1. Tracey J. Flock
954.682.8498 ♦ tflockuman@gmail.com
SUMMARY
A professional withover25yearsof experience inthe Managedhealthcare industry. 6 years as a Provider
Data Analyst analyzing, manipulating and uploading fee schedules, and provider data for multiple
claims systems. The Subject Matter Expert (SME) of the department and the liaison between Network
Management, IT and Data Services.
 ExcellentOral,Writtenand CustomerService skills
 SuperiorVendor,ManagementandBusinessUnitRelationships
 Wide range of specialized administrative/technical skills
 Proficiency in MSOffice, FTP Protocol, Relational Databases
 Documentation andfile control
 Strongattentiontodetail withhighlevelof accuracy
PROFESSIONAL EXPERIENCE
Assurant Health Inc., Miami, FL 1991 - 2016
Provider Data Analyst, Data Services
2010-2016 (Remote-Work at home)-Data Services Department
 MonitorDepartmentmailbox andhandle all phone callsrelatingtoproviderandfee data
 Analyze demographicdatafilesreceivedfrom providernetworks toevaluateissuesand usefulness
 LiaisonbetweenDataServices,accountmanagersandNetworks forall networkdataandissues
 Create and maintaintrackingdatabase alongwithmultipledatabasesforNetworkSetupand
maintenance
 Download,Extract,andmanipulate (scrubbed) incomingdatatypesfromvariousnetworksintostandard
formatsusedformainframe uploadsusedforclaimspaymentsystem
 Sort and filteroutdatato distinguishpatterns,anyissuesandrecognizedatatrends
 Developandupdate networkmappings,requirements,templatesandtestnew dataformatsinmodel
 Manage,departmentworkflow queues,dailyinventory andmaintainingservice levels (SLA)
 Research data issues,datacomparisonsandtesting
 Addnew,termor change existingproviderrecordsintoproviderclaimsystem
 Develop,maintainProviderDirectoryinformation
 Organize andMaintainall electronicfilesfordepartment
 Coordinatorfordevelopingandreviewing implementationprocess forall new networks
 Run andtest outputfiles fromAutomatedDataprogram includingdocumentingandresolvingissues,
update requirements,verifyingdataintegrityandpromotingtoproduction
 Create,extractandinterpretreports forinternal use andexternal Networkclients
 Develop,andstreamline processes andusermanuals fordepartment
 Train andaudit colleagues onnewsystemsandprocesses
 AssignedSpecialprojects asneeded
 QualityReview Auditforall providerfile loadstoensure accuracyforclaimspayment
 DepartmentSME insendingandreceivingfilesviaFTPforvariousNetworkcarriers
Data Maintenance Specialist, Data Services
1997-2010
 Develop/trackandmaintainall tablesrelatingtothe departmentsNetworkDatabase
 Develop/maintainperiodicreports forall internal businessclients
 Liaisonfortrackingand coordinatingall incomingnetworkproviderdatatoappropriate businessclients

2.  Strengthenworkflowprocessestocreate departmentalefficiencyanddevelop/maintaintraining
materials.
Data Project Coordinator II, Provider Data Management
1995-1997
 Created,edit,proof,andtroubleshootIDcardsfor Large groupcustomersinadditiontomaintainingall
networkrelateddataonmainframe.
 Developedandmaintainedperiodic/ad-hocreports/manualsresultingfromIDcard productionfor
variousdepartments
 Coordinatedandmaintainedall directoryrelatedinformation,includinggraphicspresentations,inlays,
textformatting,tracking,andproofingforprintingvendor
 Auditingandpreparingdirectoryinformationandbillingsummariesforbudgeting,projectplanningand
otherrelatedactivities
 ProviderCredentialing/Enrollment
Marketing Coordinator II, Managed Care Central Services
1993-1995
 DevelopedandmaintainedRFPdatabase tostore networkinformationandresponses(Requestfor
Proposals)
 Coordinated,trackedandexecutedRFPsforself-fundedlarge groups
 Research/MarketingAnalysis/Special Projects,developmarketingmaterialsfordistribution
 Liaisonfortracking/coordinatingall incomingdatato appropriate businessclients
Project Coordinator, Network Development-Group Division
1992-1993
 Identifyandtargetfacilitiesandmake recommendationsforcontractingwithNetworkvendors
 Assistedindevelopmentof marketing/communicationmaterialsalongwithhospitaleducation
 Trackedand maintainedrecords,masterlists,charts,files
 Special Projects/Reporting
Administrative Assistant, John Alden Systems
1991-1992
 Providedadministrative supporttouppermanagementandall facetsof the companywhichincludes
telephone,filing,copy/fax,setupmeetings/conferences,updatingmultiple systems,learningnumerous
software programs.KeepManagementabreastof all issues/complaints
 Created/distributedmonthlynewsletters/desktoppublishingforamajor jointventure (Alliance Project).
 Exercisespositive teamcollaborationacrossall service functionstoensure timelinessandsupports
qualityandservice metricachievement, ,SwitchboardOperator- customerservice,payroll
System One, TechnologyDepartment, Miami,FL 1988-1991
Administrative Secretary, Applications Management
1988-1991
 Providedadministrative supportforthe Director,4 managers,250+ personnel
 Coordinated/trackedCSR(EasternAirlinesComputerService Requests) fortechnical programmers
 Maintainand update informationinmainframe,updateinformationinAmadeusReservationSystem
EDUCATION/SKILLS
SouthwestMiami HighSchool,Miami Florida -Grad1978, CertificatesinManagedCare,LongTerm Care,HIAA,
LOMA, Medical Terminology.Additionalskills: DataStage,ProjectManagement, AmadeusReservations, IBM
3270 mainframe (Citrix,SQL,SAR,QMF),Kronos,Lawson, Effectivebusinesswriting,Sales/Retail, Cashier,
RestaurantManagement, Bartending/Hospitality AviationIns,Unix,FileZilla,Hummingbird
REFERENCES- Upon Request