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Sr. Revenue Cycle Director Of It/operations Resume

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SUMMARY:

Confidential has a total of eighteen years of industry management and Big 4 Consulting experience within business environments. She has managed PMO’s, overall entities departments and led initiatives that included: leading cross - functional teams and coordinated multi-functional activities to meet milestones and deliver programs on plan. She facilitated the definition of project scope, goals and deliverables. She was responsible for tracking the day-to- day activities for client’s teams and projects as required ensuring the projects are completed on time in a manner consistent established goal. She managed initiatives simultaneously that consisted of multi-facility departments and organizations and interacted independently with all levels of management across the organization on an enterprise level.

RELEVANT EXPERIENCE:

Confidential

Sr. Revenue Cycle Director of IT/Operations

Responsibilities:

  • Directly responsible for leading strategy and the implementation of an EHR portfolio with the corporation’s executive leadership team: CFO, CIO, and Leadership Board.
  • Lead process improvement standardization within healthcare domestic regions for the second largest health system in the country.
  • Successfully deploy strategic process improvement initiatives within 84 healthcare hospital facilities and 6000 physician clinics across the nation. Identify and document all systems, processes, and workflow requirements in each of the implementation markets.
  • Provide recommendations within each phase of the project that support the scope and identify out-of-scope requests.
  • Manage and guide 500 plus FTE’s across an enterprise matrix environment. Responsible for supporting business growth by inquiring new healthcare facilities while successfully managing a P&L of $500 million. Provide feedback and support of all team members, including recommendations to hire additional support.
  • Establishes program governance, issue/problem escalation strategy, and performance reporting metrics.
  • Communicate and present status updates to the health system’s executive leadership.
  • Effectively drives communication across organization and collaborates with multiple departments such as IT, finance, operations, to manage deliverables for enterprise level program.
  • Develop process improvement initiatives, which enhance the ability to increase cash collections by 65%-85% and successfully reduced front-end denials by 45%. Manage cross-functional program teams across multiple silos of enterprise.
  • Successfully lead the PMO while providing key leadership in the design, development and implementation and operating systems. Ensure a high standard of customer service. Provide training and development to management and staff to maximize performance, set realistic goals, and mentored staff accordingly. Lead conversations and strategy sessions with health system leadership including CFO, CIO, and Physician Board.
  • Provide transition documentation for post-go-live support and steady-state operations. Demonstrate knowledge and experience in program management practices, processes, tools and organization.
  • Work effectively with stakeholders to meet goals and plan and manage multiple projects simultaneously. Manages cross-functional program teams across multiple silos of enterprise

Confidential

Sr. Executive Director/Client Account Management

Responsibilities:

  • Responsible for strategic performance leadership, client services and satisfaction, business operations and cost management, associate performance management and business transformation of service delivery organization and functions.
  • Partners with clients to ensure that business requirements are met, which includes ongoing client contact, service delivery and collaboration.
  • Oversee new account implementations and client conversion activities.
  • Led service delivery team(s) within a matrix management with accountability for other functional areas that provides service to clients.
  • Coordinates a seamless integrated service delivery approach by all service departments.
  • Provides coaching, mentorship and guides associate career development.
  • Implements the necessary procedures and changes to comply with corporate and governmental agency policy and regulations relating to payroll.
  • Builds and maintains relationships with clients and internal partners to foster trust, commitment, accountability and results. Responsible for supporting business growth to manage a combination of direct expense or expense through support organizations of $150-$200 million.
  • Responsible for managing organizations up to 40 plus staff members in size, servicing 90 to 100 top tier Confidential clients.
  • Manage client SLAs to ensure metrics are achieved and fees at risk are minimized.
  • Facilitate frequent client communications.
  • Manage escalated matters and work with internal and external parties to bring issues to resolution.
  • Manage strategic client relationships by working closely with the Relationship Manager to ensure strategic matters are addressed and resolved in a timely manner.
  • Create and report on operational metrics and trends.
  • Prepare, facilitate and conduct monthly and quarterly review session with clients to review performance metrics, trending and project updates.
  • Participate in global operational initiatives that benefit the general health of the business operations.
  • Facilitate Year End planning and execution
  • Participate in organizational planning to support new clients .
  • Work with and through project team and executive team to provide customer-facing support, operational interpretation, and project plans management to provide superior customer service to all clients.
  • Lead project teams to consistently meet and exceed ongoing client metrics, production, financials and corporate goals through the effective management of domestic and offshore resources.
  • Direct, coordinate and evaluate performance of all services functional areas: initiate all corrective actions to improve performance deliverables and/or resolve issues as they arise.
  • Coordinate organizational structure and vision to support the business objectives and provide for a documented succession plan for all management levels.

