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Yvette Rodriguez

Yvette Rodriguez

Performance Quality Auditor

Elevance Health | Hudson, FL

Technologies

My Portfolio Highlights

My New Course

Introduction to SQL

My New Project

Introduction to DataCamp Projects

My New Track

SQL Server Fundamentals

Data alchemist, turning data into gold with the touch of analysis.

My Work

Take a look at my latest work.

course

Introduction to SQL

course

Intermediate SQL

course

Joining Data in SQL

DataCamp Course Completion

Take a look at all the courses I’ve completed on DataCamp.

My Work Experience

Where I've interned and worked during my career.

Seaside Seabird Sanctuary | May 2023 - Jul 2023

Avian Hospital Intern

• Assist staff in day-to-day care of hundreds of sick and injured birds • Answer visitor questions and educate the public on wild-bird rehabilitation and conservation efforts • Handled, cleaned and cared for a diverse species of wild birds in multiple enclosures
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Elevance Health | Feb 2023 - Present

Performance Quality Auditor

● Identify, report, and resolve systemic issues, collaborating across internal departments and third party services (Wipro) as a liaison to ensure accurate and timely payouts. ● Track and trend quarterly audit reports, providing feedback and project ideas to management for continuous improvement. ● Collaborated with business analysts and initiated the Facility Based Vendor Alert project, reducing financial errors by 75% and improving efficiency of Facility Based claims. ● Proven track record of top performance and leadership skills such as mentoring, building and maintaining relationships for onboarding analysts, and producing a variety of business requirements documents including audit results, procedures, and training material. ● Conduct quality assessments of transactions and communications with over 12,000 Medicare Advantage providers annually, ensuring seamless workflows and accuracy.

Elevance Health | Jan 2021 - Feb 2023

Configuration Analyst

• Examined and resolved 25,000 pended claims and newly contracted healthcare provider inquiries • Performed research of provider data quality, resulting in 99%-100% accuracy rates in clerical and financial audits • Provided support for lead configuration analyst on major data cleaning projects, leading to 10% increase in efficiency

Elevance Health | Dec 2018 - Jan 2021

Utilization Management Coordinator

• Simplified process for physicians, medical suppliers, and members to obtain prior authorization requests, resulting in over 24,000 successful prior authorization requests in two years • Received seven ‘Round of Applause” awards for consistently meeting prior authorization request quotas and improving first-call resolution rates by 20%, demonstrating dedication to excellent customer service • Remotely trained three coordinators when the initial Covid-19 impact prompted a work-from-home environment

Quest Diagnostics | Apr 2018 - Dec 2018

Specimen Processor

• Prepared over 600 laboratory specimens for designated departments before laboratory analysis daily • Resolved and documented time-sensitive and problem specimens • Met standards for production and accuracy and demonstrated an understanding of compliance policies

Humane Society of Tampa Bay | Sep 2013 - Apr 2018

Lead Pet Adoption Counselor

• Consultant for new pet parents, promoting responsible pet ownership for over 40,000 homeless animals annually • Streamlined the adoption process by collaborating with fellow counselors to develop innovative methods for consolidating important documents in an easy- to-digest manner • Provided training and guidance for over 15 onboarding employees and volunteers, fostering a collaborative work culture

Environmental Protection Commission of Hillsborough County | Nov 2014 - Dec 2014

Intern - Water Monitoring

• Prepared buffers, sterilized equipment, and filtered water samples for analysis • Assisted laboratory staff with chemical analysis of water samples • Aided in the preparation, analysis, and cleanup of environmental samples for bacteria, metal, organic, and nutrient content

PetSmart | Aug 2012 - Sep 2013

Retail Sales Associate

• Handled purchases, returns, and online pick-up orders • Provided exceptional customer service in recommending the best pet products that met customers’ budgets and needs • Performed physical inventory on a quarterly basis • Trained new employees

SeaWorld Parks & Entertainment | Feb 2011 - Aug 2012

Food and Beverage Service Ambassador

• Provided a positive and productive experience in the food service industry handling orders and maintaining a safe work environment • Ensured the highest standards of food quality and product presentation through menu adherence • Maintained cleanliness, organization, and sanitation in the work environment

Humane Society of Tampa Bay | Oct 2009 - Oct 2010

Veterinary Technician Assistant (Volunteer)

intubating, expressing bladders, and microchipping • Transported animals to and from the surgery suite • Sanitized surgery instruments and prepared the surgical instruments for the autoclave

My Education

Take a look at my formal education

Bachelor of Science in BiologySt. Petersburg College | 2023
Associate of Arts - AA in Pre-Veterinary StudiesHillsborough Community College | 2014

About Me

Yvette Rodriguez

I am a bilingual healthcare professional with a proven track record in identifying causes of business operations frictions and implementing easily applicable solutions utilizing existing resources. I am actively learning SQL to grow in my career.

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