At Sidecar Health, I analyze complex member and plan-related issues, interpret requirements, and create and track Jira requests to resolve operational and data issues.
At Clear Spring Health, I led an enrollment processing team handling regulated Medicare enrollment and eligibility transactions. Through data verification, quality oversight, and targeted follow-up, I reduced avoidable CMS transaction rejections to less than 1% and helped achieve a 100% CMS timeliness rating for 2023.
Earlier at Clear Spring Health, I handled complex health plan inquiries, maintained CMS-compliant electronic records, and carried out quality assurance activities, including approximately 30 evaluations per week. My experience also includes maintaining medical records while protecting PHI under HIPAA.
