Cindy Cordova

Cindy Cordova

Followers of Cindy Cordova53 followers
location of Cindy CordovaGreen River, Wyoming, United States

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  • Timeline

  • About me

    Data Analytics Manager

  • Education

    • University of Wyoming

      1994 - 1997
      Bachelor of Science - BS Kinesiology and Exercise Science 3.75

      Activities and Societies: Golden Key Honor Society

    • Western Wyoming Community College

      1992 - 1994
      General Studies 3.8
  • Experience

    • UnitedHealth Group

      Oct 1997 - Jan 2022

      o Lead and govern analytic projects in achieving target savings of $16 million for CCM C&S operational targets.o Coordinate project development through predictive and prescriptive analytic business intelligence tools and delivery schedules among team members and operational partners.o Create C&S specific models and data solutions through analysis and leakage identification.o Develop and implement a structured quality process for analytic defect identification.o Prioritize project delivery through stakeholder requirement and financial deficit identification.o Coach and develop team of analytic data analysts through analytic and culture skill sets.o Collaborate with operational partners to understand and develop analytic tools and models to support the organization.o Evaluate and update weekly and monthly reporting for trends, growth and project management.o Attend and facilitate daily, weekly and monthly operational meetings. Show less o Assess error trends through monthly audits on SAM application and UNET Platform.o Create process improvement opportunities through data analysis.o Identify root cause for financial and procedural claim performance improvement strategies.o Analyze monthly samples of various claim types including: Medicare, Medicaid, Coordination of Benefits, Physician and Facility.o Execute analytic data analysis and develop prospective and retrospective analytics to assist in achieving 2016 CCM $26.4 million and ARO $139 million financial goals.o Provide successful development strategies to decrease defects and control medical cost leakage through data analysis and analytic creation for the Community and State line of business on the CSP and COSMOS platforms.o Design and streamline process improvement procedures through project flow charts and maintenance logs.o Develop, train and lead new and existing Healthcare Economic Consultants on prospective and retrospective analytics, processes and career growth.o Perform daily workload distribution and fulfill weekly manager report updates for team projects.o Attend and facilitate multiple weekly health plan business migration, project kickoff, vital signs, client and team meetings. Show less o Demonstrate extensive knowledge of the healthcare industry, claims processing, provider contracts and the UNET platform to adjust claims in a timely manner and improve customer satisfaction.o Drive business results and improve company image by proactively collecting and correcting defect reduction through data analysis.o Streamline operations through on-line tools and automation to reduce costs for the company by $1 million per year.o Analyze Edit Rule success and propose revisions and updates to increase effectiveness.o Perform monthly validation audits to ensure successful DAR quality results.o Mentor and train new hires team through process improvement, technical skill development and best practices for defect resolution identification of the UNET platform and SAM application.o Facilitate development and training for new hires through coaching and communication. Show less

      • Data Analytics Intake Project Coordinat

        Feb 2021 - Jan 2022
      • Senior Project Coordinator

        Dec 2019 - Feb 2021
      • Data Analytics Manager

        Aug 2017 - Nov 2019
      • Senior Healthcare Economic Analyst

        Mar 2010 - Aug 2017
      • Analytic Quality Auditor and Rule Writer

        Oct 2007 - Mar 2010
      • Claims Specialist

        Jan 1999 - Oct 2007
      • Customer Service Specialist

        Oct 1997 - Jan 1999
    • Optum

      Jan 2022 - now
      Data Analytics Manager
  • Licenses & Certifications