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Coordinator - Hedis Resume

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SUMMARY:

  • Project Manager/Coordinator with more than 15 years’ experience of sustaining several Fortune 500 companies with executive, network, project/technical and administration support. Solid Automotive Industry experience gained. Excellent quality, cost, time management, EVM, supply chain, communication, and interpersonal skills. Solid Financial/Banking, University/College, Automotive, Healthcare Industry experience gained at PwC, Comerica
  • Analyzed data through strong software proficiency including business intelligence and database applications in an Agile driven environment.
  • MS Project/Visio experience integrating process workflow enhancements.
  • Knowledge of automotive and medical terminology and project management methodology experience working with government compliancy.
  • Coordination of system testing and enhancements with internal and external team to identify data integrity and compliancy with CMS/Medicare guidelines.
  • Creation of diagrams, organization charts, quality control, change management and other project management plans with MS Excel, MS Project, SharePoint and Visio. RPlan, Confidential, GPIRS, WERS, WebEx experience.
  • Comprehensive budgets/forecasting and database experience with Oracle, Access and Excel.
  • Created timelines using MS Project to support, present and maintain deadlines for Sr. Project Manager.
  • Supported Senior Controller and Senior Program Manager working with a Confidential and automotive projects, reducing expenses and securing cost - saving, meeting deadlines and quality work.
  • Creation of manuals, specification, RFQ's, RFI's and change control reports.
  • Audit processing experience, functional/technical specification, policy and procedures creation and sign-off.
  • High level experience with Executive Management (CFO, COO, and CIO), Stakeholders, Program Managers and IT Developers.

TECHNICAL SKILLS:

  • Technical Writing
  • MS Windows 7,8, X
  • MS Office 2010, 2011, 2013, 2016;
  • Apple/Macintosh/PC/Workstation/Printer/Peripheral device support
  • Lotus Notes
  • SharePoint
  • QuickBooks
  • Adobe Acrobat
  • Photoshop
  • Illustrator
  • MS Exchange
  • Visio
  • GroupWise
  • PageMaker
  • MS Project/Web Ex
  • MS Internet
  • MS Publisher and MS Outlook and other Electronic Records and Enterprise Project Management (EPM). SQL/UML
  • ERP/SAP,
  • HIPAA
  • Healthcare Reform Act
  • Medicare/Medicaid
  • Automotive
  • Medical and Legal Terminology

PROFESSIONAL EXPERIENCE:

Confidential, Adecco Professional

Coordinator - HEDIS

Responsibilities:

  • Ensuring project scope is aligned with business and government objectives.

    Managing client's expectations; escalating issues and changes.

  • Assisting and directing clinical quality staff with HEDIS project by compliancy, privacy, security, and identifying how to prevent information from being misdirected.
  • Demonstrating proficiency in MS Project, Visio, SharePoint, PowerPoint, Outlook, Excel, Word, and other medical applications.
  • Maintaining HIPAA standards by identifying security risks, incident reports, dashboards, and disciplinary policy.

Confidential

Coordinator/Program Management Analyst

Responsibilities:

  • Master Program Scheduler creating and maintenance of critical path, performance, endurance test planning, quality gates, deliverables, and other timelines; monitoring and controlling utilizing Confidential management tool (RPlan), SharePoint team site; quality analyst of testing.
  • Change management incorporating change request into development test plans/schedules; facilitation and RPlan assessments interviewing/ratings.
  • Process improvement/lean initiatives to track program spending; solution and business analytics reviewing.
  • Cost recovery, KPIs, metrics, engineering release tracking parts and inventory/assess management; capture and report open items for Program Management. Tracking Project/Program and build requirements. Keeping teams on track and facilitating.

Confidential

Project Manager/Project Coordinator

Responsibilities:

  • Cost Management responsibilities such as in charge is detail tracking report of project's budget, (earned value management) variance analysis, cost control, invoicing and inventory projecting. Buy-off/Final acceptance certificates.
  • Integration Management tasks such as new project creation/order release documents/project planning.
  • Change Management and Quality Management through SAP/ERP, Excel in to convey the quotes, calc-sheet, purchase orders, payment terms, delivery dates and engineering notices (ECN).

Confidential

Claims Project Analyst/Business Data Analyst

Responsibilities:

  • Involved in development, monitoring and maintenance of various reports, dashboards and databases utilized to detected and resolved problems, manage expenditures, improve departmental processes. Creation of templates and web forms, utilizing mainframe, MS Access, MS Visio, MS Project and other technology to produce staffing and status reporting.
  • Participated in the development and support of departmental systems using various software and tools.
  • Worked with management personnel to identify analytical requirements and define parameters, evaluate alternatives and develop functional/technical specifications for reports.
  • Analyzed data, identified trends, and made recommendations with regards to the development or modification of procedures or processes to improve departmental operation.
  • Identified and resolved problems as indicated, analyzes system concerns and makes recommendations regarding options.
  • Developed, implemented and maintained automated business solutions.
  • Developed databases, prepared queries and other reports for use in the interpretation and analysis of Claims related data.
  • Performed a variety of cost/benefit analyses and variance analysis in order to assist in the decision making process.

