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Fancyface User

@fancyfaceuser

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Healthcare quality analyst leveraging analytics, Six Sigma, and program management to improve outcomes.

United States

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What I'm looking for

I seek a remote role where I can use analytics and Six Sigma to drive quality improvement, cross-functional collaboration, and measurable performance gains.

I am an analytical healthcare administrator and Doctor of Health Administration candidate focused on health care quality and analytics, with hands-on experience in insurance operations, quality assurance, and healthcare data management.

I have driven process improvements across hospital and managed-care settings by applying Six Sigma methodology, analyzing metrics, and recommending operational changes that enhance compliance and patient outcomes.

My roles have included remote pre-certification and veterans' healthcare triage, hybrid unit coordination, and leadership as a general manager — giving me a blend of clinical operations, case management, and financial oversight experience.

I am seeking remote opportunities to apply my data-driven approach, project coordination skills, and regulatory knowledge to advance performance improvement and healthcare quality initiatives.

Experience

Work history, roles, and key accomplishments

Current

Pre-Certification Associate

Current

Parallon-HCA Healthcare

Jan 2024 - Present (1 year 9 months)

Verified patient insurance eligibility and benefits to secure service authorizations, analyzed pre-certification metrics to identify bottlenecks, and recommended process improvements that improved authorization throughput. Collaborated with clinicians and payers and managed appeals to reduce denials and ensure compliance.

Authorization EMR CRM Data Analysis Process Improvement Appeals & Compliance

Current

Unit Secretary

Current

HCA Aventura Hospital

Jan 2019 - Present (6 years 9 months)

Coordinated unit operations by scheduling procedures, managing staff assignments, and routing physician orders to ensure timely execution and support nursing leadership with quality improvement documentation. Prepared reports and assisted with data entry to support operational efficiency and compliance.

Scheduling EMR Data Entry Report Preparation Quality Improvement

Veterans' Healthcare Specialist

UnitedHealth Group / Optum

Jan 2020 - Dec 2021 (1 year 11 months)

Triaged veterans' healthcare requests via telehealth, coordinated referrals and follow-ups, and delivered patient education while maintaining HIPAA compliance to improve access and continuity of care. Assisted with claims and pharmacy inquiries to resolve service issues.

Telehealth Triage Care Coordination HIPAA Patient Education Referral Management

General Manager

Development Water Services, Inc.

Jan 2015 - Dec 2019 (4 years 11 months)

Directed operations, finances, staffing, and client relations for a 20-employee company, managed budgets and financial reporting, and implemented cost-reduction initiatives that increased revenue and operational efficiency. Developed procedures to improve staff productivity and service delivery.

Operations Management Budgeting Financial Analysis Process Improvement Client Relations Strategic Planning Performance Metrics

Education

Degrees, certifications, and relevant coursework

Capella University

Doctor of Health Administration, Health Care Quality & Analytics

Doctor of Health Administration (Health Care Quality & Analytics) candidate with dissertation focusing on advancing healthcare performance improvement through data analytics and safety integration.