Kattyuska N.

Experience

• 

  Dutchess Community College

  Aug 2006 - Aug 2008

  Office Assistant

  Clerical duties, Answered Phones, Data entry, Created Assessments and surveys and compiled the information to give it to the teachers, Created rosters, Made the payroll list for the teachers, Filing

• 

  SUNY Binghamton

  Jan 2009 - May 2009

  Office Assistant

  •Developed websites and converted their content into CMS.•Selected parts of interviews to be written in the School’s faculty paper.•Transferred existing data from web-pages to new web-pages and chose the new look of the new web-pages.

• 

  SUNY Binghamton- Engineering Department

  Aug 2009 - May 2010

  Intern- Project Management

  •Researched, organized and developed innovative approaches to problems and opportunities.•Diagnosed process improvement opportunities and developed solutions.•Identified the external and internal resources to create a new method of teaching using new technologies.•Contacted different staff members and technology providers to establish day-to-day client communication.

• 

  Manley's Mighty Mart Leadership Project

  Jan 2010 - May 2010

  Strategic Leadership Consultant Intern

  •Performed analysis/audits to support recommendations for improvement/design.•Participated in the development of measurement and metric approaches.•Collaborated with team members to review definitions, methodology and approach to ensure accuracy and consistency.•Performed analysis of affordability, efficiency and profitability for the team applying financial and operational concepts.

• 

  DSW

  Aug 2010 - Jan 2011

  Sales Associate

  Cashier and inventory assets at the end of the day. Identified customer needs. Organized the merchandise in a strategic way that increased sells. Interacted with customers, helped them find what they were looking for and advertised other items which helped increase customer satisfaction as well as increased sales.

• 

  Hudson Valley Federal Credit Union

  Sept 2010 - Nov 2010

  Training and Recruiting Assistant- Temp

  •Prioritized and delivered across varied short and long-term assignments.•Verify pre-employment background checks as well as credit scores.•Updated employee listings; recorded invoices.•Made schedules for future phone screens for the recruiters among other duties.

• 

  Dutchess Community College

  Oct 2010 - Dec 2010

  Spanish GED Teacher Assistant

  •Supervised students and helped them understand the material.•Taught half of the class and assisted the students the other half of the class.•Handed out and revised work assigned.

• 

  UnitedHealth Group

  Jan 2011 - now

  -Write queries to find specific data in the database.Create reports in DBeaver , SQL and snowflake database. -Manage External Client & Regulatory Agenda. - Process includes tracking and coordinating external audit requests from receipt to completion:Partners with Compliance and Legal to interact with Clients and Regulators on behalf of the businessAct as the primary point of contact and audit file presenter for all UM related external and Internal audits requested.Advanced end to end documentation and quality control tracking of all external audits. Complete all audit questionnaires and deliverables. Need to obtain information and documentation across many areas of the business. This also includes requesting universe files.Create and manage all case files for audits (includes bookmarks/highlights and performing QA)Research and provide root cause and remediation to address audit findings.Provide a snapshot of the audits and results on a quarterly basis to include in the QA report.Field questions from internal staff, client managers and OEM/Compliance business partners. This includes addressing defects and providing root cause and remediation.-Manage Regulatory Self-Monitoring Audit processes- this is an internal compliance and defect audit which includes all lines of business (Commercial, Medicare, Medicaid) for internal and external payers:Perform targeted audits for each LOB and health plan.Distribute audit results monthly to internal business teams and stakeholders – includes clinical team inconsistencies/defect opportunities. Provide quarterly data for committee meetings for California business.Provide quarterly data for Quality Assurance reporting.Field questions from internal staff, client managers and OEM/Compliance business partners. This includes addressing defects and providing root cause and remediation. Show less Manage and control inventory and assign work depending on the workload. Implement new processes and create job aids to train the staff. Oversee the applications of performance standards and clinical criteria.Manage people and perform their monthly reviews and one on ones.Collaborated with multiple departments to ensure the successful migration of multiple new applications.Create business requirements and process documentation when needed.Lead all aspects of project management for assigned projects.Create and identify process improvement projects and cost savings throughout the year.Led, manage, control, and execute specific criteria to reach the goal of a new implementation.Provide input into and/or develop relevant policies, procedures, and/or work tools to support new or updated business processes.Manage ICUE error report and catalog any possible errors to retransmit the information or manually a case.Created several macros to automate or improve a process.Subject Matter expert on several processes. Show less Actively worked to build better clinical practices and to implement streamlined procedures. Communicated with employees and technical teams to ensure requirements were relayed effectively. Performed routine audits of employees and outside vendors to ensure proper quality standards. Compiled detailed reports to help in business segment analysis. Researched and adjusted complex cases. • Eliminated errors made by outside vendor by 95% by creating a distinct audit process.• Re-designed production standard for employees. o Created time studies to determine standards for each process.• Trained employees on different health plans and requirements; redesigned training guides. Show less

  • Clinical Program Consultant

    Nov 2024 - now

  • Clinical Quality Analyst Sr

    Sept 2022 - Nov 2024

  • Associate Business Analyst

    Mar 2022 - Sept 2022

  • Clinical Admin. Lead / Business Segment Liaison

    Aug 2013 - Mar 2022

  • Assoc. Clinical Admin. Coordinator/Business Segment Liaison

    Jan 2011 - Jul 2013