Jessica Reynolds
@jessicareynolds1
Business Process Consultant at UnitedHealthcare supporting CMS data validation audits and building tools to improve reporting quality.
United StatesWhat I'm looking for
At UnitedHealthcare, I support CMS-mandated data validation audits, identify mitigation steps for programming and operational issues, and build tools for validating data files. I also maintain metrics that measure timeliness and quality.
Earlier at UnitedHealthcare, I supported Coordination of Benefits processes by integrating CMS data with eligibility and claims data. As Senior Business Analyst / Manager, I enhanced Connector Model file processing, improved client-facing error reports, and saved over 600 hours of manual labor by using SharePoint to streamline report requests.
My work has also included developing SQL-based data extraction programs at IMS Health and managing provider and claims data operations at Health Market Science. I hold an MBA with a concentration in Marketing and have training in Six Sigma Green Belt.
Experience
Work history, roles, and key accomplishments
Supported annual data validation audits mandated by CMS, identified mitigation steps for programming and operational issues, and built metric reporting and validation tools.
Managed a staff of up to 4, provided training in SQL/SAS/MS Access, and supported Coordination of Benefits processes by integrating CMS data with internal systems.
Supported CMS-mandated audits and reporting, conducted data pulls and analysis, and coordinated research and responses for internal and external stakeholders.
Managed team reporting and file processing, standardized file intake, and developed automated processes that saved over 600 hours of manual labor.
Business Analyst/Manager
Health Market Science
Oct 2008 - Jun 2009 (8 months)
Managed a staff of 12, oversaw provider and claims-based projects, and partnered with internal teams to develop requirements and timelines.
Business Analyst/Client Service
Health Market Science
Apr 2008 - Oct 2008 (6 months)
Managed provider and claims-based deliverables for clients, gathered and documented business requirements, and liaised between developers and clients.
Managed operations for pharmaceutical client contracts, including budgeting and marketing duties, and served as liaison between clients and data management teams.
Developed SQL-based web harvesting programs to automate dataset extraction and restructured data from 150 medical state licensing boards for a CRM database.
Education
Degrees, certifications, and relevant coursework
LaSalle University
Master of Business Administration, Marketing
2005 - 2008
Graduated January 2008 with a Master of Business Administration with a concentration in Marketing.
Lock Haven University of Pennsylvania
Bachelor of Science, Business Administration
2001 - 2004
Activities and societies: Member of Women’s Basketball Team – NCAA Division II (Partial scholarship)
Graduated May 2004 with a degree in Business Administration, concentrating in Management Information Systems and Computer Information Science. Member of the Women's Basketball Team (NCAA Division II) on partial scholarship.
University of Maryland Baltimore County
Bachelor of Science, Information Systems
1999 - 2001
Activities and societies: Member of Women’s Basketball Team – NCAA Division I (Full scholarship)
Studied Information Systems from August 1999 to May 2001. Member of the Women's Basketball Team (NCAA Division I) on full scholarship.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Salary expectations
Job categories
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