Bayyinah Resume 2016

860-729-2444 *bayyinahlyons@aol.com Page 1
Bayyinah Lyons
Provide extraordinaryresults leading & turning around organizations while establishing synergisticteams.
I am able to translate customer needs into specific resolution training strategies that improve the member
experience while counseling management on issues affecting operational functions. Leverage expert
analysis and insights to promulgate lean approaches and team empowerment that drives operational
improvements to instill quality best practices.
Areas ofExpertise
 Operational Leadership  Project Management
 Training & Development  Problem Solving
 Quality Improvement  Data Analysis
Experience & Achievements
United HealthCare 2006- Current
Business Process Quality Management (Billing Quality Analyst)
 Responsible for training of BPQM Specialists on Commission and Credentialing quality
programs. Training includes review of source documentation, Business Operations Policy &
Procedures,Production Source Systems and Quality Databases.
 Responsible for conducting Audit the Auditor quality evaluations of work completed by BPQM
Specialists to ensure each audit was completed within compliance of Quality standards; provide
coaching feedback sessions as needed to reduce errors and improve performance.
 Subject Matter Expert/Team Lead for Commission/Credentialing & Eligibility Quality teams. I
assist with the resolution of complex audits or questions regarding our Quality Program and
Processes.
 Assist BPQM Specialists and Leadership with resolution of quality appeals and questions
stemming from quality results and opportunities identified.
 Responsible for the review of weekly and monthly Production Accuracy Reports prior to
distribution to Business Operation Leadership. Reports include results for Business Operations
Corporate Individual and End to End quality programs; detailing audit accuracy; opportunity
findings and trends.
 Responsible for the preparation of audit documentation as required for Sarbanes Oxley review by
the external audit team of Ernst & Young LLP as well as meet with them to explain the Quality
processes and walk-though an audit example.
 Responsible for creating and updating socialization documentation to outline current and the on-
boarding of new quality programs. Facilitate meeting and presentations to the Commission/
Credentialing and Eligibility teams,Business Process Quality Leadership and Business
Operations teams using software applications Microsoft Power Point and Microsoft Visio.
860-729-2444 *bayyinahlyons@aol.com Page 2
 Responsible for completing Focus Audits to identify areas of risk and/or area for improvement.
Audits results include the purpose of the audit, sample size, recommendation of process change or
identity opportunity of quality improvement.
 Research and assist with solving complex discrepancies found during the quality review process.
Resolution may also include creating a temporary work around process.
 Ensure timely and accurate completion of assigned production samples before weekly and month-
end deadlines. Production results and opportunity finding are entered into the Microsoft Access
Database.
 Maintained an Audit the Auditor production accuracy of 100% for 12 months
Aetna 1998-2006
Sales Support Consultant
 Reviewed and approved salespersons' compensation information forms before forwarding them to
External Producer Compensation Department for payment
 Provided direction and guidance to resolve process and paperwork requirements; liaison between
the Middle Market Sales Personnel and the External Producer Compensation Department
 Analyzed compensation reports to resolve compensation discrepancies
 Worked with Aetna’s Information Technology teams to unit test changes made to the online
reports and report discrepancies to the project team
First Community Bank 1995-1998
Service Supervisor
 Supervised and coached a team of 3 tellers and 2 customer service representatives to consistently
meet and/or exceed BankBoston customer standards
 Processed customer transactions and responded to product and service inquires in an accurate and
timely manner
 Assisted branch manager to set team objectives, sales, and service goals
 Ensured transactions complied with Federal, State and local laws as well as BankBoston policies
and procedures
 Conducted monthly and quarterly audits of the staff and office
 Contributed to BankBoston income and expense management by encouraging the cross-sale of
the banks products, services and keeping all losses and fraud to a minimum.
Technical Skills
• Microsoft Word 2010 •Microsoft Excel 2010 •Adobe Acrobat XI Standard
• Microsoft Access 2010 •Microsoft Visio 2003 •Six Sigma Yellow Belt Certification
• Microsoft PowerPoint 2010 •Microsoft SharePoint

