Summary
Overview
Work History
Education
Skills
Timeline
Generic

Breiona Darby

Baton Rouge

Summary

Insightful Medicaid Analyst known for high productivity and efficient task completion. Possess specialized skills in policy analysis, data interpretation, and compliance monitoring, ensuring thorough understanding and application of Medicaid regulations. Excel in critical thinking, problem-solving, and effective communication, which contribute to successful project execution and stakeholder engagement.

Seasoned eligibility interviewer for government programs with comprehensive background in managing client interviews, determining benefits eligibility, and processing applications efficiently. Skilled in interpreting complex regulations and policies to provide accurate information and support to applicants. Demonstrated ability to maintain high levels of confidentiality and professionalism while making significant impacts in streamlining application processes for improved client satisfaction.

Overview

2
2
years of professional experience

Work History

Medicaid Analyst

Louisiana Department of Health
Baton Rouge
04.2024 - 10.2025
  • Analyzed Medicaid claims for compliance with state regulations and guidelines.
  • Reviewed client eligibility documentation to ensure accurate data entry and processing.
  • Assisted in the development of training materials for new Medicaid processes.
  • Monitored changes in healthcare policies impacting Medicaid services and procedures.
  • Investigated complaints regarding eligibility determinations or other matters related to the Medicaid program.

Student Worker

Division of Administration
Baton Rouge
09.2023 - 03.2024
  • Assisted in processing departmental paperwork and maintaining accurate filing systems.
  • Supported staff with daily administrative tasks and scheduling meetings efficiently.
  • Organized departmental events and coordinated logistics for meetings and workshops.
  • Greeted visitors at the front desk, answered questions, and provided directions or assistance when needed.
  • Assisted in organizing and maintaining office files and records.

Education

Bachelor of Science - Criminal Justice

Southern University And A&M College
Baton Rouge, LA
12-2023

Associate of Science - Criminal Justice

Southern University At Shreveport
Shreveport, LA
08-2022

Master of Science - Social Work

Prairie View A&M University
Prairie View, TX

Skills

  • Medicaid compliance
  • Claims analysis
  • Data entry accuracy
  • Policy monitoring
  • Eligibility verification
  • Effective communication
  • Customer service
  • Medicaid
  • Fast typing speed
  • Documentation skills
  • Computer proficiency
  • Resourcefulness
  • Benefit Programs Understanding

Timeline

Medicaid Analyst

Louisiana Department of Health
04.2024 - 10.2025

Student Worker

Division of Administration
09.2023 - 03.2024

Bachelor of Science - Criminal Justice

Southern University And A&M College

Associate of Science - Criminal Justice

Southern University At Shreveport

Master of Science - Social Work

Prairie View A&M University
Breiona Darby