Resume
Experience
2022 - Present
SENIOR CONFIGURATION ANALYST
Oscar Health
New York, New York
-
Subject matter expert of facility and professional health insurance contracts, pricing, configurations, and workflows
-
Successfully automate contractual obligations and reimbursement policies using Python saving 60 hours of manual review weekly
-
Investigate and troubleshoot code to identify process factors that prevent streamline automation of pricing and benefits
-
Adjudicate large claim data sets using SQL to ensure accurate reimbursements saving the company $500k in penalties.
-
Lead working relationships with diverse teams, partners and stakeholders
-
Improve internal operations workflow by showcasing opportunities for training and onboarding process
2020- 2022
RECONCILIATION
ANALYST
Healthfirst
New York, New York
-
Correctly audited data and billing errors in order to maximize revenue
-
Developed new billing strategies which helped increased yearly collections by $60M
-
Sustained >75% collections rate for billing sent to the NY Department of Health
-
Engineered reports using Excel pivot tables and inquired large data sets with formulas such as V Lookup and Index Match
-
Utilized SAS, Python, and SQL in order to extract large data sets
-
Created VBA coding to automate reconciliations thus expediting workflow by 2 hours
-
Supervised new hires on operational processes resulting in 10% increase in collection rates
-
Partnered with various internal departments to identify discrepancies and initiate improvements
Education
2017 - 2018
University of East London
Master of Biomedical Science
London, United Kingdom
2012 - 2015
University of Florida
Bachelor of Social Sciences
Gainesville, Florida
Technical Skills
Excel / Google Sheets
SQL / BigQuery
Python
Tableau
Languages
English (native)
French (proficient)
Spanish (proficient)