Kennedy Durham
@kennedydurham
CX Analyst with healthcare operations expertise in quality, compliance, and patient assistance workflows.
What I'm looking for
I’m a quality-focused healthcare operations professional working as a CX Analyst, Tier II, processing prior authorizations, denials, appeals, and prescription renewal workflows in a pharmaceutical patient assistance program. I’ve maintained a 98% quality/accuracy rating versus a 75% team standard while handling a high-volume, SLA-driven caseload.
I audit and monitor case data across multiple systems for accuracy, completeness, and compliance, serving as a Tier II escalation point for complex cases like step therapy coordination and legacy application issues. With an audit-ready, documentation-first approach from U.S. Air Force service, I handle sensitive PII and diagnosis/financial data daily in full HIPAA compliance.
Experience
Work history, roles, and key accomplishments
Performed visual inspections and root cause analysis for quality issues in a 5S continuous improvement environment. Documented defects against engineering specifications and maintained production and quality records while communicating findings to prevent recurrence.
CX Analyst, Tier II
Provalus
Sep 2024 - Mar 2025 (6 months)
Processed prior authorization requests, denials, and appeals for a Bristol Myers Squibb-affiliated patient assistance program, resolving coverage gaps by coordinating with patients, providers, pharmacies, and insurance carriers. Maintained a 98% quality/accuracy rating, served as a Tier II escalation point for complex cases, and handled prescription renewal and shipping workflows in an audit-ready
Diagnosed and resolved technical and compliance issues on-site while maintaining accurate service and inspection records. Operated independently across multiple daily service calls and managed tools, parts, and compliance documentation without direct supervision.
Aircraft Fuel Systems Journeyman
U.S. Air Force
Jan 2010 - Jan 2016 (6 years)
Maintained and inspected aircraft fuel systems under USAF Technical Orders in a zero-defect, mission-critical environment with strict adherence to written policies and procedures. Managed lifecycle accountability for high-value assets, trained and mentored junior airmen, and authored technical documentation and inspection records for 50+ person programs.
Education
Degrees, certifications, and relevant coursework
Course Careers
IT Support & Systems Administration
In-progress course focused on IT Support and Systems Administration.
CompTIA
CompTIA A+ (Core 1: 220-1201)
2026 - 2026
Grade: 747/900
Passed CompTIA A+ Core 1 (220-1201) with a score of 747/900 (July 2026).
U.S. Air Force
Aircraft Fuel Systems
2010 - 2011
Completed U.S. Air Force technical training in aircraft fuel systems, following Technical Orders and documented inspections in a mission-critical environment.
Occupational Safety and Health Administration (OSHA)
OSHA 10 — General Industry
Completed OSHA 10 training in the General Industry track.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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