Leroy Gary

***** ******* **, ******, **********, 92371

424-***-****

adn32q@r.postjobfree.com

EXPERIENCE

United Healthcare Cypress, CA May 2013 - March 2020

Sr. Financial Analyst June 2015 - March 2020

Performs financial analysis for external or internal departments.

Research and perform audits on EOB and Encounter data reports.

Identifies trends and analyzes metrics to continually improve processes and key performance indicators within the department.

Leads monthly reconciliation of region budget expectations and actual results

Supports Finance and Operations Teams with report requests on an ad hoc basis.

Responsible for modifying existing reports and testing reports for accuracy.

Prepares reports and data as directed to support departmental goals, metrics, and KPI's.

Responsible for creating region budgets and monthly financial review files.

Performs other related duties as assigned.

Provider Operations & Quality Supervisor May 2013 - June 2015

Supervisor over the Claims PDR team.

Ensure that the PDR cases are review in a timely manner.

Oversee that Acknowledgement and Determination letters are sent out timely in accordance with compliance.

Professional Business Service Lynwood, CA June 2009 - November 2012

Auditor Accountant Supervisor

Supervised claims adjusters to ensure that adjusters have followed proper methods.

Conducted detailed bill reviews to implement sound litigation management and expense control.

Molina Healthcare Long beach, CA April 2008 - May 2009

Claims Operations Support Supervisor

Managed the claims payments unit, reserves and new claims on computer system, input concise yet sufficient file Documentation.

Verified and analyzed data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures.

EDUCATION

University of Phoenix La Morada, CA Completed

Bachelor of Science in Business Management

SKILLS

ERP Systems: MAS, Nice, RAMS

Possess the knowledge of business and management principles involved in strategic planning, resource allocation, modeling, leadership technique, production methods, and coordination of people and resources. The ability to read and understand information and ideas presented in writing.