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Analyst I, Disney Worldwide Services Support
Quality improvement and operations manager in Medicaid programs who turned case-review findings into coaching, updated procedures, and audit-ready workflows.
United StatesAnalyst I, Disney Worldwide Services Support at OPTIV
Maintained accurate security investigation records and tested evolving workflows, documenting issues and communicating feedback. Developed an AI-assisted investigation-documentation template to promote consistent narratives.
ServiceNowSharePointConfluenceXSOARSecurity InvestigationsProcess documentationAI assisted Documentation
Led daily operations, coaching, and quality expectations for a 13-person Medicaid eligibility team. Conducted quality reviews, interpreted policy changes, and addressed gaps through training and SOP updates.
MedicaidQuality AssuranceStaff CoachingPolicy InterpretationExcelSOP DevelopmentEscalation Management
Contributed to statewide Medicaid appeals-interface design and built structured onboarding resources. Reviewed cases for compliance and coordinated evidence for specialized appeals, maintaining a zero-loss record.
MedicaidAppealsPolicy ComplianceTraining and DevelopmentExcelStakeholder CoordinationCMS Guidance
Administered Medicaid eligibility, renewals, and service authorizations. Managed over 380 long-term-care cases across 18 facilities, resolving complex policy and provider questions.
MedicaidEligibilityLong Term CareCase ManagementPolicy Interpretation
Supported pharmacy-benefit members across more than 14 Blue Cross Blue Shield health plans. Earned five World Class Service awards and two performance bonuses.
Pharmacy BenefitsCustomer ServiceHealth Plans
Supervised customer service during a high-volume e-reader launch and assisted with process standardization and new-hire guidance. Created over 112 reusable response templates.
Customer ServiceSupervisionProcess StandardizationTrainingTemplate Creation
Pursuing a Master of Business Administration in Healthcare Administration, expected to complete in 2027.
Pursuing a Master of Business Administration in Healthcare Administration, expected to complete in 2027.
Earned Dex Professional Certification (DEX-PSP) in Business & Office Operations as a Specialist in August 2026.
Earned Dex Professional Certification (DEX-PSP) in Business & Office Operations as a Specialist in August 2026.
Earned Dex Management Certification (DEX-MGM) in Sales & Customer Success as a Group Manager in August 2026.
Earned Dex Management Certification (DEX-MGM) in Sales & Customer Success as a Group Manager in August 2026.
Earned a Bachelor of Science in Business Administration in May 2018.
Earned a Bachelor of Science in Business Administration in May 2018.
Earned Lean Six Sigma Yellow Belt certification in March 2018.
Earned Lean Six Sigma Yellow Belt certification in March 2018.
Profile sourced from Himalayas.