Healthcare Data & SQL Operations Specialist

Joy Cadungug

Fort Worth, TX ***** Email: **********@*****.*** Mobile: 602-***-****

PROFESSIONAL SUMMARY

Healthcare data and operations specialist with SQL experience, large data set analysis-including rates, claims and benefits, provider data validation, and cross-system accuracy. Proven ability to resolve discrepancies, perform rootcause analysis, and support production environments with consistent, errorfree results. Detailoriented, analytical, and highly adaptable in fastpaced, compliancedriven settings.

CORE SKILLS

SQL Queries • Large Data Sets • Provider Data • Data Accuracy Review • Data Comparisons • Root Cause Analysis • Excel (VLOOKUP, XLOOKUP) • Benefit Interpretation • HIPAA • Production Support • Audit & Compliance Support • SDLC / Agile • Issue Investigation • Documentation • Process Improvement • Time Management

PROFESSIONAL EXPERIENCE

Independence Holding Company, SB – Phoenix, AZ

Marketplace Technology Lead May 2018 – Dec 2025

• Performed crosssystem data comparisons to ensure accuracy prior to production release

• Created, executed and validated detailed test cases resulting in zero production defects.

• Conducted rootcause analysis on discrepancies and documented resolutions for audit readiness

• Collaborated with IT, vendors, actuaries, Sales, Marketing, and business teams to resolve system issues

• Performed crosssystem data comparisons to ensure accuracy prior to production release

• Supported production environments and explained benefit logic/system behavior to internal stakeholders

Independence Holding Company, CS – Phoenix, AZ

Manager, Rates Implementation / IT Liaison Jan 2014 – May 2018

• Oversaw rate updates from configuration to production, ensuring accuracy and compliance

• Validated benefit and financial coding, rate outputs, and crosssystem alignment

• Trained analysts on new processes, system changes, and benefit logic

• Partnered with IT and vendors to coordinate testing, data validation, and timely deployments

• Collaborated with actuarial teams to improve reporting and reduce manual discrepancies

Independence Holding Company, IAIC – Phoenix, AZ

Project Manager / Business Analyst Apr 2007 – Jan 2014

• Managed updates for 45+ products across web and desktop platforms

• Developed requirements, project plans, impact assessments, and status reporting

• Conducted system and benefit testing and resolved configuration issues before release

• Coordinated schedules, resources, vendor teams, and implementation timelines

Insurers Administrative Corporation (IAC) – Phoenix, AZ

Programmer II / Technical Analyst Jan 2003 – Apr 2007

• Configured benefit logic and executed SQL database updates to support claims adjudication

• Reviewed configuration accuracy and documented system changes for IT and business stakeholders

• Troubleshot adjudication and benefit interpretation issues and supported claims/operations teams

EARLY CAREER SUMMARY

Experience across training, auditing, encounters, customer service leadership, claims processing, and workflow optimization at Schaller Anderson (Supervisor), WellPoint (Project Manager, Customer Service Manager), and earlier healthcare roles. Built foundational expertise in accuracy, operations, system testing, documentation, and training.

EDUCATION

• AAPC CPB and CPC certifications in progress

• Microsoft MCP: SQL Server System Administration

• Microsoft MCP: Database Design & Implementation

• Project Management Fundamentals

• LOMA ACS Designation

• HIAA Parts A, B and C

TECHNICAL SKILLS

SQL • Microsoft Excel, Word, Teams, PowerPoint, Project, Visio • Asana • Box

EDUCATION

High School Diploma

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