Summary of Qualifications

Exceptional leader with excellent people skills and the ability to build effective working relationships. Intelligent, goal oriented and has the ability to build new territories and expand opportunities within existing client bases or establishing new ones. Outstanding presentation skills and a working knowledge of healthcare, third party insurance issues, Medicaid and Medicare.

Core Competencies

• MITA Policy Formulation Client Relationship Management Medicaid Policy Procurement
• In Service Training Project Management MMIS Medicare Policy SDLC TPL

Professional Experience

Cognizant Technology/Xerox

Manager, Healthcare

Illinois MMIS Project

Springfield, Ill.

• Developed use cases and prepared knowledge transition documents for State of Illinois MMIS requirement specification documents.
• Conducted research of policy, and procedures related to Illinois MMIS implementation
• Participated in Business meetings with company stakeholders on issues pertaining to Procurement.
• Facilitated new hire on boarding processes.
• Facilitated stakeholder meetings in relation to Medicaid MMIS.
• Participated in stakeholder meetings to develop specific deliverables related to project.
• Researched relevant MITA documentation for proposed implementation process with State MMIS implementation.
• Participated in Procurement process.

Manager/Business Analyst

• Gathered functional and technical requirements for business.
• Translated specifications to Developers, QA for implementation.
• Facilitated meeting with stakeholders to ensure desired deliverables and outcomes were met.
• Interacted with members of other teams in order to facilitate new Business processes
• Composed and edited Business Specification documents
• Conducted meetings with stakeholders to ensure specified requirements were properly adhered to.
• Led team requirement meetings to ensure enhancement completion.

Manager/SME

• Developed use cases and prepared knowledge transition documents for State of North Dakota MMIS requirement specification documents.
• Conducted research of policy, and procedures related to North Dakota MMIS implementation
• Facilitated stakeholder meetings in relation to North Dakota Medicaid MMIS.
• Participated in stakeholder meetings to develop specific deliverables related to project.
• Researched relevant MITA documentation for proposed implementation process with State MMIS implementation.
• Facilitated new hire on boarding processes.
• Gathered functional and technical requirements for business.
• Translated specifications to Developers, QA for implementation.
• Facilitated meeting with stakeholders to ensure desired deliverables and outcomes were met.
• Defect Resolution

Program Manager .

• Managed Staff in the billing of clients deemed ineligible for Medicaid,
• Developed project plans relative to TPL and the procurement of vendors for services.
• Managed Project Risks and defined and documented project scope as well as functional and non-functional business requirements.
• Monitored the project's progress through its life cycle phases Planning Scope, Requirements Design, Development Testing and Implementation Closure .
• Provided project sponsors weekly status reports.
• Managed change controls.

Confidential

Operations Management Analyst, Principal

• Establishes project objectives
• Determines data collection and analysis procedures
• Develops work plan and time tables for deadlines.
• Identified operational problems is administrative or program policies and procedures
• Assisted in identifying staff and budget needs for established comprehensive programming factors.
• Made oral and written reports containing findings and recommendation assist in implementing solutions
• Interacted with governmental agencies, elected public officials, private organizations and the general public in executing project assignments.
• Assessed consistency and progress of programmatic achievements in light of stated goals and objectives identifies potential areas of weakness which may adversely affect operating, supporting, and service delivery capabilities of the agency

Confidential

Staff Officer

• Represented the interest of the Third Party Recovery Bureau and its programs with other institutions, state officials, and the general public
• Coordinated major projects
• Reviewed the work of various sections, branches, and field offices coordinates their activities and advises them on matters of policy and administration
• Recommended needed regulations, policies, and procedures for proper administration of programs.
• Maintained liaison with other agencies, divisions, or departments of municipal, county, state and federal government.
• Provided administrative leadership to programs within Bureau.
• Participated in fiscal accounting and budgeting activities.

Confidential

Teacher

• Case manager to SpEd students
• Provided direct services as needed to special students
• Obtained present levels/baselines
• Responsible for ensuring IEPs for all students were in correct order and forwarded to appropriate persons for review.

Computer Skills

• Ms Word, Excel, PowerPoint, Outlook, Windows, Envision, Cognos, MMIS, ClearQuest, Sharepoint
• ReqPro
• UC4 Job Scheduler