Open to opportunities

Alisha User

@alishauser3

Message

Healthcare operations professional skilled in data-driven process improvement.

United States

Message

What I'm looking for

I seek a collaborative healthcare operations role where I can use data-driven process improvement, provider network management, and cross-functional project leadership to improve compliance, efficiency, and patient outcomes.

I am an analytical healthcare professional with extensive experience in managed care operations, provider network management, and process improvement. I leverage data analysis and technology to drive efficiency, ensure compliance, and improve organizational performance.

Throughout my career I have managed provider data integrity, conducted root-cause analyses for claims, led onboarding and training, and delivered measurable operational improvements across clinical and administrative functions. I hold a Six Sigma - Lean certification and am proficient in Epic, Soarian, OAS GOLD, and advanced Excel functions.

I am collaborative and results-driven, experienced in managing cross-departmental projects, stakeholder relationships, and reporting for state deliverables. I consistently focus on scalable solutions that enhance care coordination and support leadership decision-making.

Experience

Work history, roles, and key accomplishments

Current

Provider Network Support Specialist

Current

Delaware First Health

Sep 2022 - Present (3 years)

Analyze and maintain provider data accuracy to support state reporting and claims processing, lead provider onboarding and training, and conduct root-cause analysis for claim payment discrepancies to drive timely resolution.

Regulatory Compliance Data Auditing

Care Coordinator

St. Peter’s Health Partners

Nov 2020 - Aug 2021 (9 months)

Coordinated discharge planning and transitions of care, reviewed patient documentation to optimize billing and reimbursement, and maintained medical databases including COVID-19 patient data for accurate reporting.

Discharge Planning Medical Documentation Data Management Patient Coordination Customer Service

Site Supervisor

Whitney Young Health Center

Jun 2020 - Aug 2021 (1 year 2 months)

Oversaw clinic operations and regulatory compliance, implemented performance improvement initiatives, and produced reports to inform executive decision-making while supervising and mentoring staff.

Clinic Operations Regulatory Compliance Performance Analysis Staff Supervision Reporting Process Improvement Stakeholder Engagement

Information Associate

St. Peter’s Health Partners

Jan 2016 - Aug 2021 (5 years 7 months)

Prepared and maintained medical documentation and chart assembly to ensure regulatory compliance and supported clinical operations through administrative tasks that improved patient service delivery.

Medical Documentation Clinical Support Compliance Administrative Support Records Management

Biomedical Operations Coordinator

Trinity Health Partners

Sep 2016 - Jun 2019 (2 years 9 months)

Coordinated procurement, training, and vendor management for biomedical equipment, managed contracts and invoices, and produced productivity reports to optimize clinical engineering operations across facilities.

Vendor Management Contract Management Invoice Processing Reporting

Administrative Support Associate

Albany Medical Center

Dec 2004 - Aug 2014 (9 years 8 months)

Managed front office operations including insurance verification and patient registration, and trained new staff to ensure consistent operational quality across inpatient and outpatient services.

Patient Registration Insurance Verification Staff Training Administrative Support Customer Service Medical Records