Lavern Ange

Lavern Ange currently serves as a Facets Business Analyst II at CareFirst BlueCross BlueShield, where she plays a pivotal role in product building and development within the organization’s claims and benefits management ecosystem. Leveraging her extensive expertise in insurance operations, medical billing, and business analysis, Lavern is instrumental in designing and refining core system functionalities that ensure seamless claims processing and compliance with industry standards such as HIPAA and ACA regulations. Her responsibilities include creating comprehensive test scripts, benefit configurations, and conducting rigorous unit testing to validate system integrity. She adeptly manages defect tracking and resolution using HP/ALM, ensuring that product releases meet quality benchmarks.

In her current role, Lavern reviews and audits critical components such as SEPY Files, Service Rules, Business Rules, and BDDS to maintain data accuracy and operational efficiency. Her keen attention to detail extends to documenting claims errors, analyzing root causes, and providing actionable recommendations to optimize workflows and reduce claim denials. Additionally, Lavern’s expertise in policy auditing, particularly ACA policies, ensures compliance and supports the organization’s regulatory obligations.

Her skill set encompasses a broad spectrum of industry-specific tools and methodologies, including PeopleSoft, vendor management, contract recruitment, and software documentation. With a strong foundation in program management and product development, Lavern excels at collaborating across cross-functional teams to deliver innovative solutions that enhance the organization’s product offerings. Her analytical mindset, combined with her technical acumen, positions her as a valuable asset in advancing CareFirst’s strategic initiatives in health insurance and benefits administration.