Project Manager Resume Atlanta, GA - Hire IT People

SUMMARY:

To be part of a team where I can grow as a professional and make a difference in healthcare.

TECHNICAL SKILLS:

Microsoft Word, Outlook, Excel, PowerPoint, and Access Database

Adobe PDF Professional

Knowledge of Quickbase, SAS

Aprima Medical Software EMR

EMPLOYMENT HISTORY:

Project Manager

Confidential, Atlanta, GA

Responsibilities:

I am responsible for working with internal market leaders, external vendors, and high profile provider groups for improvement strategies towards specific risk adjustment revenue and STAR ratings strategies.
I work with key groups on reaching goals through reporting, education, trainings, as well as execution of the individual strategies for the GA and LA markets.
Other responsibilities include managing and maintaining the value based provider incentive program contracting, keeping a positive and productive relationship with staff and providers for MA plan products, improving and developing strategic plans for Risk and STAR improvements.
Education is an additional task where I work with physicians and their staff to improve member care, documentation, and coding practices, and workflow improvements.

Senior HEDIS Strategy Analyst

Confidential, Atlanta, GA

Responsibilities:

Responsible for working with Provider Relations teams, Physicians, and staff across the markets to educate them in reporting, reviewing, and execution of the individual strategies for each market. I focused on tailored education to help close care gaps specific to their needs.
I served as a liaison between Confidential and our market leaders with all aspects HEDIS and STARs.
Specifically focused on the HMO product and worked to improve/develop strategic plans for STARs improvements and provider adherence to contracted measures.

Provider Relations Representative

Confidential, Dunwoody, GA

Responsibilities:

Responsible for serving as a liaison to Physicians who were contracted with Confidential / Confidential .
Coordinated and conducted MRA education, financial data reporting, and membership growth opportunities with contracted physicians on a monthly basis.
Ensured adherence to contract terms and assisted in Joint Operating Committee meetings.
Other responsibilities included working with providers and helping to educate physicians in Medicare Advantage coding and processes to maintain and improve member care and STARs quality.

Assistant Office Manager

Confidential, Jacksonville, FL

Responsibilities:

Responsible for the daily flow and function of the front office staff, managed eight front office staff employees and assisted in patient care, completion of referrals, collection of balances and insurance payments, handling multi line phone system as well as representing the office at marketing functions.

Front Office Administrator

Confidential, Jacksonville, FL

Responsibilities:

Responsible for checking patients in and scheduling appointments at check out, verifying insurances, collecting insurance and patient payments as well as posting to appropriate accounts, answering multi line phones.