SUMMARY:

Results - driven professional with experience in project management, population health management, patient centered medical home, and hospital revenue cycle. Ability to implement and manage projects that improve quality. Capacity to develop long-lasting relationships. Proven leader with strong communication, organizational skills. Ability to problem solve, develop teams and efficiencies.

AREAS OF EXPERTISE INCLUDE:

• Client Relationship Management
• Training and Staff Development
• Process Improvement & Lean Methodology
• Problem Solving & Critical Thinking
• Revenue Cycle Management
• Reporting & Analysis
• Project Management
• Vendor Relationship Management
• Program Optimization
• Post Go Live Support Management

TECHNICAL SKILLS:

Microsoft Office (Outlook, Word, Excel, PowerPoint, Visio); Salesforce, Jira, Confluence, RxTicket, SharePoint, Asana, Concur/Databasics; Kronos/Lawson/E-Time/HR Workways /HR Exponent; Multiple hospital systems i.e. Mainframe/Meditech/Iseries/GE Centricity

PROFESSIONAL EXPERIENCE:

Confidential, Dallas, TX

Strategic Project Manager

Responsibilities:

• Engage with internal and external teams to define client success and deliver timely and successful client implementations.
• Oversee the development of client workflow based on client requirements
• Define, understand, and support the client project success criteria and goals
• Define and communicate project plan updates to internal and external teams
• Proactively manage project status and risk management reporting
• Identify and timely resolution of service disruption to the satisfaction of all parties involved
• Appropriately escalate incidents that compromise project deliverable
• Direct and manage multiple client projects and facilitate to a timely resolution of project
• Act as primary contact to the client for project and milestone issues
• Acts a stakeholder on internal team to assist with product enhancements and development
• Coordinate internal project team resources and deliverables
• Deliver monthly project status report out

Confidential, Dallas, TX

Senior Advisor

Responsibilities:

• Work closely with business partners at all levels of the organization to understand the business, solve problems, and present recommendations to senior leadership.
• Scope, plan, and perform quantitative analyses that yield critical answers to questions. Understand and procure required information to complete the analyses.
• Engage cross-functional leaders across all business areas to determine effective Root Cause Analysis, short-and long-term solutions, and remediation. Drive results, and resolve issues encountered by the team including the ability to assess and correct as necessary.
• Identify process improvements, operational efficiencies, and systematic enhancements that help streamline issues documentation, triage, and resolution.

Confidential, Dallas, TX

Account Manager

Responsibilities:

• Designed and managed initiative to build long term relationships with key client stakeholders, created program sustainability, and positively affected Net Promoter Scores through periodic communications.
• Managed departmental client relationship and implemented strategies to improve experience.
• Primary client management contact to internal teams and conducted monthly program and report deep dive analyses sessions in an effort to drive value to clients.
• Managed all post go live client support activities and shared program optimization ideas with internal and external teams to assist in achieving goals.
• Developed and delivered client training sessions using multiple delivery modalities (onsite workshops, webinars, educational videos)
• Developed and maintained implementation SOP documents, documented best practices, and standardized recommended default configurations.
• Managed initial project documentation (implementation plan, issues log, process maps, training guides).
• Worked cross functionally across the organization and with selected partners and vendors to manage the execution and delivery of assigned implementation projects.
• Managed vendor relationship and engaged as necessary to discuss implementation, post go live support. activities, reporting, training, optimization opportunities, and periodic contractual agreements.
• Designed and implemented department new hire onboarding packet.

Confidential, Dallas, TX

Manager

Responsibilities:

• Served as the subject matter expert and single point of contact for clinics throughout the entire Confidential National Committee for Quality Assurance ( Confidential ) Recognition process.
• Managed the exchange of data and information with Confidential, the Confidential recognizing vendor, by designing and executing processes that promote seamless interactions and achievement of Confidential goals.
• Developed and implemented programs and associated materials used in educating physicians and staff to enhance their knowledge base and helped facilitate Confidential criteria and application methodology.
• Served as a consultant to practices seeking Confidential recognition and the lead in the writing of Confidential applications as well as manage the training and execution of the associated medical record audit.
• Coached, mentored, and facilitated the implementation or revision of evidence-based best practices and served as a trusted change agent for various groups and individuals charged with HTPN Confidential initiatives.
• Designed and delivered Confidential educational webinar series for the Confidential .
• Recommended clinical and practice workflow re-design to support Confidential competencies and to facilitate patient centered care according to Confidential standards.
• Optimized EMR tools for reporting outcomes and supporting Care Management workflows/processes.
• Coordinated learning initiatives and shared best practices for Confidential and activities across the clinics to accomplish common goals and to standardize care.

Confidential, Provo, UT

Operations Lead

Responsibilities:

• Led and managed the reduction in cost and volume of accounts referred to a third-party vendor.
• Created best practice standard operating procedure for eligibility counseling and social worker to obtain higher conversion success
• Awarded the quarterly internal award for outstanding performance in the client relations.
• Mentored and trained/onboarded new employees
• Managed, monitored, and evaluated staff productivity and performance within hospital departments
• Identified problems/leakage areas within departments through research and data analysis
• Created reporting that resulted in the tracking and monitoring of the overall success of the revenue cycle
• Audited all uninsured accounts and determined outcome after the Financial Counselor secured sponsorship or conducted a conversation about patient responsibility.
• Monitored and tracked all credit card installments and Medicare HMO errors and ensured eradication of future errors.
• Directed, planned, and coordinated all patient registration functions and thereby ensured effective cash flow through quality data gathering, focused on upfront cash collections, funded solutions for uninsured patients, and improved customer/employee satisfaction and maximum reimbursement.

Confidential, Little Rock, AR

Regional Account Manager

Responsibilities:

• Specialized in the reduction of healthcare cost in public and private sectors by identifying, validating, recovering, and preventing claim overpayments.
• Performed on/off-site credit balance reviews for hospital systems.
• Analyzed and recovered insurance over payments.
• Researched denied/unpaid insurance claims, secondary billing, appeals, and contractual adjustments.
• Performed financial reporting analysis