At Centene Corporation, I drive quality assurance across healthcare authorization operations, validating FACETS Desktop workflows involving eligibility, coverage, providers, and business rules. I reconcile records with Excel and operational reporting to investigate discrepancies and identify out-of-compliance records.
I develop targeted test coverage for high-risk authorization conditions and use Power BI dashboards and trend analysis to spot recurring quality patterns. I also evaluate unexpected results against business rules and compliance requirements, then validate corrective actions across affected workflows.
At Silotech Group, Inc, I delivered QA for a Salesforce CRM supporting National Guard operations, testing approval routing, documentation requirements, permissions, and exception scenarios. At UnitedHealth Group, I supported QA for the Optum HouseCalls CRM, testing appointment workflows and data relationships across the member-to-appointment journey.
