Senior Information Systems Manager Resume

SUMMARY

14+ years’ IT and healthcare leadership and consulting experience. Valued subject matter expert providing expertise in:
Healthcare Informatics Information Assurance System Transformation
Big Data Analytics Software Engineering Strategic Planning
The fire in my belly drives high performance results — transformed agency processes, secure systems, and organizational and personnel change in healthcare. Track record for positively impacting healthcare operations in areas of training; clinical services, EMR, EDI/HL7, policy, and back - office administration.
Ideally suited to senior-level opportunities in healthcare information technology.

PROFESSIONAL EXPERIENCE

Confidential

Senior Information Systems Manager

Responsibilities:

Used Arthur Anderson’s Project Management methodology. Gathered the IT requirements for all clinical, accounting, and administrative functions and developed a 3-year strategic plan - new systems included best-in-class solutions for accounting (GL, A/R, A/P), e-commerce, electronic medical record (EMR), Health Level 7 (HL7), and electronic data interface (EDI) for health insurance billing.
Evaluated, purchased, and introduced emerging technologies such as voice recognition software and optical storage of patient documentation that enabled clinical staff to save time and improve delivery of clinical care.
Worked directly with 3rd-party national reimbursement programs including Medicare and Medicaid - coordinated with fiscal intermediaries and carriers to facilitate accurate billing and claims processing. Conducted live product testing and training (EDI submission) during systems remediation and HIPAA transactions testing.
Experienced with benefits coding: Medicare Part A, Medicare Part B, Medicaid, Medicare supplements Deductibles, and Co-insurance.
Trained medical and administrative staff on enterprise computer system for billing, reconciliation, claims transmission, and electronic medical record (EMR) system.

Confidential

Senior Healthcare Analyst

Responsibilities:

Enabled HMO to increase its competitiveness and increase revenues by 1) automating nine new managed care benefit plans offered to the public and employer groups and 2) supporting a new joint- venture dental HMO.
Recognized for conducting a needs assessment, including time-motion study, to improve the existing billing system - prepared Yourdon data flow diagrams and evaluated 3rd-party project scheduling software.