Open to opportunities

Renee Oishi

@reneeoishi

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Healthcare data analyst and operations leader driving efficiencies, compliance, and data-informed decisions.

United States

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What I'm looking for

I am seeking a role combining healthcare analytics and operations where I can drive process improvements, ensure compliance, lead teams, and deliver measurable client and organizational impact.

I am a results-driven healthcare operations and data professional with 8+ years of experience across benefits administration, claims management, and education. I focus on driving operational efficiency, HIPAA-compliant processes, and measurable client satisfaction improvements.

I have led teams, designed training curricula, and analyzed Medicaid and claims data to reduce service gaps and processing times—saving costs and improving outcomes. Notable achievements include reducing Medicaid service gaps by 30%, cutting claims processing time by 45%, and boosting retention and satisfaction metrics.

I bring strengths in process improvement, governance and compliance, BI/data analytics, and cross-functional stakeholder engagement, and I seek opportunities where I can apply analytics and operational leadership to improve healthcare service delivery and benefits administration.

Experience

Work history, roles, and key accomplishments

Educational Facilitator

W.S.G. Academy

Jan 2015 - Dec 2023 (8 years 11 months)

Designed and delivered e-learning curricula and assessments, boosting student retention by 15% and satisfaction scores by 20% through targeted engagement and feedback strategies.

Curriculum Design E Learning Assessments Retention Strategy Learning Analytics Instructional Design Remote Training

Contracting Provider Specialist

Excela Solutions Enterprises

Jan 2015 - Dec 2019 (4 years 11 months)

Managed appeals, grievances and clinical claims reviews ensuring HIPAA/PHI compliance; led onboarding and training that increased adjuster efficiency by 25% and reduced claims errors by 15%.

Claims Management Appeals HIPAA Clinical Review Onboarding Training Process Improvement Quality Assurance

Benefits & Eligibility Assistant Manager

Xerox State Health Insurance

Jan 2014 - Dec 2015 (1 year 11 months)

Analyzed Medicaid claims and program applications to optimize processes, partnering with CMS to refine program definitions and reducing Medicaid service gaps by 30%.

Medicaid Benefits Administration Data Analysis

Program Director

KRA One Career Stop

Jan 2013 - Dec 2014 (1 year 11 months)

Coordinated employer resources and recruitment programs, managing 35–40 client cases monthly and delivering employment seminars and recruitment events to improve placement outcomes.

Program Management Case Management Event Coordination Career Services

Senior Claims Analyst

Hanover Insurance Group

Jan 2011 - Dec 2013 (2 years 11 months)

Processed 150+ claims monthly, implemented a new reporting system that cut processing time by 45% and reduced litigation costs while improving customer satisfaction.

Claims Processing Reporting Systems Root Cause Analysis Contaminated Food Claims Process Optimization Regulatory Compliance Customer Service

Healthcare Administrator

Saint Francis Hospital

Jan 2010 - Dec 2011 (1 year 11 months)

Managed patient scheduling, surgical coordination, and post-care follow-up, driving a 45% increase in service quality ratings and 31% retention growth through workflow improvements.

Patient Scheduling Care Coordination Patient Experience Healthcare Operations Compliance