Nassanah G.

WORK HISTORY

EDUCATION

ABOUT NASSANAH G.

A process-focused Benefits Analyst and Claims Administrator adept at managing complex benefits plans, supportive care needs, and crises, leveraging over 7 years of experience. Skilled in conducting research, policy analysis, and developing processes to ensure compliance with benefit guidelines. A strategic leader and problem solver known for fostering trusted partnerships and driving operational efficiencies within teams and with strategic partners PROFESSIONAL HIGHLIGHT REEL •Claims Analysis and Interpretation: Comprehensive expertise in analyzing Medicare and Medicaid claims data, expertly interpreting plan benefits, and determining coverage and copays •Coding & Formulary: Demonstrated understanding of coding systems such as the Healthcare Common Procedure Coding System (HCPCS), Pharmacy Benefit Management, and International Classification of Diseases (ICD); significant experience leading projects to identify trends, rejections, and anomalies in claims/benefits data •Crisis Response and Adaptability: Significant experience responding effectively to national healthcare crises, Including quickly assessing the impact of crises on benefit plans, making necessary adjustments to ensure continued coverage and access to essential medications; supported millions of members during the Hawaii fires and Florida hurricanes •Data Analysis and Decision-Making: Superior ability to analyze complex data sets related to claims, benefits, and member impact reports; support senior leadership in extracting actionable insights from data to inform decision-making regarding benefit updates, crisis response strategies, and overall plan management •Healthcare Regulations & Compliance: A deep understanding of healthcare regulations, with emphasis on regulations pertaining to Medicare and Medicaid, including providing benefits and policy analysis of plans administered under the Centers for Medicare & Medicaid Services