Migrate large data sets and Analyze data received from various sources,Utilize various digital tools to manage data and data sets accordingly; Verify and validate OHI data and input in accordance with all regulations and guidelines to coordinate the responsible party order to ensure members receive all benefits they are eligible for accurately, efficiently and in a timely manner; navigate carrier portals and various EMRs and EHRs,Manipulate data to obtain required results,Operate and troubleshoot numerous databases and other digital resources; Provide leadership with query reporting, QA Analysis reports, KPI s and other metrics in custom Power BI generated reports; Mentor teammates, provide on-going training sessions and 1:1 Process reviews, tutoring groups for new portals manipulation and navigation; Collaborate with other Tier 1 Contractors to develop departmental SOPs, Resource Materials, and other Procedural Documents for job aids and training tools,Performed other administrative and technical duties as assigned ***Became first Contractor to be elevated to a Specialists role*** **”Developer- wrote in SQL a query report that eliminated the root cause of invalid data being imported, reducing labor hours by almost 30% across two teams comprised of more than 20 staff members and contractors,realizing an overall increase in productivity by over 20% and resulting in even more customers receiving the maximum benefits available to them,furthering efforts to improve members’ health and well-being individually and as a community*** ***First contractor granted access to Jira for MSP, iDesk for MSP, MARx for CMS; entrusted to perform verifications for MSP, Pharmacy, Edit 253s, Medicaid, Medicare and other projects typically only assigned to non-contracted staff*** ***Developer- for the Rx Verification and Validation procedures(SOPs),Product Owner-and by implementing them cleared a five year backlog of requests made internally and externally and helped team prioritize requests to meet TAT(turn around time) to remain in compliance with CMS; SCRUM Master-Facilitator/Coach who drove the adoption of the new process;counseled leadership on the impacts that the new IRA(Inflation Reduction Act) impacted the COB(Coordination of Benefits ) rules.*** *** Received 2 We/WOW Moments from other department leadership and external stakeholders for exemplifying Sentara’s Culture and exceeding exceptional Customer Service to internal and external customers*** ***Received Employee Spotlight for the Enrollment Department July 2025***

I provide customer operations and development management. I streamline workflows find and resolve root cause issues assist with maintaining compliance governance and regulations requirements and can now offer crms online tools software and payment systems.

Agile Leadership

Sentara Health Plans

2025