Vera Stiles
ZLA Solutions
Flintville
1
Certification
8
years of professional experience
Dedicated and compassionate worker with comprehensive knowledge of health disparities, social justice issues, and analysis in healthcare and data. Experienced in conducting thorough assessments and creating action plans that drive positive outcomes. Skilled in building partnerships and collaborations with organizations and stakeholders to ensure all services are met.
Work History
Quality Analyst
3 Years 6 Months- Analyzed quality data and trends to identify root causes and recommend corrective and preventive actions.
- Collaborated with cross-functional teams, project managers, and clients to address quality issues and ensure adherence to project requirements.
- Conducted quality audits and inspections to ensure compliance with client specifications, industry standards, and internal procedures.
- Kept comprehensive reports to support data analysis and decision-making.
- Used Microsoft 365, IBM AS/400, and general office technology and equipment daily.
Security Analyst
1 Year- Analyzed security incidents and trends to identify risks and recommend effective mitigation strategies.
- Maintained detailed records and reports to support timely investigations and ensure compliance.
- Monitored surveillance and security systems to identify anomalies.
- Monitored surveillance and security systems to proactively identify and address anomalies.
- Renewed security clearance to comply with state regulations.
Healthcare Case Manager
3 Years- Maintained HIPAA-compliant documentation and case management records, managing healthcare case files and coordinating member care services to ensure continuity of care.
- Managed caseloads of healthcare members, ensuring timely assessment, documentation, and follow-up services.
- Assisted members with benefits navigation, eligibility verification, and service access.
- Guided members through benefits navigation, eligibility verification, and service access, facilitating timely access to necessary healthcare resources.
- Utilized electronic health record and case management systems to track member activity, including Salesforce.
- Ensured compliance with state, federal, and company regulations governing healthcare programs.
- Managed caseloads of healthcare members, ensuring timely assessments, comprehensive documentation, and consistent follow-up services to optimize member outcomes.
Education
Bachelor of Science - Psychology and Health Administration
- Summa Cum Laude
- GPA: 3.9 GPA
Associate of Science - Criminal Justice and Law
Honors Society Graduate
Micro-Masters Program - Healthcare Data Science
Skills
Data analysis
HIPAA compliance
Problem-solving
Organization and multitasking
Patient support
Patient advocacy
Active listening
Certification
- Data Analysis for the Behavioral Sciences - American Psychological Association
- Qualitative Research in Psychology - American Psychological Association
- Quantitative Research Methods - American Psychological Association
- Certified Peer Recovery Specialist Program - State of Tennessee - On waitlist for approved program training
Timeline
Quality Analyst
ZLA Solutions
01.2023 - CurrentRead More
Security Analyst
Allied
01.2022 - 01.2023Read More
Healthcare Case Manager
Conduent
01.2019 - 01.2022Read More
University of Cambridge
Micro-Masters Program from Healthcare Data Science
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Motlow State Community College
Associate of Science from Criminal Justice and Law
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Tennessee Technological University
Bachelor of Science from Psychology and Health Administration
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