Shannon Lynch

Sales Administrator - Anthem Blue Cross Blue Shield

Baldwin, NY

ad10ub@r.postjobfree.com

+1-516-***-****

Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Data Analyst

Self Employed Contractor - Baldwin, NY

January 2020 to Present

Sales Administrator

Anthem Blue Cross Blue Shield

2018 to October 2019

Responsible for electronic application support for New York

. Maintain and support data base of current sales leads

. Provide electronic support for Multi State Telemarketing campaigns Sales Administrator

Cobham CAESnet

2017 to 2018

Responsible for the implementation of all new and renewing groups

Responsible for coordination of all new group activities including billing and set up

Responsible for the renewal of a large book of business

Responsible for all changes to exiting orders

Analyst-Information Technology

Magnacare

2015 to 2016

Project lead for ICD9/ICD10 conversion

Creation of data tables for clinical/administrative use

Daily data reports/analysis

Independent Contractor

Independent

2011 to 2015

Responsible for conversion and testing of all benefit plan renewals

Project lead on ICD-9 ICD-10 conversion

. Responsible for client management reports

Maintained vendor/client satisfaction

Audit and reporting of current system data issues/data integrity Analyst

Healthplex

2007 to 2011

Responsible for all monthly and quarterly client reports for over 2,000,000 lives

Interfaced with customers through the life cycle of all report requests

Established new reporting methods and procedure to improve report content and completeness of data

Responsible for all Provider Directories/NYS provider monthly data reporting

Created and maintained monthly Management Meeting Presentation representing all departments

Ad hoc claims reports

Contributed to all phases of data warehouse design and implementation

. Implemented safeguards to validate accuracy of report results

. Built/maintained appropriate data model representing enrollment and satisfaction data

Developed provider annual satisfaction presentation Benefit System Analyst-Information Systems Department Vytra Health Plans

2003 to 2006

Responsible for the conversion and implementation of all existing employer group benefit and eligibility data to a new operating platform including SDLC testing

Conducted random sampling of claims for validity of payment/nonpayment accuracy in accordance with service reported

Loaded DRG, ICD-9, and CPT contract rates into the system.

Supported clinical applications in the Surgical Information Systems

Analyzed current system to determine areas of improvement, change or enhancements

Extensive knowledge of medical terminology and ICD9/CPT coding.

Extensive knowledge of claims processing system and quality assurance initiatives.

Ability to work independently, in a timely, accurate manner with attention to detail in a high volume environment.

Senior Operations Coordinator-Sales & Marketing Department Vytra Health Plans

1991 to 2003

Responsible for supervision and development of five administrative staff which supported over 300 million in annual sales.

Responsible for all sales and database reporting for current clients, including predictive modeling and revenue streams by client segment, industry classification and channel usage patterns to identify sales opportunities and determine date driven tactics.

Responsible for audit process including verifying enrollment and billing data against DWH extracts

Presentation of post implementation data to senior management staff

Designed and maintained database functionality and reporting capabilities.

Primary interdepartmental liaison for information, system enhancement and process improvements.

Responsible for coordination of all RFIs and RFPs.

Reviewed/revised contracts to ensure state/federal regulatory compliance.

HRIS/Human Resource coordination for compliance issues including ERISA, HIPAA, and COBRA.

Generate regular reports to report membership growth and profitability

. Interfaced with EDI and outside vendor partners

Education

Certification

SUNY @ Fredonia

Skills

• Citrix (Less than 1 year)

• CRM (Less than 1 year)

• Crystal Reports (Less than 1 year)

• CUSTOMER RELATIONSHIP MANAGEMENT (Less than 1 year)

• EPIC (Less than 1 year)

• Excel (Less than 1 year)

• HHA (Less than 1 year)

• HR INFORMATION SYSTEM (10+ years)

• HRIS (10+ years)

• Ingenix (Less than 1 year)

• MICROSOFT SHAREPOINT (Less than 1 year)

• Oracle (Less than 1 year)

• PageMaker (Less than 1 year)

• PL/SQL (Less than 1 year)

• PowerPoint (Less than 1 year)

• SAS (Less than 1 year)

• Serial Attached SCSI (Less than 1 year)

• SharePoint (Less than 1 year)

• Siebel (Less than 1 year)

• SQL (Less than 1 year)

• Data Warehouse

• Microsoft SQL Server

• Requirements Gathering

• Visual Basic

• Database Design

• SDLC

• Business Intelligence

• Business Requirements

Certifications and Licenses

Lean Six Sigma Yellow Belt

Present

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