Quality Assurance Baton Rouge

Vermykia Watson, MBA

Baton Rouge, LA 225-***-**** ********@*****.*** LinkedIn Profile

Professional Summary

Meticulous, analytical, and adaptable professional with 10+ years of experience utilizing analytical tools and methodologies to transform complex data into actionable insights. Adept at identifying trends and delivering data-driven recommendations that enhance decision-making and improve business performance.

Areas of Expertise

Data Analysis & Interpretation Project Management Healthcare Claims Analytics Data Integrity Stakeholder Management Cross-functional Collaboration Compliance Process Improvement Data Warehousing Quantitative Analysis Quality Assurance

Education & Certifications

Zipline Education, Certification: Business Analytics

University of Phoenix, Master of Business Administration

Southern University, Bachelor of Science: Rehabilitation Services & Disabilities Studies

Blue Cross Blue Shield of Louisiana, Certification: Lean Six Sigma

Employment History

Catalyst Solutions Remote 2022 – Present

Customer Service Representative

Analyzes client needs and resolved issues within a fast-paced, high-volume call environment, ensuring exceptional service through proficient use of Health Edge software for data management

Optimizes data accuracy and customer interactions by effectively managing both inbound and outbound calls, leading to improved decision-making and operational efficiency

Guides clients through complex dental and medical benefit inquiries and claims processes, ensuring compliance with ADA guidelines and consistently high levels of customer satisfaction

Enhances data integrity by streamlining client information updates and coordinating cross-departmental activities, resulting in a 20% reduction in data discrepancies

Conducts risk assessments and implemented communication strategies to build trust and adherence to compliance standards

Plays a key role in improving workflow efficiency through the adoption of advanced data management practices, leading to a 15% improvement in response times

Oak Street Health Baton Rouge, LA 2021 – 2022

Manager, Patient Relations

Managed patient experiences and healthcare service coordination, utilizing Salesforce to enhance operational efficiency and patient satisfaction

Resolved patient disputes and optimized appointment scheduling processes, contributing to a 25% increase in patient satisfaction scores

Collaborated with local physicians to streamline referral processes, improving patient flow and reducing appointment wait times by 30%

Conducted regular reviews of medical records and billing statements in Salesforce, identifying and rectifying discrepancies, which led to a 20% improvement in data accuracy

Fostered strong relationships with clinical staff, leading to a more cohesive and patient-focused healthcare environment

Kelly Services Baton Rouge, LA 2019 – 2020

Substitute Teacher

Developed and implemented engaging lesson plans, fostering student growth and maintaining classroom order in the absence of the primary instructor

Organized and maintained accurate student records, demonstrating strong data management skills

Cultivated positive relationships with school staff and students, exemplifying effective communication and leadership abilities

Anthem Baton Rouge, LA 2018 – 2019

Program Administrator

Spearheaded full-cycle business initiatives using Facets, significantly enhancing client relationships and satisfaction

Leveraged Cactus and Macess to establish and nurture long-term partnerships, aligning with strategic goals and increasing stakeholder engagement by 30%

Conducted in-depth research and analysis of project data, presenting findings that informed management decisions on key market trends and projections

Collaborated across departments to drive program success, utilizing Cactus to ensure alignment with company objectives and enhance operational outcomes

United Health Group Remote 2014 – 2018

Senior Provider Data Analyst 2017 – 2018

Led quality assurance initiatives and managed databases, utilizing Facets, Macess, Cactus, and Salesforce to improve data process efficiency by 25%

Executed comprehensive provider data analysis projects, resulting in a 15% improvement in data reporting accuracy

Conducted meticulous audits across multiple systems, leading to a significant reduction in errors and enhanced process efficiency

Developed and enforced rigorous standards for database integrity, ensuring accurate data and strong user engagement

Translated complex data concepts into actionable insights, providing clear guidance to team members and stakeholders

Project Manager, Claims 2014 – 2017

Managed over 30 claims projects within stringent deadlines, utilizing Facets and Macess for effective project tracking and communication

Conducted root cause analyses of claim issues, leading to the development of a robust provider network and a smoother claims process

Played a critical role in enhancing provider networks, identifying gaps, and improving physician portal services, contributing to a 20% increase in provider satisfaction

Additional Employment History:

Account Advisor III Blue Cross Blue Shield of Louisiana Baton Rouge, LA

Technical Skills

Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) Google Suite, Health Edge, Facets, QNXT, SQL, Tableau

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