Confidential

Business Analyst/Assistant Project Lead

Responsibilities:

  • Involved in gap analysis through interviews, meeting minutes, reports, action items and issue logs and project scope.
  • Risk mitigation/revenue management and high-dollar assessments.
  • Developed project deliverables such as testing plans, requirements and validation review, ensuring team adherence to establish project and technical standards.
  • Created, delegation and developed policies and procedures (P&P) that govern core business processes of its operations, documentation of job aids, training manuals, master list and table of contents of all such P&P, reviewing and editing for compliancy.
  • Involved in diagrams, flowcharts, database extraction utilizing Adobe Acrobat, MS Access, PowerPoint, Excel, Word, Outlook, Visio, WebRM database tracking tool, WebEx, Resource Scheduler, MS Office Communicator.
  • Delegated medical records, analyzed discrepancies, provided data integrity, testing and process improvement initiatives, documentation of BRD, prevention of confidentiality and security breaches, encrypting data/mail, mapping drives and assisting in employee on-boarding process.
  • Created/maintained dashboard and project metrics, graphs, formula manipulation, participating in training of team members, creation of templates, decision analysis/list flow processing and cross-functional flowcharts.
  • Processed transactions with CMS and BCBSM guidelines. Completed reports timely and accurately. Providing superior service to internal and external customers.
  • Processed regarding attestation, project plan/timeline/Reimbursement tracking log and invoice tracking, PHIs and chart handling and quality check/quality assurance.
  • Validated, researched and responsible for weekly analytical reports using databases and business objects.
  • Assisted in Lessons Learned and closing of project.

Confidential

Project Analyst/Business Systems Analyst

Responsibilities:

  • Invoiced and reduced account receivables by over $100 million per month. Extracting and controlling information from an ERP (Encompix) to increase revenue/gains.
  • Monitored actual, variance and budgets for management.
  • Tracked parts and orders with various software tools such as using the advance features (Vlookup) in MS Excel database.
  • Scheduled supplier/vendor/team meetings to plan, initiate, control red border or risks via WebEx.
  • Worked with Salesforce to obtain quotes and other information. In charge of the Bill of Material (BOM) via purchasing, parts analysis and other deem necessities to help produce the deliverables.
  • Elicited/gathered of business requirements and accommodating new technologies.
  • Supported to the Senior Project Manager utilizing presentation, spreadsheet, organization charts and advanced word processing for a top automotive client.
  • Involved in financial analysis, budgeting, accounting and other cost effective methods initiated.
  • Monitored milestones and critical paths to maintain deliverables and processes.
  • Assisted in the feasibility studies, cost control and quantitative risk analysis.
  • Created of diagrams, organization charts, quality control, change management and other project management plans with MS Excel, MS Project, SharePoint and Visio.
  • Assisted in budgets, forecasts, adhered to scope of work and other guidelines.
  • Trained, supervised, evaluated and designed and implement systems.
  • Issued documents in database in MS Access and web.
  • Created of manuals, specifications, RFQ's, RFI's and change reports. Website/database updates.
  • Supported Senior Controller with large automotive project by reducing expenses and securing cost-saving, meeting deadlines and quality work.

Confidential

Project Assistant/Project Coordinator

Responsibilities:

  • Assisted clients with Confidential kick-off projects.
  • Supported Senior Project Manager (s) with all phases and processes, team calendars and appointments, transcription of meeting minutes, database emulation, training new and existing employees.
  • Reviewed accounts for accuracy by utilizing the web-based online project management tool (ProjectWeb).
  • Specifications and manuals creation through word processing, diagrams, flowcharting, organization of team’s email and database utilities.
  • Confirmed and tracked international and domestic travel arrangements to meet with client on-site.
  • Maintained daily and weekly customer log, reports and updated specification and timelines.
  • Interpreted insurance plans for all clients.
  • Kept weekly and monthly statistics.
  • Supervised, trained and monitored of engineers and designers on policy and procedures.
  • Read, wrote and interpreted policy and procedure manuals.
  • Provided oral and written communication to all staff. Recommending and implementing new technologies.

Confidential

Executive Administration

Responsibilities:

  • Involved in extensive internet research, hardware and software support for executives and staff.
  • Extracted and organized information into a self-starter database.
  • Compiled statistical reports, presentations and other deem materials.

Confidential

Legal Document Data Specialist

Responsibilities:

  • Worked on site contracting for automotive, educational institutions, medical, utility, telecommunications, banking and property management/real estate companies.
  • Provided network, software, database, administration and project management support in a LAN/WAN environment.
  • Supported 1000+ users with complex technical problems such as network connectivity, Internet security and software issues.
  • Trained users on MS Office - Word, Excel, PowerPoint, Access and Lotus Notes.

Confidential

Desktop Operations Support/Trainer/Network Engineer

Responsibilities:

  • Supported Big Three’s Windows 2000, NT, UNIX and Oracle servers. Problem solved over 1000+ clients' issues.
  • Monitored, setup and compiled information into the Helpdesk Magic and Remedy database.
  • Pinged IP addresses to determine and fix network connectivity.

Confidential

Project Coordinator/Database Designer

Responsibilities:

  • Provided technical and administration support for the managers, engineers, vehicle designers and quality staff.
  • Maintained time sheets, record and entered payroll in the MS Excel database.
  • Sent and received email for the manager and dictated information back to the European company.
  • Created timelines using MS Project to present and maintain deadlines.
  • Designed, edited and updated a MS Access database to store and track automotive parts.

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