manager provider data management resume example with 12+ years of experience
JessicaClaire
, , 609 Johnson Ave., 49204, Tulsa, OK100 Montgomery St. 10th Floor
Home: (555) 432-1000
Cell:
resumesample@example.com
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Summary
Skilled Business Intelligence Professional with success at turning large amounts of multi-faceted data into strategic actionable and relevant business insights. Extensive background in developing and implementing processes and procedures that enhance company efficiencies. Technically trained and experienced MBA with finance and accounting expertise backed by a successful track record in multiple industries.
Microsoft Office: Word, Excel (pivot tables and VLOOKUP), PowerPoint, Access, Outlook, Visio
Experience
Manager, Provider Data Management, 08/2022 to Current Great American Insurance Group (Dba) – Cincinnati, OH,
Responsible for managing staff and activities that support all provider data management projects, policies and procedures, provider contract setup activities
Support key initiatives that relate to operational issues for provider data maintenance, successful claims adjudication, as well as other operational projects that support internal departments and external customers
Work with cross functional teams to design and develop workflows, protocols, and process models for use with standard and ad-hoc reports, as well as identify project requirements and ensure satisfactory project completion
Leveraged leadership skills to identify deficiencies and opportunities to improve policies, procedures and controls.
Communicated company directives and programs to associates and ensured all follow-up items were completed accurately and timely.
Perform ad-hoc reporting as necessary to meet strategic and operational requirements.
Senior Business Technical Analyst, 01/2020 to 08/2022 Great American Insurance Group (Dba) – Richfield, OH,
Provided in-depth business knowledge and advanced technical support to Strategic Operations department through developed and ad-hoc analysis and reporting, as well as designing and programming complex, new processes and reports
Acted as subject matter expert for department on business systems and applications
Analyzed company functions and processes to improve business applications for the most effective use of resources
Documented business requirements and consulted with end users to test processes and procedures to ensure they meet client needs
Responsible for monitoring and reporting to management on the status of departmental projects; Provide oversight and identify issues that could inhibit achieving the project goals and/or objectives, and implementing corrective actions and mitigation strategies to resolve problems
Worked with cross functional teams to support internal and external customers to ensure timely and accurate processes and procedures for provider data management
Reengineered key quarterly regulatory report to ensure Health Plan is reporting critical data accurately; this report is now used as a key driver in provider data accuracy
Core member of Data Analytics team for WellCare/Peachstate Merger; responsible for providing and analyzing large data sets for membership, providers and other ad-hoc requests
Senior Business Technical Analyst, 08/2017 to 01/2020 Bridgeport Public Schools – Bridgeport, CT,
Responsible for monthly and quarterly regulatory reports for Department of Community Health (DCH)
Worked on cross functional team that developed new Provider Load Process in accordance with DCH guidelines; this new process helped WellCare to meet their SLA with DCH, reduce variances and errors, and provided time in the process for additional research when needed
Conferred with other departments to analyze current operational procedures and identify problems; delivered timely support by tracking issues and communicating resolutions to end users
Conducted business analysis and recommended technical alternative solutions to management that best met the organization's goals; this included analyzing requirements, procedures and problems to automate processes to improve existing business systems
Provided guidance and training to staff on processes, procedures and issue resolution
Managed projects and served as primary liaison between multiple internal groups to clarify goals and meet standards and deadlines.
Financial Information Delivery Team Lead/Finance Manager, 01/2013 to 03/2017 NCR – City, STATE,
Oversaw high-level production issues and projects related to corporate finance reporting with help of two direct reports
Collaborated with senior leaders and end users from functional groups, finance community, IT, and Accenture to obtain and document reporting requirements and key performance indicators (KPI)
Provided updates on issues, prioritized activities and projects, and recommend alternative solutions
Assisted in the successful implementation of the Zero Based Budgeting project that transformed the general ledger reporting structure by providing data and reports to executive management and performied regression, UAT, and production testing
Merged data from three acquisitions into NCR with revenue averaging $300M
Divested line of business with average revenue of more than $100M
Operated as Finance Point of Contact and developed and leveraged test cases for the implementation of the new Zuora subscription management system following the agile methodology
Communicated globally the new processes and data flow resulting from the implementation of the new revenue recognition and forecasting solution RevPro.
Accounting Specialist, 09/2009 to 12/2012 NCR – City, STATE,
Helped convert global operating units to existing Oracle platforms and Teradata Enterprise Data Warehouse (EDW)
Assisted and supported business users and IT group with integration activities including Oracle 11i to R12 upgrade
Worked on cross functional team, which included IT, corporate finance and regional/local teams on projects that were focused on data integrity and simplification of processes pertaining to EDW (Enterprise Data Warehouse)
Partnered with IT and business teams to establish and implement business requirements for new tool improvements
Trained global finance organization, which included European, Middle East, Africa, Caribbean, and Latin American country staff on process changes and use of the Enterprise Date Warehouse
Served as member of the Knowledge Transfer team to learn and document processes and procedures from non-transferring subject matter experts (SME) to ensure a successful move of the World Headquarters from Dayton, OH, to Duluth, GA
Received 2011 Finance Crystal Award Winner for Outstanding Team Performance LOB Reporting Team
Education and Training
Business Intelligence Certification: , Expected in 01/2017 to EMORY CONTINUING EDUCATION - Atlanta, GA GPA:
Master of Business Administration: Technology Management, Expected in to UNIVERSITY OF PHOENIX, MAIN - Atlanta, GA GPA:
Bachelor of Business Administration: Finance, Expected in to AUBURN UNIVERSITY - Auburn, AL GPA:
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Resume Overview
School Attended
EMORY CONTINUING EDUCATION
UNIVERSITY OF PHOENIX, MAIN
AUBURN UNIVERSITY
Job Titles Held:
Manager, Provider Data Management
Senior Business Technical Analyst
Senior Business Technical Analyst
Financial Information Delivery Team Lead/Finance Manager