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Data Performance Analyst Resume

Mechanicsburg, PA

SUMMARY

  • Goal - oriented, motivated professional with extensive expertise in data analysis and processing procedure updates.
  • Competent in strategic logistical planning and tactical execution.
  • Compile research and disseminate information regarding data analysis.
  • Proficient in customer requirements analysis, including IOM, ISP, SOW, PMR, QMR, and SLA.

AREAS OF EXPERTISE

  • Research & Analysis
  • Logistics & Tactical Execution
  • Strategic Planning/Analysis
  • Industry Networking
  • Customer Relations
  • Competitive Intelligence
  • Oral/Written Communication
  • System Operations
  • Operations Improvement
  • Coaching & Training
  • Project Management
  • Conflict Resolution

PROFESSIONAL EXPERIENCE

Confidential, Mechanicsburg, PA

Data Performance Analyst

Responsibilities:

  • Efficiently generate reports to provide accuracy information, error assessments, and deficiencies analyzes, as well as conduct specialized studies to provide thorough feedback of data analysis; restructured production of monthly reports from 5 days to 2.
  • Directs weekly meetings with all levels of personnel to discuss performance data, assessment resolutions, and audits; consider changes based on CMS/QASP audit information and IMO/ISO/SOW/QMR/SLA research.
  • Conduct monthly cross-departmental calibration to promote processing consistency; scores have improved by 80% over the course of a year.
  • Direct, manage, and mentor 27 department reviewers by organizing training sessions to promote accurate and consistent educational assessments; collaborate with reviewers, supervisors, and operations to ensure appropriate assessments and resolutions to adhere to SLA standards, reducing pending assessments by 54%.
  • Developed and implemented multiple workbooks that include formulas and links to assist with internal analyses.
  • Responsible for internal procedure updates and data collection structure.
  • Managed internal process improvement projects; developed system request changes to Oracle database structure to ensure user-friendly experience and efficiency; actively research to identify systems and methods to continually improve the company in a cost-effective manner.
  • Conducted inspections related to product delivery system to determine accuracy of processing aspects; recorded and categorized deficiencies and error trends of processing procedures.
  • Swiftly finalized tasks with high accuracy levels to achieve SLA standards.
  • Appropriately updated and edited processing instructions for operational areas to reflect IOM and CMS research; review and incorporate submitted improvement suggestions to ensure consistent, efficient, and accurate processing.
  • Engaged in weekly meetings to discuss operational processing concerns and evaluate internal guidelines.

Confidential, Mechanicsburg, PA

Medicare Appeals Part B Representative

Responsibilities:

  • Received and responded to first level appeal requests from beneficiaries, providers, and CMS.
  • Provided accurate verification of initial processing and clerical error corrections, as well as researched and reviewed redeterminations in accordance with CMS policies and regulations.
  • Responsible for processing 1490 forms and CERT submissions.

Confidential , Mechanicsburg, PA

Office Assistant

Responsibilities:

  • Restructured filing system to boost efficiency and organized supply resources.
  • Finalized data entry by recording prices, comparing customer estimates and labor cost, projecting completion dates, and applying debits/credits to accounts.
  • Functioned as liaison between proprietors and customers.

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