Tanicqua Houston
Columbia
Summary
HR operations and healthcare administration professional with 9+ years of experience executing complex, compliance-driven programs, managing vendor relationships, and supporting large-scale initiatives across regulated environments. Proven expertise in data validation, process improvement, stakeholder collaboration, and end-to-end program execution. Highly skilled in coordinating cross-functional teams, managing projects, and ensuring accurate, timely delivery of benefit-related and participant-facing services.
Overview
11
11
years of professional experience
Work History
Program / Operations Consultant – Quality & Compliance
Centene
Columbia, SC
06.2021 - Current
- Execute end-to-end operational processes supporting strategic organizational objectives, including data validation, reporting accuracy, and compliance-driven workflows.
- Serve as a liaison between internal teams and external vendors to resolve data discrepancies, operational issues, and process gaps impacting program delivery.
- Lead complex data clean-up initiatives, validating accuracy across multiple systems and implementing corrective actions to ensure data integrity.
- Manage project-based initiatives involving requirements gathering, testing, validation, defect identification, and stakeholder communication.
- Partner cross-functionally with Legal, Compliance, Operations, and Leadership to ensure initiatives align with regulatory, policy, and governance standards.
- Conduct user acceptance testing (UAT) for system and process changes, develop test cases, validate outcomes, document defects, and escalate issues for resolution.
- Develop and deliver training materials and guidance to stakeholders, serving as a subject matter expert for operational processes and compliance requirements.
- Analyze trends, escalations, and participant feedback to recommend process enhancements and workflow simplification.
- Document operational procedures and identify opportunities for continuous improvement through root cause analysis and corrective action planning.
Program Coordinator I
Fidelis Care (Centene)
Getzville, NY
09.2018 - 06.2021
- Supported benefits-adjacent program administration through data collection, documentation review, and validation aligned with regulatory and organizational standards.
- Coordinated with vendors and internal stakeholders to support enrollment-related activities, system updates, and participant communications.
- Assisted with operational readiness for annual program cycles, including testing, documentation, and post-implementation support.
- Managed escalations and appeals by researching participant files, validating plan information, and communicating findings to leadership.
- Ensured accuracy and consistency of participant-facing communications in accordance with legal and compliance requirements.
Service Coordinator (HARP)
Fidelis Care (Centene)
Getzville, NY
07.2017 - 09.2018
- Coordinated services and benefits-related activities for high-risk populations, supporting eligibility changes, qualifying events, and continuity of services.
- Served as a liaison between participants, providers, and internal teams to resolve issues, escalations, and access barriers.
- Managed case documentation, data updates, and system entries to ensure accuracy across multiple platforms.
- Supported outreach and communication initiatives aligned with regulatory and organizational standards.
Authorization Coordinator
Fidelis Care (Centene)
Getzville, NY
05.2015 - 07.2017
- Supported benefit-related administration by processing authorizations, validating eligibility criteria, and ensuring compliance with plan requirements.
- Verified coding and documentation accuracy to support claims, appeals, and service approvals.
- Served as a primary contact for escalations, resolving issues through collaboration with vendors, providers, and internal teams.
- Maintained detailed process documentation and supported audits and compliance reviews.
Education
Bachelors Healthcare Administration -
University of Phoenix
09.2026
Associate in Occupational Studies - Medical Administration
Bryant & Stratton College
11.2009
Skills
- Health & Welfare and Retirement Benefits Administration
- Annual Enrollment & Post-Enrollment Operations
- Vendor & Third-Party Relationship Management
- Project Management & Cross-Functional Execution
- User Acceptance Testing (UAT) & Requirements Validation
- Data Integrity, Cleanup & Reconciliation
- Salesforce Case Management & Issue Resolution
- Process Improvement, Root Cause Analysis & Compliance
- Plan, Participant & Eligibility Data Accuracy and Cleanup
Timeline
Program / Operations Consultant – Quality & Compliance
Centene
06.2021 - Current
Program Coordinator I
Fidelis Care (Centene)
09.2018 - 06.2021
Service Coordinator (HARP)
Fidelis Care (Centene)
07.2017 - 09.2018
Authorization Coordinator
Fidelis Care (Centene)
05.2015 - 07.2017
Bachelors Healthcare Administration -
University of Phoenix
Associate in Occupational Studies - Medical Administration
Bryant & Stratton College