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SummaryStrategic Quality Analyst versed in developing standard operating procedures and training materials to promote adherence to quality standards. Dedicated to identifying operational pain points and implementing actionable improvements reduce corporate costs and increase consistency of quality.Strategic Quality Analyst versed in developing standard operating procedures and training materials to promote adherence to quality standards. Dedicated to identifying operational pain points and implementing actionable improvements reduce corporate costs and increase consistency of quality.SkillsMonitor quality control Support auditsCompile data Task prioritizationCoachingContinuous improvementFormsInsuranceLeadershipQualityQuality controlTeamworkGoal-orientedProcesses and proceduresIssue and conflict resolutionTime managementConflict resolutionRelationship buildingProblem resolutionWorking collaborativelyClaims processingAudit proceduresCoding proficiencyAuditing proficiencyCheck processingExperienceOptum Glendale, AZQuality Analyst02/2010 - 02/2020Identified quality trends to investigate system flaws, process inefficiencies and training needs.Implemented cost-reduction measures while maintaining consistent quality.Audited training and production processes, enforcing adherence to SOPs.Monitored completed work and provided feedback to improve team member performance.OptumSupervisor02/2007 - 02/2010Established and enforced clear goals to keep employees working collaboratively.Maintained operating schedules to provide effective coverage for key areas and achieve objectives.Provided ongoing training to address staff needs.Resolved customer complaints and adjusted policies to meet changing needs.Interviewed applicants, recommended individuals for hiring and evaluated staff performance.Created training manual for all employees to use as reference guide.Realigned workflows with changing business demands by evaluating processes and employee strengths.Conducted employee evaluations and reviews.OptumSenior Medical Claims Examiner02/1996 - 02/2007Accurately processed large volume of medical claims every shift.Used contract notes and processing manual to correctly apply group-specific classifications to claims.Evaluated pending claims to identify and resolve problems blocking auto-adjudication.Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.Stayed current on HIPAA regulations, benefits claims processing, medical terminology, and other procedures.Based payment or denials of medical claims upon well-established criteria for claims processing.Education and TrainingSan Joaquin Valley College Fresno, CAMedical Assistant in MedicalGPA: 4.0, Dean's List Honoree, all semesters, Graduated in top 1% of class, Graduated with distinction. Graduated with honors