Operations and Data Integrity Specialist

Darrell Jonassaint

** ******* **

Three Rivers, MA 01080

Email: ****************@*****.***

Phone: 857-***-****

Summary

Business professional seeking to contribute as a team member in a dynamic and growing organization where my skills can be challenged and expanded. Bringing strong multitasking abilities and a commitment to achieving client success, satisfaction, and resolution of complex customer data inquiries. Experienced in navigating complex data warehousing applications and utilizing multiple software programs to search, maintain, and correct data elements with clear and concise communication.

Education

Bachelor of Science in Information Technology

University of Massachusetts Boston — Boston, MA

Graduated: May 2018

Professional Experience

Behavioral Health Network — Springfield, MA

Quality Associate

Jan 2026 – Present

• Support teams by monitoring, inspecting, and documenting production processes or services to ensure they meet established standards

• Ensuring products meet industry standards, design specifications, and customer requirements

• Ability to cross reference data, analyze data and troubleshoot data inconsistencies

• Proven experience initiating and obtaining prior authorizations, specifically for behavioral health services (e.g., therapeutic mentoring, In Home Therapy, FS&T, & Outpatient Therapy)

Point32Health — Canton, MA

Associate Contract Specialist

Sep 2023 – May 2025

• Assigned enrollment tickets to the provider enrollment team.

• Instructed provider data teams on configuring contracts with financial impacts related to claims.

• Served as a liaison for PT/OT/ST, RD, and AUD healthcare facilities partnering with Point32Health.

• Ensured enrollment of new providers and updates for existing providers across all systems.

• Communicated with multiple lines of business (Senior Plans, Public Plans, and Commercial) to enroll providers in the network so they can serve Tufts Health Plan members.

• Utilized applications such as TAHP, Cactus, and HRP to verify provider and facility enrollment status.

• Reviewed provider applications and supporting documentation to ensure all required materials were submitted before routing to contract managers for final review. Point32Health — Canton, MA

Provider Enrollment Specialist

July 2021 – Sep 2023

• Resolved complex provider enrollment issues for the Tufts Health Public Plans line of business.

• Managed health insurance data independently with efficiency, accuracy, and attention to detail.

• Utilized multiple systems including HRP, TAHP, and ServiceNow to complete provider enrollment processes.

Tufts Health Plan — Watertown, MA

Member Services Representative

Jan 2020 – July 2021

• Navigated member databases to review health benefits and claims information.

• Maintained high levels of customer satisfaction by resolving complex inquiries and providing follow-up support.

• Assisted members by answering provider concerns and delivering effective solutions to benefit and claims questions.

References Available Upon Request

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