Jonathan Mazurek

Experienced in User Acceptance Testing. Experienced in managed care.

Medicaid Program Advisor (Contract), 02/2025 - 07/2025

Staffing Solutions Organization - Albany, NY USA

    ● Advised clients on aspects of the NYS Medicaid program

    ● Coordinated meetings, communications, and assignments between different departments.

    ● Attended meetings and took notes for management

    ● Kept track of project milestones and assignment management for my department.

    ● Performed User Acceptance Testing (UAT) on a Healthcare related client eligibility system that would eventually be deployed for use by the general public.

Contract Administrator / Federal rule verification (Contract), 06/2024 - 11/2024 Health Research Institute – Menands, NY, USA 

● Processed Vouchers in accordance with grant funded contracts 

● Verified federal subcontractors were following contract guidelines and federal regulations ● Helped both NYS Health Program Administrators and Federal subcontractors correct any issues with their document submissions 

● Met regularly with both management and subcontractors to review program guidelines for efficiency recommendations 

PIP Adjuster/ Worker Compensation Adjudicator and Assessor (Hybrid/Remote), 12/2021 - 02/2024 Progressive Insurance – Albany, NY, USA 

● Assigned NY/NJ/CT PIP insurance claims to research and review for medical management and appropriate clinical utilization 

● Works intensely with NYS regulations to make medical management decisions regarding the claim coverage approval and ongoing monetary allocation for exposures 

● Position requires excellent time management and to be able to work both in a group and independently as needed while meeting strict deadlines as per NYS Insurance regulation 

● Works with different departments such as Legal, Policy Services and Government Relations to improve unit process efficiency and operations 

● Reviews NY workers compensation claims for eligibility and wage payment calculation as per NYS DFS / Worker Compensation board dictates 

Hard to Service Program Coordinator (Promotion) (Hybrid/Remote), 01/2020 - 12/2021 Fidelis Care – Latham, NY, USA 

● Was promoted by senior management to the Hard to Service pilot team which was created to help find health services for members in historically underrepresented areas across each county in NYS ● Promotion came as a result of my displayed work ethic and natural ability to foster productive professional partnerships with other departments and contracted vendors 

Program Coordinator, 09/2019 - 01/2020 

Fidelis Care – Latham, NY, USA 

● First point of contact for assigned members who are in need of long-term care services ● Works with assigned Care Manager in locating and communicating with contracted vendors for member placement 

● Uses an array of different programs in Citrex virtual environment as well as Fidelis Care adapted project management software commonly referred to as 'CCA' 

● Meet weekly with team to discuss current and upcoming department objectives as well as identify obstacles in current workflow and brainstorm viable solutions to maximize department efficiency ● 95% of job function is time based 

● Looking to move into project management position WITHIN Centene that is aligned with both my higher education and personal professional goal 

Sr. Claim Processor, 04/2019 - 06/2019

Emblem Health – Albany, NY, USA 

● Processed high dollar hospital claims for City of New York employees 

● Coordinated benefits with other participating healthcare providers to ensure no over or under payments were made in error 

● Reviewed claims keyed in by claim processors for errors or discrepancies 

● Kept up to date on pended claims and made sure that claims were adjudicated in a timely manner 

Hospital and Professional Claim Processor, 10/2018 - 03/2019 

Computer Science Corporation – Menands, NY, USA 

● Processed hospital and professional claims for NYS Medicaid 

● Communicated with healthcare professionals about issues with submitted claims or about the payment of submitted claims 

● Coordinated with healthcare providers on their claims in regards to the NYS billing cycle, ensuring that providers got claims in on a timely fashion and that payment was made for these claims 

Currently in progress: Masters in Business Administration Sage Colleges of Albany 

Bachelor Degree of Science (B.S.) in English and Literature | Concentration: Globalization and Business 

Binghamton University, Binghamton, NY 

Associates of Applied Science (A.A.S.) in Computer Science | Concentration: Networking 

Hudson Valley Community College, Troy, NY