Isaac C.

Senior Business Analyst

Versant Health

May 2022 - Current (4 years)

• Project Management: o Lead and manage complex projects with cross-functional teams, delivering defined requirements and meeting company strategic objectives. o Successfully deliver projects on time, with a 95% satisfaction rate from stakeholders and reporting. o Improved network performance and workforce management through data-driven reports creating transparency for leadership in the provider onboarding process. • Data Analysis: o Develop and maintained KPI dashboard and several assorted reports using Power Pivot, Excel Data Collection, and Excel VBA for V and D level management. o Conducted data cleaning processes to ensure effective data analytics, increasing reporting measures. o Collaborated with other departments within the organiz

Member Services Specialist

Visiting Nurse Service of New York

Jan 2022 - May 2022 (5 months)

• Use soft skills and customer service protocols, to provide a hand holding experience for the member as the call is analyzed for documentation. • Conduct research to inquires or problems and obtain answers, as well as ensure the satisfaction of every member. • Confirm that members' benefit requests are being processed in a timely manner across several departments by communicating via Guiding Care, HHAeXchage, or Parachute.

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Benefits Specialist

Serur Agencies

Jun 2021 - Jan 2022 (8 months)

• Managed and educated multiple clients on specific life insurance plans and coverage scheduled and conducted meeting with prospective customers and completed required documents. • Execute client renewal by fostering relationships with more than 200 clients and asking effective questions to identify client demands.

Full-time parenting

Career Break

Feb 2020 - Jun 2021 (1 year 5 months)

Due to COVID I was full time parent, teacher, and day to day organizer for my 6 year old. The mother was consider an essential worker since she was in law enforcement.

Business Data Analyst

MONTEFIORE HEALTH SYSTEM

Apr 2019 - Jan 2020 (10 months)

• Develop efficient system development life cycle (SDLC) to organize data collection and create a cost-effective system to retain membership for further analysis. • Organize end-to-end analysis of applications and system software to optimize processes including enrolment, client data collection, dosage administration, and increase retention. • Develop project plan and policy and procedure that will allow a new effective way of data collection by using Survey Monkey and Mathematica(nForm). • Improve analytical reporting and introduce an organizational change for data collection purposes. Implementing an internal process and creating a repository to analyze changes within the 6 years of the Grant period.

Senior Product Specialist

EmblemHealth

Sep 2016 - Nov 2018 (2 years 3 months)

• Develop project plan to manage 3rd party vendors outlining deliverables, business requirements, risks, assumptions, key stakeholders, roles and responsibilities. • Improve organization, analytical reporting, and yearly Medicare renewal by implementing an internal access database program and creating a repository to analyze changes from the past five years, including benefits, group administration, sales, and pharmacy benefits. • Effectively manage multiple projects of annual regulatory documents mailed to existing and new members following CMS guidelines and in compliance with Medicare rules and regulations.

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Utilization Business Specialist

MJHS

Feb 2016 - Aug 2016 (7 months)

• Created service agreements and authorizations for PCW, CDPAS, ADC/SDC, and DME following CMS guidance. • Effectively resolved provider concerns by acting as a liaison among departments. • Improved communications and service levels by addressing the concerns of all contracted care providers and coordinating all information transfers to and among internal departments.

Eligibility Billing Analyst

Visiting Nurse Service of New York

Jan 2015 - Oct 2015 (10 months)

• Assessed member referrals from various sources to determine required documentation and process applications, recertifications, look-backs, and pooled income trusts. • Analyzed reports, including account receivables, rebilling, remittance, and denials of payments, to identify outstanding and unique issues and recommend adjustments. • Decreased disenrollment in MLTC and improved communications by creating procedures to reach out to members more frequently. • Communicated with members to ensure information was received and processed in a timely manner within the office for enrollment and recertification.

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Project Business Analyst/ Data Analyst

Mount Sinai St Lukes and Mount Sinai West

Jun 2012 - Nov 2014 (2 years 6 months)

• Conducted market analysis to evaluate trends and develop timely reports, manage P&L, and create online dashboards for different health divisions. • Drove online traffic, improved marketing efforts, and increased potential members by implementing Google Analytics to evaluate web performance. • Increased production and expanded the customer base by coordinating workshops for physicians and patients. • Enhanced executive decision-making by creating data-driven reports to present to the chief of operations and physicians.

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