Support Specialist Data Management

Shreenidhi Gujjula MBA, MHA

573-***-**** **********.*******@*****.***

Experience Summary

5+ years of experience with a cross-functional team of business analysts, product owners, engineers, and business stakeholders, setting the vision and strategy for the company's products to benefit end users.

Identifies user needs and product opportunities through user research and data analysis.

Experience in importing bulk data to Salesforce and collaborating with a data engineering team on enforcing data integrity with other enterprise systems.

Expertise in maintaining large datasets for data accuracy, technical problem solving, duplicate data management, connecting users in sales, marketing, finance, and account management.

Expert in building Salesforce custom reports, dashboards, data manipulation tasks ensuring proper ownership of existing accounts and contacts.

SKILLS

Certified Salesforce ADM 201

Certified Scaled Agile Framework

Proficient with SQL, Smartsheet & QuickBooks, OneNote

Tableau reports

Epic EHR, Sage HRMS, Modio Health

Certified Microsoft Excel user

PROFESSIONAL EXPERIENCE

Delta Dental of Washington, Seattle, WA

Producer Support Specialist (March 2021 – February 2023) Accomplished renewal process of 1200+ DDWA appointed Producer licenses with OIC by collaborating with Salesforce engineers by building custom reports along with automating the Salesforce database with internal enterprise systems to reduce redundant manual intervention.

Streamlined and optimized the solicitation of the company's insurance products to stay in compliance with the State OIC regulations.

Ensured the compliance of the company and WA State regulations of the Office of Insurance Commissioner (OIC) regarding the licensing of the appointed insurance personnel.

Managed all aspects of 1200+ producer and agencies licensing functions by processing applications, appointments, renewals, and cancellations of the WA OIC Producer licenses.

Acted as a primary liaison by troubleshooting Producer portal web access issues, maintaining, and updating the internal Salesforce database regarding the changes on small group plans, individual and family plans and Kaiser Permanente united group plan files and collaborates with Finance team by data entry and providing commission statements to the producers within 24-hour turnaround.

Performed a wide variety of database functions in Salesforce, Dynamics NAV, and other internal systems to conduct quality control amongst Sales Operations.

Evaluated and implemented processes to execute qualitative engagement with Producers and Sales Operations Staff by ensuring significant producer satisfaction. International Community Health Services, Seattle, WA Credentialing & Policy Manager (August 2020 – February 2021)

Sole individual who was responsible for the Licensing and Credentialing at ICHS by actively developing and implementing efficient project workflows for organization’s credentialing data management for 220 medical providers, to ensure organization’s compliance with all required state and national accrediting and regulatory agencies.

Executed the implementation of DocuSign for Credentialing processes and established an internal tracking reporting system to board members for 160+ provider’s reappointment processes; corrected potential time frame gaps and application deficiencies to meet the deadlines.

Performed initial onboarding of new providers and employees at ICHS and their affiliation at Swedish Medical Center, addressed challenges with their quality performances, continuous process improvement, implementations of workflows and ensured great provider satisfaction.

Maintained the organization’s Policy and Procedure Manager (PolicyTech software), ensured policies and procedures were approved via the appropriate workflows; assigned policies/procedures to designated policy custodian; disseminated policies/procedures to staff and ensured acknowledgement and tracking of completion.

Performed federal and state loan repayment programs with appropriate incumbents and departments; ensured approval in the site application process.

Ensured proper approval by Medical Quality Assurance Commission for the State Delegation Agreements between Physician Assistants and Supervising Physician.

Utilized EPIC systems within Providence network to enroll medical providers and staff for running analytical reports.

Providence Health & Services, Seattle, WA

Telehealth Licensing & Credentialing Consultant (December 2019 – May 2020)

Successfully onboarded and credentialed 30 hospitalists and stroke providers onto Telehealth platform which allowed them to treat patients virtually in 8 different states in America using database on Smartsheet enabling to track the upcoming dates for their initial appointments and reappointments with their privileges to be approved by medical boards committee.

Used Smartsheet to develop and maintain a database for individual practitioners for the purpose of tracking and reporting the credentialing and recredentialing status as necessary.

Processed all facility / entity applications as required by governmental agencies (JCAH) and health insurance companies.

Maintained departmental grids and databases for credentialing, licensing, and privileging and payer data within appropriate, assigned timelines in SharePoint site.

Worked in collaboration with the telehealth program medical director, provider and payor network management and advised facilities as needed on privileging protocol development related to the delivery of telehealth services to their patients.

Worked as a Liaison between providers and licensing-credentialing offices, facilitated effective and efficient approval of telehealth privileges.

Collaborated with other telehealth analysts, EPIC program manager, provider network management and IS to organize, prepare, and distribute data analytic reports utilizing Tableau. Decatur Ambulatory Surgery Center, Decatur, AL

Assistant Administrator (October 2016 – April 2019)

Skillfully performed all administrative tasks for surgery clinic by gathering and analyzing patient’s data, physician's data, financial data, processed accounts payable, accounts receivable, insurance and claims verification and payroll for workforce of 50 clinical staff:

Lead compliance initiatives on behalf of the surgery center by maintaining correspondence with the Joint Commission & CMS, in order to meet performance standards (KPI's) assessing staff competency: assessing licensed independent practitioners, documentation of staff and physicians’ credential files by reviewing whether current licenses were in good standing, periodic performance evaluations, qualifications, privileges, state licensure, registration, and state certification.

Took ownership of processes related to Infection control records and ensured surgery center was in compliance with all infection control requirements, such as hand hygiene, injection safety, equipment sterilization, usage and labeling of single-dose medications. Analyzed deficiencies and gaps between the requirements and surgery center’s internal processes and communicated with board members to take corrective actions.

Organized periodic leadership meetings for the surgery center and allied organizations, attended and published proceedings, and updated policies and procedures as appropriate.

Coordinated with bookkeeper and CPA to maintain the QuickBooks data for the center by recording the total revenue received, paying all facility bills, keeping accurate spreadsheets to report monthly to the board members of the facility.

EDUCATION

University of the Cumberlands, Williamsburg, KY August 2019 Master of Business Administration

University of New Haven, New Haven, CT December 2016 Master of Healthcare Administration

Manipal University, Karnataka India May 2013

Bachelor of Pharmacy

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