SUMMARY:

• Strong IT Project Manager experience with Consulting projects, Revenue Cycle Management, Business Process Mapping, Process Improvement and Software Implementation along with 12 years of complex IT healthcare solution development for hospital and medical groups.
• Extensive technical analytical ability using highly developed negotiation skills.
• Subject Matter Expert(SME) in the areas of HIE products and services, and technology
• Possesses creative analytical skills that are used in documentation development, cost benefit analysis, reporting and vendor management.
• Process development/improvement/management along with cost benefit claims processing, client, healthcare data management for EHRs/EMRs( Confidential and NextGen), Professional Practice Management Systems (PPMS), revenue cycles with documentation, HEDIS Measure(s) and Data Integrity Analysis, Quality reviews (OQR,IQR), provider contract configurations and negotiations, 24/7 production support team management, actuarial reporting, COGNOS Reporting, SNOMED, LO INC, ICD - 9, FDB, ICD -10, CPT-4 CMS, EDI(HL7, X12), HIPAA and ICD-9/ICD-10 for Ambulatory Surgical Centers.
• Excellent telecommunications background and knowledge including software configuration and development (DICOM, TCP/IP and other protocols)
• Demonstrated success Confidential building team relationships and partnerships across organizational lines.
• Superior communicator highly skilled Confidential unifying cross-functional personnel allocating resources across the multiple projects, providing top-tier technical support, identifying, providing project governance policies that transcend financial and production expectation and driving profitability to exceed requirements of clients, internal teams and management.
• In-depth knowledge of microcomputer hardware and a wide range of software (up to and including object-oriented) and applications (medical and non-medical) in order to provide user support.
• Extensive experience with a host of large healthcare specific applications for HIEs and insurance networks.
• Extensive experience in database environments such as Access, DB2 and ORACLE along with other proprietary databases.
• Proven oral and written communication skills; excellent business presentation skills.

TECHNICAL SKILLS:

Skills: MS Project, Visual Basic, MVS, Tandem, Stratus, Oracle, UNIX, Red Hat, PL/1, FLASH, UML, Java, PL/SQL, COBOL, C, C++, WordPerfect, Astound 2.0, .NET, Access, Dbase, ODBC 32, Dbase III Plus, Crystal Reports, Claris Works, Microsoft Windows XP and Vista, Microsoft Works, Microsoft Windows NT Server/Workstation, Microsoft Server Professional 2000/2003/2008, Microsoft SQL Server, Microsoft Office 2003/2007, Microsoft Project, Microsoft PowerPoint, Microsoft Excel, Quicken, QuickBooks, Message Broker, Microsoft IIS, VMWare, Microsoft Exchange 2000, Microsoft Windows 2000, BMC, Remedy many large and complex software systems including interfaces to FACETS through the connector.

PROFESSIONAL EXPERIENCE:

Confidential, Denver, CO

Project Manager/Business Analyst/HIM Specialist

Responsibilities:

• Responsible for projects for server upgrades and updates in clinics and physician offices which involved project plan and budgeting development using Agile techniques and SDLC efficiency strategies for Confidential and other EMRs. This included migrations and translating of databases from sequential DBMS to RDBMS with utilization of dashboards up to and including software development, project management, consulting, system network and software infrastructure design along with strategy development. Performed production support for the implementation of ICD-10. Analyzed HEDIS specific data for ICD-10 coding for
• Confidential . Performed documentation of hospital process with improvement recommendations. Managed the multiple deliveries of middleware services for all applications enterprise-wide for Healthcare in an outsourced delivery model provided by IBM Global Services. Performed system upgrades and updates for physician practices. Performed HIM EMR(Scan/Register) imaging process improvement business flow documentation while performing hardware and software evaluation to reduce cost, time and technical support impact for Colorado Children’s Hospital. Consulted on many major network projects with physicians on system purchases and performance in medical professions for hospitals and clinics private and state regulated agencies. Served as primary contact with medical practices and hospitals on claims management/billing/collection/EMR services. Specific work included hospital billing system integration to IPA and clinics. Work involved understanding of system requirements to satisfy both client and vendor.
• Analyzed Medicare claims, interfaced to PCP out-of-network terminal provided by hospital network. Developed a center for medical offices and hospitals. Held full accountability for business operations, including managing business development using SOA, customer service, financial analysis, marketing, software product development, resource management, and functions. Provided exemplary guidance for programmers to effectively manage the development of medical practice management software using XP and UML technologies and a variety of other large software offerings for Adams County Workforce Center. Negotiated contracts and prepared proposals to drive market share. Billing managed via vouchers.

