Career OverviewI am looking forward to becoming part of a team that offers potential growth, stability and advancement opportunities. Work ExperiencePDM - Network Data Specialist II,2014-CurrentTata Consultancy Services Miami,FL,Completes the setup and maintenance of new provider information to effectively administer the operational requirements of current and new business.Completes research and suggests resolutions for more complex quality issues, and applies expanded knowledge of state-specific provider data requirements to mentor entry level team members and ensure effective administration of core business requirements.Completes Provider Data Management tasks which include but are not limited to establishing new participating provider records, processes provider roster terminations, adding network and capitation rows, and corrects data quality issues.Applies expanded knowledge of state-specific provider data requirements to mentor entry level team members and ensure effective administration of core business requirements.Works with management and team members in the provider configuration and implementation of all approved market specific or global projects to include existing market expansion, new market or business activities, acquisition activities and system design initiatives.Conducts research and analysis of complex provider data quality issues and acts to resolve them in a timely fashion.Observes trends in provider data quality issues and makes proactive suggestions for proactive resolution.Communicates with provider organizations to request and validate provider information and facilitate proactive resolution of issues.Actively maintains a positive customer relationship with the health plan staff, sharing feedback with management and identifying process improvements.Serves as a mentor for entry level team members as needed trains new Specialists and temporary associates.Meets or exceeds individual and department productivity metrics, quality, and timeliness standards as defined by department guidelines.Performs other duties as assigned or requested.Provider Services Unit,03 2012-2014Amerigroup Corp City,STATE,Under general direction, provides assistance to members, providers, or others inquiring about eligibility, claims issues, and product information or experiencing customer service problems.Determines callers needs and provides the pertinent information or researches and resolves their issue appropriately.At times, may be required to assist junior representatives on escalated issues.Provides telephonic assistance to members, providers, billing agencies and or prospective members for assigned products.Assists with benefit and eligibility explanation, claim issues, network changes, customer service issues and or terminations.Prepares correspondence, maintains phone and contact logs, and documents call details as appropriate.Identifies trends and root causes of call inquiries or issues, and recommends improvements to internal processes and training to department leadership.Understands and accurately interprets product benefits, applicable state and federal guidelines regulations, and department policies.Assesses caller s needs, makes appropriate recommendations or action, and aims for first call resolution.Resolves complex or escalated issues of callers by thoroughly researching cause of error.Customer Care Rep,03 2010-03 2012Amerigroup Corp City,STATE,Responsible for responding to either inbound inquiries or outreach calls from to potential and existing Amerigroup members and providers.Responsibilities include providing accurate information education resolution about eligibility status, benefit coverage, provider network, credentialing status, authorization referral status, demographic changes and all other non-claim issues.Function as an information source through telephonic assistance to members, providers, billing agencies, and various company department staff.Provide pleasant customer experience through superior customer service methods, problem solving and real-time issue resolution.Interact with provider community and various departments to resolve issues involving the membership and credentialing status.Explain benefits, eligibility status, enrollment processing procedures and status of authorizations and referrals to callers.Assist with activities to ensure membership s continuity of care.Conduct member outreach calls as assigned to proactively educate members on services available (Welcome Calls), complete health assessments for plan case management (Early Case Findings and Healthy Beginnings) and conduct membership surveys.Process complaints, following established guidelines.Maintain knowledge of state guidelines, regulations, and departmental policies and practices and maintain accurate documentation for compliance. Educational BackgroundHigh School Diploma ,Expected in1995-Midlothian High School-Richmond,VAGPA Status-Accredit for Business Computer Applications, Office Administration and Basic Advance Accounting. SkillsTechnical skills in Business Computer Applications with Basic and Advanced Accounting techniques. Skills in Word Processing, Microsoft Office Excel, Spreadsheets, Data Entry, Word Optimization Search Engines Optimization, Microsoft Internet Explorer, MACESS, FACETS and EDINET.  SEP  ROR Partners is a rapidly growing, client-driven digital marketing and data company. We offer proven marketing solutions to a variety of vertical industries on a nationwide basis. ROR is seeking a Principal Data Engineer to serve as a key data architect and team leader on our data engineering team. The successful candidate will have demonstrated deep understanding and passion for designing and implementing robust ETL and ELT data pipelines. Position is remote and reports to the VP, Engineering. Salary is 170K to 195K and is determined by factors such as location, experience, and expertise. What you will doBuild, maintain, and administer our Snowflake data warehouse using Data Build Tool (dbt)Implement and maintain data pipelines between various operational systems and our data warehouse using Python, Airflow and integration platformsCreate and maintain documentation of data architectureCollaborate with internal and external stakeholders to ensure that data requirements are addressedMentor and lead other data engineering team members and participate in peer design and code reviewsShip production-quality features independentlyWork efficiently and productively in a remote-first work environmentCommunicate and collaborate effectively, both verbally and in writingLearn independently - keep up to date with developments in the field QualificationsWhat we are looking forHistory of professional experience shipping production quality code independentlyAbility and desire to lead and mentor a team of data engineersExpertise with SQL and cloud-based analytical data warehouses (Snowflake preferred)Expertise building end-to-end data pipelines using Airflow and dbt (data build tool) or comparable technologiesDeep understanding of ETL and ELT patterns and best practicesStrong data modeling skills and familiarity with the Kimball data warehousing methodologyExperience writing Python code for data processingDesire to continually keep up with advancements in data engineering practicesExperience conducting design and code reviewsStrong analytical skills and independent learning styleExperience with git and use of the command line requiredExperience with AWS and CloudFormation, or comparable cloud services and IaC tools preferredExperience with Docker and Docker Compose preferredSubject matter familiarity with digital marketing and digital activation is preferred EducationTrainingRequired BS Degree in computer science or related STEM field Experience8 years of experience in data science, software engineering or related technical fields. ROR Partners is an Equal Opportunity Employer. ROR Partners policy is not to discriminate against any applicant or employee based on actual or perceived race, age, sex or gender (including pregnancy), marital status, national origin, ancestry, citizenship status, mental or physical disability, religion, creed, color, sexual orientation, gender identity or expression (including transgender status), veteran status, genetic information, or any other characteristic protected by applicable federal, state or local law. ROR Partners also prohibits harassment of applicants and employees based on any of these protected categories. ROR Partners will provide accommodations to applicants as needed.

ATS compatibility score: 57.9 (Potential Fit)