Thomas Swartz
@thomasswartz
Experienced operations analyst with a strong background in healthcare.
What I'm looking for
With over 25 years of experience across various industries, including healthcare, banking, trust, and brokerage, I am a proactive and goal-oriented professional. My expertise lies in operations analysis, where I have successfully managed audit and reporting processes, ensuring compliance and client satisfaction. I am known for my reliability and adaptability, with a swift capacity to learn and apply new skills effectively.
Throughout my career, I have demonstrated strong problem-solving skills and a commitment to driving team success. At UPMC Health Plan, I managed enrollment memberships, conducted data analysis, and proposed solutions to enhance operational efficiency. My experience also includes leading projects, training colleagues, and maintaining documentation to support organizational growth. I am passionate about leveraging my skills to contribute to a dynamic team and achieve outstanding results.
Experience
Work history, roles, and key accomplishments
Operations Analyst
UPMC Health Plan
Sep 2014 - Sep 2023 (9 years)
Managed audit and reporting for enrollment memberships, provided support for colleagues, and conducted testing and implementation of new processes. Analyzed data to identify areas of concern and proposed solutions to enhance client satisfaction.
Lead Benefits Systems Administrator
Towers Watson
Mar 2014 - Jul 2014 (4 months)
Supervised Benefits Systems Administrators, addressed benefit and coding issues, and streamlined client vendor file processing to enhance efficiency. Conducted audits and managed user access setups.
Medicare Analyst/Auditor
CVS Caremark
Sep 2011 - Feb 2014 (2 years 5 months)
Reviewed clinical and non-clinical cases for compliance with CMS regulations, conducted error analysis, and implemented corrective action plans. Provided training on policies and procedures for production end-users.
Risk Analyst
PNC
May 2009 - Apr 2011 (1 year 11 months)
Investigated and resolved transaction-based exceptions, managed operations for various financial services, and conducted trade error analysis. Developed tailored resolutions for high-volume accounts and performed system testing.
Education
Degrees, certifications, and relevant coursework
Duff's Business Institute
Associates Degree, Accounting
Availability
Location
Authorized to work in
Job categories
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