
John Rey Macadangdang
@johnreymacadangdang
EDI Quality Analyst at iSupport Worldwide monitoring 834 files and resolving healthcare data-processing issues.
What I'm looking for
At iSupport Worldwide, I monitor 834 EDI file processing for enrollments, terminations, and other member changes, and manage SFTP file transmissions. I also update crosswalks in Plexis and troubleshoot processing issues with internal and external teams.
Previously, I audited US healthcare plans and claims at Proview Global Administration Inc., applying client policies and privacy requirements. At Sterling Talent Solutions, I reviewed quality and verification processes, and received Employee of the Year (2021) recognition for my verification work.
Experience
Work history, roles, and key accomplishments
Electronic Data Interchange Quality Analyst
iSupport Worldwide
Sep 2025 - Present (1 year 1 month)
Monitors 834 EDI file processing, manages SFTP transmissions, and troubleshoots EDI issues. Develops process documentation and ensures compliance with US healthcare standards.
Home Health Aide
St. Anthony De Padua Home Care Center
Jun 2025 - Jul 2025 (1 month)
Provided companionship and emotional support, assisted with daily living activities, and performed light housekeeping. Fed elderly patients via PEG and NGT tubes.
Teacher Aide
My Kids World Laboratory School Inc.
Mar 2025 - Apr 2025 (1 month)
Assisted lead teachers in implementing lesson plans and preparing instructional materials. Provided support to students, including those with special needs.
ME Quality Analyst
Proview Global Administration Inc.
Aug 2024 - Feb 2025 (6 months)
Conducted audits on US healthcare plans and insurance claims, ensuring compliance with HIPAA and client policies. Generated audit reports with accuracy metrics and trend analysis.
Quality Internal Auditor
Sterling Talent Solutions
Nov 2021 - Jul 2024 (2 years 8 months)
Evaluated production processes for compliance and created quality measurements. Participated in process improvements and presented audit reports to management.
Verifications Specialist
Sterling Talent Solutions
Jun 2019 - Oct 2021 (2 years 4 months)
Made 30-40 outbound calls daily to verify employment and academic records. Reviewed and cross-referenced CVs and consent forms, ensuring accuracy and compliance.
Education
Degrees, certifications, and relevant coursework
Philippine Red Cross
Basic Life Support, Cardiopulmonary Resuscitation with AED, Basic Life Support
Completed Basic Life Support, Cardiopulmonary Resuscitation with AED training in 2025.
Proview Global Administration Inc.
Phishing Training, Compliance and Quality Management
Completed multiple trainings in 2024 including Phishing, ISO 9001:2015 QMS, ISO 27001:2022 ISMS, HIPAA Awareness, HIPAA Compliance, and HIPAA Supplemental.
Proview Global Administration Inc.
ISO 27001:2022 ISMS Training, Information Security
Completed ISO 27001:2022 ISMS Training in 2024.
Proview Global Administration Inc.
ISO 9001:2015 QMS Training, Quality Management
Completed ISO 9001:2015 QMS Training in 2024.
Proview Global Administration Inc.
HIPAA Supplemental Training, Healthcare Compliance
Completed HIPAA Supplemental Training in 2024.
Proview Global Administration Inc.
HIPAA Awareness Training, Healthcare Compliance
Completed HIPAA Awareness Training in 2024.
Proview Global Administration Inc.
HIPAA Compliance Training, Healthcare Compliance
Completed HIPAA Compliance Training in 2024.
Sterling Talent Solutions
Privacy Training, Privacy
Completed Privacy Training in 2023.
Sterling Talent Solutions
Security Awareness Training, Security
Completed Security Awareness Training in 2023.
Sterling Talent Solutions
Global Sanctions Policy Training, Compliance
Completed Global Sanctions Policy Training in 2022.
Sterling Talent Solutions
Anti-Corruption and Bribery, Compliance
Completed Anti-Corruption and Bribery Training in 2022.
Pamantasan ng Lungsod ng Marikina
Bachelor of Science, Entrepreneurship
2015 - 2019
Bachelor of Science in Entrepreneurship from Pamantasan ng Lungsod ng Marikina from 2015 to 2019.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Salary expectations
Social media
Job categories
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