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Bayyinah Resume 2016

  • 1. 860-729-2444 *bayyinahlyons@aol.com Page 1 Bayyinah Lyons Provide extraordinaryresults leading & turning around organizations while establishing synergisticteams. I am able to translate customer needs into specific resolution training strategies that improve the member experience while counseling management on issues affecting operational functions. Leverage expert analysis and insights to promulgate lean approaches and team empowerment that drives operational improvements to instill quality best practices. Areas ofExpertise  Operational Leadership  Project Management  Training & Development  Problem Solving  Quality Improvement  Data Analysis Experience & Achievements United HealthCare 2006- Current Business Process Quality Management (Billing Quality Analyst)  Responsible for training of BPQM Specialists on Commission and Credentialing quality programs. Training includes review of source documentation, Business Operations Policy & Procedures,Production Source Systems and Quality Databases.  Responsible for conducting Audit the Auditor quality evaluations of work completed by BPQM Specialists to ensure each audit was completed within compliance of Quality standards; provide coaching feedback sessions as needed to reduce errors and improve performance.  Subject Matter Expert/Team Lead for Commission/Credentialing & Eligibility Quality teams. I assist with the resolution of complex audits or questions regarding our Quality Program and Processes.  Assist BPQM Specialists and Leadership with resolution of quality appeals and questions stemming from quality results and opportunities identified.  Responsible for the review of weekly and monthly Production Accuracy Reports prior to distribution to Business Operation Leadership. Reports include results for Business Operations Corporate Individual and End to End quality programs; detailing audit accuracy; opportunity findings and trends.  Responsible for the preparation of audit documentation as required for Sarbanes Oxley review by the external audit team of Ernst & Young LLP as well as meet with them to explain the Quality processes and walk-though an audit example.  Responsible for creating and updating socialization documentation to outline current and the on- boarding of new quality programs. Facilitate meeting and presentations to the Commission/ Credentialing and Eligibility teams,Business Process Quality Leadership and Business Operations teams using software applications Microsoft Power Point and Microsoft Visio.
  • 2. 860-729-2444 *bayyinahlyons@aol.com Page 2  Responsible for completing Focus Audits to identify areas of risk and/or area for improvement. Audits results include the purpose of the audit, sample size, recommendation of process change or identity opportunity of quality improvement.  Research and assist with solving complex discrepancies found during the quality review process. Resolution may also include creating a temporary work around process.  Ensure timely and accurate completion of assigned production samples before weekly and month- end deadlines. Production results and opportunity finding are entered into the Microsoft Access Database.  Maintained an Audit the Auditor production accuracy of 100% for 12 months Aetna 1998-2006 Sales Support Consultant  Reviewed and approved salespersons' compensation information forms before forwarding them to External Producer Compensation Department for payment  Provided direction and guidance to resolve process and paperwork requirements; liaison between the Middle Market Sales Personnel and the External Producer Compensation Department  Analyzed compensation reports to resolve compensation discrepancies  Worked with Aetna’s Information Technology teams to unit test changes made to the online reports and report discrepancies to the project team First Community Bank 1995-1998 Service Supervisor  Supervised and coached a team of 3 tellers and 2 customer service representatives to consistently meet and/or exceed BankBoston customer standards  Processed customer transactions and responded to product and service inquires in an accurate and timely manner  Assisted branch manager to set team objectives, sales, and service goals  Ensured transactions complied with Federal, State and local laws as well as BankBoston policies and procedures  Conducted monthly and quarterly audits of the staff and office  Contributed to BankBoston income and expense management by encouraging the cross-sale of the banks products, services and keeping all losses and fraud to a minimum. Technical Skills • Microsoft Word 2010 •Microsoft Excel 2010 •Adobe Acrobat XI Standard • Microsoft Access 2010 •Microsoft Visio 2003 •Six Sigma Yellow Belt Certification • Microsoft PowerPoint 2010 •Microsoft SharePoint