Confidential, Lakewood, CO

Project Manager/Program Manager

Responsibilities:

• Responsible for writing a $7M medical (proprietary) technical grant including project plan, cost benefit analysis and budgeting. Documentation provided to support the integration of this project across other projects. Developed a dashboard template for the project. Grant application completed.
• Involved with working with Stakeholders to develop mapping of Business Processes and worked with business partners, vendors, production specialists.

Confidential, Denver, CO

Technical Program/Business Analyst

Responsibilities:

• Responsible for the project development and management of Microsoft windows interface to Colorado State Medicaid Client, Provider and Healthcare Claims Information using scripting and vendor specific coding guidelines up to and including the specific programming of features and change management using SCRUM technology to manage various feature projects. This involved building the confidence and skills of the client and the in-house personnel while managing the entire feature development program. Completed 13 development projects 1 year ahead of schedule resulting in significant cost reduction using SDLC criteria.
• Responsible for vendor management, billing and interface management along with business partners (providers - clinical and nonclinical, Confidential ts and healthcare administrative staff) while ensuring that data met HEDIS standards for clinical analysis. Saved organization $300K within 3 weeks of assignment. Worked with team and vendors to remediate any gaps in the interface specifications and HL7 interface messages during implementation of projects. Vendor expenses managed using a voucher system.

Confidential, Denver, CO

Project Manager

Responsibilities:

• Installed, managed and performed upgrade/updates for multiple Microsoft Server Networks.

Confidential, Denver, CO

Business Analyst / Systems Manager/Program Manager

Responsibilities:

• Provided software management consultation, change management, strategic planning, media implementation, and network management for non-profit organizations and medical practices.
• Managed complex production system development, migration and testing. Team consisted of 25+ technical individuals including DBAs and programmers.

Confidential,

Sales and Service Consultant Denver, CO

Responsibilities:

• Performed sales activities for Qwest Consumer Products and Services. Met and/or exceeded all sales and service objectives became #1 sales and support representative in the center with a 2% return rate.
• Managed installation and utilization of DSL and related telephony and computer services.

Confidential

Business Analyst /Product Manager/ Project Manager

Responsibilities:

• Held full accountability for business operations, including managing business development, customer service, financial, marketing, software product development, resource management, and functions. Developed the payer interface product line for company. Provided exemplary guidance for programmers to effectively manage the development of medical practice management software, court and a variety of other large software offerings, including payer software interface development
• . Negotiated contracts and prepared proposals to drive market share. Developed a center for medical offices and hospitals.
• Traveled to six states and consulted with medical practices on EMR, billing/collection services and payer packages using HL7 and EDI formats. Certified LYTEC Medical Professional. Experience with many EMR applications. Provided interpretation and business requirement evaluations for healthcare applications/systems

Confidential

Program Manager/Senior Technical Manager

Responsibilities:

• As a technical program manager, managed functional and financial software development projects. Designed and programmed numerous large telecommunication/telephone applications. Presented information to varied audiences (system engineers, developers, project teams, executives and clients).
• Moderated several conferences/meetings. Company liaison to the Board of Directors. Chaired many conferences for Confidential, Confidential, Confidential, Confidential, Confidential, Confidential, to name a few.