Business Analyst
Allscripts
01.2022 - 01.2024
Hi, I’m
Yesenia Morales
San Juan
Sell your cleverness and buy bewilderment.
Rumi
Summary
Detail-oriented Analyst with 20 years of versatile healthcare expertise, adept at data analysis, process optimization, and stakeholder collaboration. Certified Risk Adjustment Coder specializing in ICD-10 code translation. Transitioned careers to deepen understanding of data analysis and technical processes within healthcare, demonstrating proactive professional development and commitment to skill enhancement. Skilled in formulating business improvement strategies, overseeing technology implementation, and driving project management initiatives. Proficient in SQL and Sisense for analytics, known for comprehensive process analysis, stakeholder collaboration, and bilingual proficiency in English and Spanish. Dedicated to enhancing healthcare outcomes, fostering provider relationships, and driving operational efficiency.
Work History
AllscriptsSan Juan
Business Analyst
01.2022 - 01.2024
Job overview
- Led comprehensive analysis of business processes, systems, and data, resulting in a significant increase in efficiency.
- Collaborated across departments to align business requirements with organizational goals, enhancing operational efficiency and stakeholder satisfaction.
- Implemented process improvements and corrected queries resulting in enhanced accuracy, cost savings, and improved client satisfaction.
- Applied root cause analysis to identify and address issues such as incorrect NPI conversions, null values, and other data anomalies, implementing targeted solutions to improve data accuracy and operational efficiency.
- Utilized SQL, Sisense, and Figma for data analytics, visualization, and UI representation, contributing to streamlined decision-making processes.
Pulse8 (Allscripts)San Juan
Manager of Provider Engagement
01.2020 - 01.2022
Job overview
- Oversaw customer performance, enhancing provider communication and increasing customer satisfaction by 20%
- Developed strategies for efficient collaboration, resulting in a 40% improvement in provider engagement metrics
- Translated ICD-10 coding and clinical documentation for training content into Spanish, facilitating improved understanding and compliance among providers.
- Researched and created a curriculum targeted for providers and their personnel to improve documentation and coding of chronic medical conditions.
- Recorded and edited associated webinars using Camtasia, facilitating comprehensive training and knowledge dissemination.
- Conducted various monthly live webinars with an audience of 150-200 attendees.
- Held weekly training sessions with providers as end users to better understand programs and platforms.
- Conducted larger monthly training sessions with provider groups, reaching an audience of around 45 people.
AdvantasureSan Juan
Provider Engagement Coordinator
01.2015 - 01.2019
Job overview
- Cultivated and maintained positive relationships with healthcare providers, resulting in a 25% increase in provider satisfaction ratings
- Developed and delivered provider training programs, improving documentation accuracy by 15% and compliance with industry standards.
- Held weekly training sessions with providers as end users to better understand the program and documentation requirements
HumanaSan Juan
Investigative Researcher
01.2014 - 01.2015
Job overview
- Conducted in-depth research and analysis, uncovering critical information to support organizational initiatives
- Analyzed and interpreted data to identify patterns and trends, facilitating data-driven decision-making processes.
HumanaSan Juan
Provider Network Operations Specialist
01.2012 - 01.2014
Job overview
- Developed and managed investigations processes addressing prescription drug abuse and fraud, ensuring operations were conducted with efficiency and confidentiality
- Utilized advanced investigative tools and methodologies to orchestrate comprehensive research in collaboration with external entities.
Chamberlin EdmondsNewark
Health Care Representative
01.2008 - 01.2011
Job overview
- Analyzed billing and medical records to determine eligibility for various state and federal programs
- Extensive knowledge of risk factors and medical conditions for expedited screening processes.
Education
Google
UX Design Professional Certificate
01.2024
Scaled Agile Framework (SAFe)
Certified SAFe 6 Scrum Master
11.2023
SAS
Visual Statistics on SAS Viya: Interactive Model Building
08.2021
Microsoft
Artificial Intelligence on Microsoft Azure
07.2021
IBM
Tools for Data Science
07.2021
AAPC
Certified Risk Adjustment Coder (CRC)
10.2020
PCCC School of Nursing
Nursing Program
06.2013
Rutgers University Newark
Psychology/Criminal Justice
06.2004
Skills
Technical Skills:
- SQL, Sisense, Power BI, Salesforce
- ETL, SSAS, Azure DevOps
- Figma, UX/UI Design
- Microsoft Office Suite
Analytical Skills:
- Root Cause Analysis
- Data Interpretation
- Predictive Analysis
Soft Skills:
- Problem-solving
- Critical Thinking
- Attention to Detail
- Adaptability
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Manager of Provider Engagement
Pulse8 (Allscripts)
01.2020 - 01.2022
Provider Engagement Coordinator
Advantasure
01.2015 - 01.2019
Investigative Researcher
Humana
01.2014 - 01.2015
Provider Network Operations Specialist
Humana
01.2012 - 01.2014
Health Care Representative
Chamberlin Edmonds
01.2008 - 01.2011
UX Design Professional Certificate
Scaled Agile Framework (SAFe)
Certified SAFe 6 Scrum Master
SAS
Visual Statistics on SAS Viya: Interactive Model Building
Microsoft
Artificial Intelligence on Microsoft Azure
IBM
Tools for Data Science
AAPC
Certified Risk Adjustment Coder (CRC)
PCCC School of Nursing
Nursing Program
Rutgers University Newark
Psychology/Criminal Justice
Languages
- English, Native
- Spanish, Native
Projects
- Translation of Clinical and Coding White Papers - Veradigm 2020-2024
- Data Skills Mentorship - Veradigm 2021
- ICD-10 Coding Backlog - Veradigm 2020
- Subrogation Backlog - Humana 2015
Projects
- Translation of Clinical and Coding White Papers, Allscripts 2020-2024
- Data Skills Mentorship, Pulse8, 2021
- ICD-10 Coding Backlog, Pulse8, 2020
- Subrogation Backlog, Humana, 2015
Languages
- English (Native)
- Spanish (Native)
Overview
16
years of professional experience
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