Jenny Bradley
@jennybradley
Senior provider engagement and compliance professional optimizing workflows and data integrity in healthcare operations.
What I'm looking for
I’m a results-driven operations and compliance professional with 10+ years supporting provider operations, credentialing, regulatory compliance, claims research, and reporting accuracy in highly regulated environments. I’m recognized for strong organizational skills, discrepancy resolution, and my ability to manage complex operational processes while protecting data integrity.
In my current role as a Senior Provider Engagement Specialist at Centene, I partner cross-functionally to analyze claims discrepancies, resolve escalated issues, and improve operational efficiency. I manage credentialing and compliance processes for large multi-site healthcare networks, provide system training and operational guidance, and support process improvement focused on reporting accuracy, workflow optimization, and stakeholder engagement.
Previously, as a Provider Database Coordinator Senior at Centene, I led high-volume data reconciliation and reporting across enterprise systems, verified 300+ monthly files, and drove data cleanup initiatives that increased data accuracy by 30% and reduced operational errors by 25%. I approach every challenge with a compliance-first mindset, thorough research, and cross-functional collaboration to ensure timely, accurate workflow execution.
Experience
Work history, roles, and key accomplishments
Partnered with account management, provider operations, and internal teams to analyze and resolve claims discrepancies while improving operational efficiency. Managed credentialing, compliance, and provider operational processes for large multi-site healthcare networks and supported providers with training and documentation accuracy.
Managed high-volume data reconciliation and reporting across multiple enterprise systems while maintaining regulatory and organizational standards. Processed 300+ monthly files/submissions and improved data accuracy by 30% while reducing operational errors by 25% through data cleanup and process improvement initiatives.
Insurance Verification Specialist
Dental Specialties of NY
Mar 2015 - Sep 2015 (6 months)
Verified insurance coverage and policy details to support accurate claims processing and timely reimbursement. Submitted and tracked authorization requests and streamlined claim workflows to reduce payment delays and improve reimbursement turnaround time.
Education
Degrees, certifications, and relevant coursework
Jenny hasn't added their education
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