Confidential

Sr. Executive Director of Revenue Cycle Operations

Responsibilities:

  • Successfully led a team of Sr. Managers and Project Managers that was directly responsible for strategically transitioning poor performing healthcare organizations into thriving premiere healthcare organizations through process improvement and change management.
  • Develop overall strategy, operational and information technology forecasting on an enterprise level.
  • Led, developed and maintained process improvement initiatives and task functions in healthcare operations in an effort to support forecasted goals and milestones.
  • Led multiple PMO’s in the delivery of services/completion of deliverables outlined in signed statement(s) of work while managing and adhering to leadership’s financial management policies guide client development and realization of testing strategy and test cycle planning.
  • Successfully led team that executed and delivered up to 50 complex, highly matrix projects with a portfolio budget of $500M that supported regulatory mandates, customer requirements, strategic growth and process improvement.
  • Forecast on-going management of the forecast for all opportunities being implemented. Successfully managed engagements while maintaining a high level of client satisfaction.
  • Perform and/or supervise general practice, workflow, and staffing assessments of prospective client organizations
  • Established and maintained effective leadership within span of control through effective recruitment, selection, timely performance assessment and feedback, performance management, professional development, and mentoring. Organized job responsibilities of subordinate leaders as necessary to improve performance. Promoted a culture of high performance and continuous improvement.
  • Developed and execute forecasted plans that increases coordination and optimization across the organization. Managed the implementation of key strategies through the management team, fostering an environment of accountability to create a high performing team
  • Provided analysis, reporting, and recommendations for revenue services performance in key metrics. Reviewed data from occurrence reporting systems and identify trends for intervention

Confidential

Sr. Revenue Cycle IT Program Manager

Responsibilities:

  • Led and managed activities and staff assigned to the operational and technical build phase of IT System implementation within various environments to ensure goals and objectives of the build phase of the IT projects were accomplished within prescribed time-frame and funding parameters.
  • Worked closely with department leads, technical department leads and project team operations directors to ensure input was received on workflow and configuration decisions affecting operations and the technical build of the application.
  • Manage all aspects of the project including analysis, budgeting, planning, designing, building, testing, training, Go Live coordination and transition to support within multiple PMO settings
  • Work closely with the clinical and/or business functional areas, with external customers, and with vendors to define systems/project priorities, scope, approach, resource requirements, timing deliverables and funding
  • Focused on continues improvements, provides consultancy to teams within the Project Management Office
  • Communicates effectively issues to management and sponsors in a timely manner
  • Integrate organizational change management activities into project plan. Define and measure success metrics and monitor organizational change progress
  • Supported change management at the organizational level, Enterprise Change Management

Confidential

Sr. Revenue Cycle Implementation Manager

Responsibilities:

  • Led analysis of customer’s business requirements and application objective and develop of multiple applications designed for operational excellence in an effort to meet customers' needs.
  • Provided input to the IT work plan, integrated organizational change management activities into project plan, incorporated project variables and conducted periodic status checks with each customer/team to assess progress against plan.
  • Successfully led the implementation for for several multi-hospital facility project engagements simultaneously from the point of kick off to finalization within in a PMO setting.
  • Led analysis of customer's business requirements and application objectives; developed an application design in products to meet customer's needs.
  • Estimated time frames, quality and quantity of resources required to successfully implement most complex project; developed project plan to in corporate all project variables

Confidential

Project Manager

Responsibilities:

  • Added value to the nation's largest public health system by leading multiple PMO work streams within the VA simultaneously.
  • Managed day-to-day interactions with executive clients and sponsors.
  • Managed and deliver components of client engagements that identified, designed, and implemented technology and creative business solutions for large companies.
  • Responsibilities included, among others, managing teams in the identification of business requirements, functional design, process design (including scenario design, flow mapping), prototyping, testing, training, and defining support procedures.
  • Defined and measure success metrics and monitor organizational change progress.
  • Supported change management at the organizational level.
  • Completed organizational change management assessments.
  • Created organizational change management strategy

Confidential

Revenue Cycle IT Project Manager

Responsibilities:

  • Led the implementation of a various healthcare PMO’s for provider entities within various healthcare enterprise environments.
  • Managed large scaled teams of consultants during various phases of multiple engagements Developed entitled state recommendations based on the client's needs, best practice standards, and application capabilities.
  • Launched and led the implementation of various applications that were integrated to health system's legacy system.
  • Led, developed and maintained policies/procedures, managed compliance with hospital/regulatory guidelines, prepared and monitored the departmental budget, and provided direction to the Patient Access and Patient Accounting management teams.
  • Responsible for planning, directing and evaluating the daily operations associated with patient registration, insurance verification, Medicaid, and general telecommunications functions within a PMO setting
  • Planned evaluated and developed policy and procedures that were cost effective as well as improved the registration and Medicaid eligibility processes. Utilized Agile/Waterfall/SDLC Methodologies

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