Rhiannon Redman

▪ In -depth experience of Long Term Service Support (LTSS) programs in the various managed care programs.

▪ Business Analyst/Data Analyst with insurance industry experience

▪ Knowledge of state and federal laws, regulations and processes regarding Medicaid Managed Care and CHIP (STAR, STAR+PLUS, STAR Kids, STAR Health) .

▪ SQL, data mining and VLOOKUP experience

▪ Commercial Insurance Plans, HIPAA

▪ Possess strong application skills in the use of relational databases

▪ Familiar with database extract and analyzing tools

▪ Proficient in Microsoft Office (Excel, Word, Outlook) and relational databases

▪ In-depth knowledge of healthcare and claims concepts

▪ Excellent written and oral communication skills

▪ Excellent analytical, critical thinking and problem solving skills

▪ Compile data, create reports and display information

▪ Ability to communicate with technical and nontechnical personnel

▪ Extensive knowledge of government agency and insurance company programs, coordination of benefits guidelines.

▪ Familiar with billing and payment guidelines ▪ Ability to build good relationship with customer ▪ Wide knowledge of healthcare programs:

▪ Managed care enrollment and claims systems

▪ Data entry validation

▪ Report generation

▪ Ability to design, build, and implement business solutions

▪ Facilitate large business requirements sessions. Able to translate business processes into functional requirements

▪ In -depth experience of Long Term Service Support (LTSS) programs in the various managed care programs.

▪ Business Analyst/Data Analyst with insurance industry experience

▪ Knowledge of state and federal laws, regulations and processes regarding Medicaid Managed Care and CHIP (STAR, STAR+PLUS, STAR Kids, STAR Health) .

▪ SQL, data mining and VLOOKUP experience

▪ Commercial Insurance Plans, HIPAA

▪ Possess strong application skills in the use of relational databases

▪ Familiar with database extract and analyzing tools

▪ Proficient in Microsoft Office (Excel, Word, Outlook) and relational databases

▪ In-depth knowledge of healthcare and claims concepts

▪ Excellent written and oral communication skills

▪ Excellent analytical, critical thinking and problem solving skills

▪ Compile data, create reports and display information

▪ Ability to communicate with technical and nontechnical personnel

▪ Extensive knowledge of government agency and insurance company programs, coordination of benefits guidelines.

▪ Familiar with billing and payment guidelines ▪ Ability to build good relationship with customer ▪ Wide knowledge of healthcare programs:

▪ Managed care enrollment and claims systems

▪ Data entry validation

▪ Report generation

▪ Ability to design, build, and implement business solutions

▪ Facilitate large business requirements sessions. Able to translate business processes into functional requirements