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Management Analyst Data

Oceanside, CA
April 10, 2024

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Sandra D. Moore

**** ******** *** **** *

Oceanside, CA 92058


OBJECTIVE: Data Management Analyst

Highly analytical and process-oriented Data Management Analyst, with exceptional data analysis, research, and forecasting abilities. Knowledgeable in business analysis, process flow, business rules, process improvement, and probability analysis. Skilled communicator, motivator, and facilitator with strong interpersonal, analytical, and assessment skills. Excellent interpersonal, communication, and teamwork skills. Proficient in a variety of practice management software applications. Knowledge of Military healthcare benefits. Solid working knowledge of Microsoft Office Suite. Certified LEAN Six Sigma. AREAS OF EXPERTISE

Management Analyst:

• Maintained several systematic tracking systems and prepared weekly analytical reports.

• Executed processes and procedures for data mapping, and compliance.

• Implemented a process improvement project to streamline existing system and fulfillment functions.

• Produced databases, queries, and reports for analyzing, summarizing, and root-causing data.

• Developed Key Performance Indicators, scorecards to monitor productivity and operations.

• Presented semi-annual healthcare performance reviews to primary care and specialty clinics.

• Auditor and Data Quality analyst of Financial, Workload, and Labor Reporting. Health System Specialist:

• Effectively analyzed data to facilitate process improvement in support of the mission and operation.

• Queried and retrieved data analysis reports, cost-effective analysis, staffing, and clinic production.

• Forecasted expense and clinic production based on actual and historical data.

• Processed raw data to create reports to assist with making better business decisions.

• Reviewed relative value units, productivity, targets, labor reporting, trends, access to care, eligibility, enrollments, appointment status and utilization, and direct and purchase care expenses.

• Member of the Performance Planning committee responsible for implementing a 5-year business planning and strategies.

• Presented monthly and annual performance and productivity presentations to leadership. Supervisor, TRIWEST Military Healthcare:

• Excellent customer service representative.

• Presented TRICARE briefings to town hall meetings and individuals.

• Knowledge of TRICARE Health Care benefits and other Military Healthcare programs.

• Thorough understanding of TRICARE claims processing, referral/authorizations, and enrollment.

• Interacted with TRICARE regional contractors to resolve claim issues.

• Interacted with customers and senior commanders professionally and positively.

• Ability to make immediate and accurate decisions in a quick-paced environment.

• Administered yearly performance evaluations and set employee performance goals.

• Interviewed and trained new hires on employee policy procedures and TRICARE. CAREER BACKGROUND

Management Analyst, Naval Hospital, Camp Pendleton, CA, 03/2019 ~ 05/2023 Health System Specialist, Naval Hospital, Camp Pendleton, CA, 04/2007 ~ 03/2019 Supervisor, TRIWEST Military Healthcare, Naval Hospital, Camp Pendleton, CA, 05/2004 ~ 03/2007 EDUCATION / CERTIFICATES / WORKING KNOWLEDGE

MBA ~ Global Strategic Management Lean Six Sigma Yellow Belt Military Health System Management Tool (M2) Medical Expense Performance Reporting System (MEPRS) Expense Assignment System (EASIV)


SERVICE VETERAN – U. S. Marine Corps - Honorable. Eligible for federal income tax credit, Work Opportunity Tax Credit (WOTC) to EMPLOYERS, up to $9,600 tax credit for hiring specific target veteran(s). Please Inquire.

References Available Upon Request.

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