Wendy Simmons
Centene
Florissant
13
years of professional experience
Healthcare Data and Provider Data Analyst with 13+ years of experience in provider data management, healthcare operations, claims analysis, compliance, business analysis, and process improvement. Proven success improving data quality, validating provider records, resolving complex discrepancies, supporting cross-functional initiatives, and delivering accurate analytics that drive operational excellence. Seeking a remote Senior Provider Data Analyst, Healthcare Data Analyst, Provider Data Management, or Business Analyst role.
Work History
Provider Data Analyst II
2 Years 6 Months- Analyze provider data for accuracy and compliance.
- Identify provider performance trends.
- Validate provider records and resolve discrepancies.
- Maintain documentation and support analytical tools.
- Analyze complex claims.
Care Coordinator – Foster Care
1 Year 1 Month- Managed complex care plans.
- Coordinated transitions of care.
- Maintained accurate documentation.
- Collaborated with providers and families.
Referral Specialist
3 Years 6 Months- Obtained authorizations.
- Maintained referral records.
- Improved coordination.
- Trained new staff.
Senior Customer Service Representative
4 Years 10 Months- Resolved complex inquiries.
- Trained employees.
- Improved customer satisfaction.
Business Analyst
1 Year 5 Months- Analyzed workflows.
- Documented requirements.
- Recommended process improvements.
- Supported stakeholders.
Education
Bachelor of Science - Health Care Administration
GED
Skills
Supported provider data management initiatives.
Assisted in data analysis processes.
Conducted claims analysis to identify trends.
Facilitated regulatory compliance efforts.
Performed data validation tasks.
Contributed to process improvement strategies.
Aided in workflow optimization projects.
Participated in business analysis activities.
Generated reports for stakeholders.
Maintained database management systems.
Timeline
Provider Data Analyst II
Centene
01.2024 - CurrentRead More
Care Coordinator – Foster Care
Centene
12.2022 - 01.2024Read More
Referral Specialist
Centene
06.2019 - 12.2022Read More
Senior Customer Service Representative
Centene
08.2014 - 06.2019Read More
Business Analyst
SSM Healthcare
03.2013 - 08.2014Read More
Maine Department of Education
GED
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Grand Canyon University
Bachelor of Science from Health Care Administration
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