Jamilah Smalls
@jamilahsmalls
Healthcare operations and technology leader driving program integrity and system implementations.
What I'm looking for
I am an experienced healthcare operations and technology professional with over 10 years supporting managed care, Medicaid/Medicare programs, and clinical operations. I combine technical analysis, vendor management, and process improvement to strengthen compliance and care delivery.
Throughout my career I have led cross-functional teams, supervised large staffs, and implemented system changes and vendor programs that improved performance — including a vendor scorecard that raised vendor performance by 40%. I am proficient with tools such as Salesforce, ServiceNow, ALM, and Crystal Reports and regularly perform testing, reporting, and data analysis.
I seek roles where I can apply my implementation, technical business analysis, and program integrity experience to streamline operations, mentor teams, and deliver measurable improvements in quality and compliance.
Experience
Work history, roles, and key accomplishments
Installer Technician
Independent Contractor
May 2024 - Present (1 year 7 months)
Perform in-home installation, servicing, and retrieval of medical alert systems while educating patients on equipment use and coordinating technical issue resolution with the office.
Technical Business Analyst
Capital Blue Cross
Dec 2023 - Present (2 years)
Provide technical analysis and problem resolution across enterprise and peripheral systems, author and execute test plans for maintenance and small projects, and document defects in ALM to support system enhancements.
Account Analyst
Capital Blue Cross
Dec 2021 - Nov 2023 (1 year 11 months)
Managed external business partner accounts by documenting requirements, resolving issues per SLAs, and preparing and presenting operational reports summarizing trends and performance.
Supervisor, Records Control & Claims
Capital Blue Cross
Jul 2020 - Dec 2021 (1 year 5 months)
Coordinated claims processing and special projects, monitored claims volume and inventory, entered complex claims payments, and provided regular performance feedback to direct reports.
Implementation Coordinator
Moravia Health
Sep 2019 - Jul 2020 (10 months)
Managed post-go-live relationships and account activities, tracked project decisions and data, resolved system issues, and interfaced with managed care partners to collect required authorizations.
Manager, Service Coordination
Pennsylvania Health & Wellness
Dec 2018 - Aug 2019 (8 months)
Led a 12-person account management team and implemented a vendor scorecard program for 112 vendors, improving vendor performance by 40% and supporting Medicaid/Medicare revenue initiatives.
Clinical Supervisor
United Healthcare
Mar 2016 - Nov 2018 (2 years 8 months)
Supervised a 30-person team across multiple lines of business, provided coaching and program integrity improvements, and conducted quarterly field outreach and internal audits to ensure documentation quality.
Training Manager
Liberty Resources
Jul 2006 - Mar 2016 (9 years 8 months)
Oversaw daily workflow of supports coordinators, conducted performance reviews and coaching for new staff, and developed tools to strengthen program integrity across assigned programs.
Education
Degrees, certifications, and relevant coursework
University of Phoenix
Master of Health Administration, Gerontology
Completed a Master of Health Administration with a gerontology specialty, focusing on healthcare management and elder care services.
Pennsylvania State University
Bachelor of Science, Rehabilitative Services
Earned a Bachelor of Science in Rehabilitative Services with coursework preparing for roles in support coordination and clinical services.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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