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yyyyyy x. yyyyyy                                                    0000 xxxxxx xxxx , xxxx , xxxxx 00000




performance-driven professional with expertise in the medical/healthcare industry eager to contribute dynamic administrative and customer service skills toward supporting objectives of a progressive organization.

career profile

ø  bachelor s degree and currently pursuing mba in healthcare administration.

ø  over 22 years of management, healthcare and operations experience.

ø  expert in claims examination, regulatory compliance and correspondence.

ø  skilled in developing user requirements and functional specifications.

ø  proven background in all facets of departmental leadership.

ø  outstanding skills in direction of financial and regulatory procedures.

ø  exceptional communications and interpersonal abilities.

ø  adept in developing strategic programs to upgrade customer satisfaction.

ø  well-organized multi-tasker with strong detail orientation.

ø  results-oriented with emphasis on obtaining full utilization of resources.

ø  proven capacity in communications and presentations.

professional certifications

certified pharmacy technician (cph.t). paralegal certification

professional experience

capital blue cross, harrisburg, pa                                                                                                   1989 - 2009

major medical claims examiner/cs appeals unit representative/cs pharmacy unit representative/cs regulatory executive unit analyst year - 2009

       served on customer service online letter committee 1991 - 2006 reviewing letters, determining accuracy and adding new letters after legal department approval.

       uncovered $500,000 in fraudulent drug claims.


appeals unit assistant technical analyst years

       proofread and edited representative letters. 


pharmacy unit triage coordinator 2006 - years

       answered representatives questions regarding pharmacy programs, edited response letters, assigned work to staff, tracked inquiries and inquiry status.


executive & regulatory unit pharmacy support analyst and co-triage coordinator 2007 - year

       handled medicare part d and drug formulary questions and corresponded with pa state agencies.

       prepared seniorblue grievances for committee review, distributed and tracked written inquiries.

       monitored fda website for new drugs.


strayer university online, washington, dc

currently pursuing master of business administration in healthcare administration, medical law and ethics


pennsylvania state university capital campus, harrisburg, pa

paralegal certification, 2003


university of pittsburgh at johnstown, johnstown, pa

bachelor of arts, writing (creative writing) 1987

other experience

have also been employed by rite aid in capacity of certified pharmacy technician assisting pharmacist in processing prescriptions, pulling correct drugs from shelves, providing customer service, managing inventory and updating schedule ii daily drug dispensing manual and by uni-mart convenience store as manager overseeing daily business operations.

yyyyyy x. yyyyyy                                                    0000 xxxxxx xxxx , xxxx , xxxxx 00000





cover letter text






hiring agent name


company name


city, state   zip code


dear                   :


i am currently seeking a challenging career opportunity in a business data analyst capacity and am submitting my resume for your review.  in advance, i thank you for your time and consideration.


as demonstrated in the accompanying resume, my professional qualifications include a bachelor s degree, current studies toward an mba in healthcare administration and over two decades of management and regulatory experience. to complement this background, i possess staff management, data tracking and communication, analytical and problem-solving capabilities. as an employee, you will find me to be an enthusiastic and disciplined team player, committed to supporting you in achieving your objectives through superior performance. 


i am confident that i could be a valuable asset to your firm, and look forward to interviewing with you in the near future to further discuss my areas of experience and expertise that would be a contribution to your organization.









yyyyyy x. yyyyyy








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