis & Forecasting (Excel, Access, Monarch)
Benefit Configuration & Claims Validation
Audit Preparation & Compliance Review
Project Coordination & Task Management
Process Improvement & Workflow Optimization
Cross-Functional Team Collaboration (Product, IT, Clinical, Economics)
Stakeholder Engagement & Meeting Facilitation
Microsoft Office Suite (Excel, Word, Outlook, PowerPoint)