Sheree S. Martin-Clark
Greensboro,NC
Summary
Professional data analyst with focus on maintaining high standards and delivering precise results. Expertise in managing provider data to improve data integrity and operational efficiency. Known for strong team collaboration and flexibility to meet evolving requirements, with reliable skills in data analysis and problem-solving.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Sr. Provider Analyst
MarketCares
09.2022 - Current
- Performed critical thinking analysis of each case submission including the reason for original request such as rework, terms in error, cred import errors utilizing
- Performed regular contract analysis for high-profile provider groups
- Reduces contract/demographic errors that affect members of gated and capitated products: E&I, M&R, C&S, Exchanges, etc.
Sr. Provider Analyst
E2E Auditor
05.2018 - 09.2022
- Reviewed and evaluate E2E Provider audits by analyzing documentation to determine accuracy for risk assessments data and/or providers submit demographics/contracts records based on documentation requirements
- Collected and analyze data to ensure quality audits to reduce errors to improve processes and performance
- Identified and research data from disparate various application sources (Emptoris, CLM, NDB, CSP FACETS, NICE, PULSE, COSMOS.)
- Served as final auditing arbiter/ collaborating with internal and external business partners to complete medical guidelines, best practices, to implement and evaluate improvements
Education
Health Care Administration
University of Phoenix
Phoenix, ArizonaSkills
- Brand and Product Positioning
- E2E Audits
- Demographic/Contract Loading
- PHYCON/Provider Related
- Proficient in Microsoft Word
- Time Management
- Problem Resolution
- NDB Expert
- Exceptional Attention to Detail
- Work with Minimal Supervision
- Demographic Research/Audits
- Process Improvement
- Microsoft PowerPoint
- Microsoft Outlook
- Data Analysis
Accomplishments
- Achieved Bravo Awards through effectively helping with Multiple Tasks.
Qualifiedskills
- Brand and Product Positioning
- E2E Audits
- Demographic/Contract Loading
- Phycon/Provider Related
- Proficient in Microsoft Word
- Time Management
- Problem Resolution
- NDB Expert
- Exceptional Attention to Detail
- Work with Minimal Supervision
- Demographic Research/Audits
- Process Improvement
- Microsoft PowerPoint
- Microsoft Outlook
- Data Analysis
Certification
- Six Sigma Certification
Timeline
Sr. Provider Analyst
MarketCares
09.2022 - Current
Sr. Provider Analyst
E2E Auditor
05.2018 - 09.2022
Health Care Administration
University of Phoenix
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