Essi Mignanou

Quality Assurance Analyst validating claims configuration, benefit changes, and client implementations in a healthcare claims adjudication environment. Tests 10+ standard and custom benefit setups per week in JIRA, identifies configuration defects, and helps prevent member access and claim processing issues through accurate test results. Supports performance guarantee compliance and strengthens team guidance through training materials, work instructions, and policy updates.

Quality Assurance Analyst at Navitus (2025-01 – Present)

• Validate claim edits per day across new client implementations, benefit changes, and terminations in Navitus claims adjudication systems.
• Validate standard and custom benefit configurations to prevent claim-processing errors and member access issues.
• Identify, document, and troubleshoot configuration defects using departmental workflow and issue-resolution tools.
• Support configuration and UAT testing for benefit additions, terminations, and implementation changes.
• Maintain training materials, work instructions, and policy documentation to support consistent departmental procedures.
• Contribute to healthcare provider data management by supporting provider data integrity, synchronization, and configuration updates.

Provider Configuration Associate Analyst at Molina Healthcare (2019-01 – 2024-12)

• Maintain provider records per day across QNXT and related claims systems while supporting data accuracy.
• Maintained accurate provider data in QNXT across multiple claims and provider systems to support configuration activities.
• Performed quality checks and data audits to strengthen data integrity, document issues, and support release validation.
• Supported timely provider updates to prevent claims processing and payment issues while aligning records to business requirements.
• Updated provider profiles and supported credentialing offices through outbound communication and follow-up.
• Identified and corrected data quality issues to support claims accuracy and broader operational efficiency.
• Tracked provider interactions in workflow tools to maintain organized issue follow-up and timely status visibility.
• Supported claims processing accuracy by verifying provider data against configuration requirements and mapped records.
• Quality control audits
• System implementation support

Provider Data Specialist at United Healthcare (2016-01 – 2019-12)

• Updated provider profiles and supported credentialing offices through outbound communication and follow-up.
• Identified and corrected data quality issues to support claims accuracy and broader operational efficiency.
• Tracked provider interactions in workflow tools to maintain organized issue follow-up and timely status visibility.
• Supported claims processing accuracy by verifying provider data against configuration requirements and mapped records.

Certificate in UX Design – Coursera (2024-06 – 2025-08)

Certification in The Complete Oracle SQL Certification – Udemy (2026-04 – 2026-12)