- Implemented the Flu/COVID IVR Queue for Telehealth Clinicians.
- Implemented the Adult Patient Care Regional Queue.
- Support ongoing COVID initiatives for VMC.
- Provide IVR Operational Report using Tableau, Excel.
- Monthly projection plan for eVisits and TTP.
- Onboarding projects for VMC clinicians.
Project Manager and Business Process Engineer
- Implemented the corporate redesigned IEHP.com website compliant with WCAG and ADA requirements.
- Implemented the Health Education Portal - MVP where members can register and track course attendance and staff can deliver course content.
- Managed Coordination of Benefits Agreement CMS initiative with EDIMS and Member services to coordinate testing of new CMS claims process.
- Managed MBI initiative to replace HICN on all enterprise systems and interfaces with CMS and MediCal.
- As a Business Process Engineer, implemented NCQA and HEDIS driven enhancements on Provider Portal and Member Portal from eligibility checks, encounter and request forms to claims processing to BI reporting and dashboards. Including but not limited to Vision Encounters and 1099 claims, Provider incentive program, utilities management - NEMT, Care plan initiatives, Member survey and Member Eligibility.
- Project Manage client implementations of cloud based Accounts Payable systems and services.
- Collect requirements, document current and new integrated processes for client.
- Analyze and perform data conversions of ledger accounts and configuration.
- Lead offshore operations testing activities and conduct team training.
- Implemented the B2B (Business to Business) website with e2e integration.
- Successfully automated online credit facility with SAP and ERP integration.
- BSA assisting B2C website redesign project with improved integration between CMS and ERP.
- Implemented CMS and Email Marketing automation.
- Utilize turnkey solutions for delivering common enhancements e2e including updates to all pages for product launches and updates for Product and Marketing teams on B2C Home, landing pages, PDPs and Cart for shipping and authorizations, addition of payment methods through to WMS and salesforce funnel reporting.
- Report system processes for SOX.