SKILLS:

SharePoint

Word

SQL Server

Tableau

LIMS

Asana

OneNote

Visio

Medisoft

Meditech

Outlook

Power Point

Excel

Daptiv

Infosys

MS Project

Oracle

Facets

Cognos

XIFIN

EXPERIENCE:

Confidential, Baton Rouge, LA

Sr. Project Manager/Business Process Consultant and Analyst

Responsibilities:

• Managed communication and documentation for Risks, Actions, Issues, and Decisions
• Facilitated Project Management Weekly Update Meetings
• Contributed to development of PMO standards and Student Modernization Program
• Coordinated information needed for procurement policies and procedures for assigned projects
• Participated in Enterprise - Level planning for mainframe decommisioning
• Managed tasks, communication, meetings, and requirements for technical and functional teams to ensure effective and efficienty progress
• Provided recomendations for appropriate technical and operational solutions to meet business needs
• Provided intake analysis for existing projects and outlined approach to meet objective
• Utilize PMO tools to support the business with project objectives
• Improved PMO processes internally and with external customers the PMO supported
• Stratgeized Change Management process
• Managed various lanes for projects including Athletics (ARMS), Cashiering (CashNet), and CRM (Slate)

Confidential, Burbank, CA

Sr. Project Manager/Business Consultant and Analyst

Responsibilities:

• Managed Projects and Subject Matter Expert in business processes involving correspondence as it relates to claims’ notifications for all Regions
• Set up new PMO infrastructure for IPM Program
• Documented new Compliance Policy for claim’s notifications and managed the changes
• Facilitated Project Management Weekly Update Meetings
• Provided written Project Management Weekly Satus Reports
• Managed the Issues, Risks, Action Items, and Decisions in the Share Point Site.
• Participated in weekly leadership updates
• Created Power Point presentations for project reference
• Created and managed Integrated Project Plan for Program
• Created and managed timelines in Microsoft Project Plan for individual work streams
• Acted as interim Project Manager while resources were in transition
• Created and analyzed claims reports as it related to the success of the process put in place
• Partnered with IT, business, Compliance, Legal, Claims, and Operations to implement deliverables within the project
• Managed communication and documentation for Risks, Actions, Issues, and Decisions

Confidential, Mandeville, LA

Project Manager/Business Intelligence Analyst/Engagement Manager

Responsibilities:

• Managed Projects and Subject Matter Expert in business processes involving Revenue, Compliance, Customer Service, Human Resources, Vendor Management, Lab, Reporting, PMO and Data in how it relates to technological solutions.
• Utilized Six Sigma methodologies to streamline processes reducing inefficiencies and placing mechanisms in place to identify inconsistencies to business solutions in order to implement improvements
• Assessed current LIMS software application and current Accession workflow to identify if business need was specified correctly in the business requirements
• Facilitated KPI project to educate business teams how to identify key aspects of current departmental processes to measure baselines and set goals
• Managed departments in identifying data sources, data, business rules, metrics, calculations, reporting period, filters, frequency and training documents
• Designed, developed and distributed dashboard reports related to KPIs for the departments
• Created, documented, and published Business Requirements Document for the new LIMS system
• Managed SDLC (Waterfall method) for the enhancements of existing LIMS as well as the new LIMS system from stages of concept that aligns with business objective to movement of operations and maintenance
• Conducted appropriate departmental meetings to outline the design of enhancements and new software
• Managed the testing team and lead the creation of test cases for both LIMS systems
• Served as the “go to” contact for internal and external related projects including technical and nontechnical projects
• Communicated and presented updates to C level leadership on the status of projects to include risks and issues
• Developed full scale project plans with the necessary communication documents within SharePoint and MS Project
• Conducted root cause, impact, and gap analysis to provide solutions within the many high profile objectives within the business teams
• Designed and implemented a Change Management process for an existing changes as well as identified plan for upcoming changes with the fast pace of healthcare changes
• Developed Policies and Procedures to align with healthcare regulatory guidelines
• Conducted Revenue and Compliance audit within the specimen cycle
• Implemented ICD10 readiness plan to include managing change within the internal and external processes

Confidential, Denver, CO

Project Manager/Business Intelligence Analyst/Engagement Manager

Responsibilities:

• Performed project management functions: including tasks breakdown, cost estimation, scheduling, monitoring and tracking progress
• Managed business units’ discovery phase in creating meaningful and actionable reporting solutions for over 30 projects
• Interviewed clinical and financial team members in over 45 clinics to understand the business needs for reporting clinical and financial outcomes
• Created Communication Plan for project implementations
• Participated in the elimination process for the retired products
• Program Manager for the website that contained the organizational products for each business unit
• Participated in the design for end user roles and responsibilities’ log in validation
• Created in SharePoint the BI departmental workflow design for Tableau Analyst project to manage the internal process and allow external customers access to reference documentation
• Used tools to create mock up dashboards, visualizations, and reporting mechanisms for the business to review and provide feedback on the alignment with the business need
• Managed offshore resources to coordinate development for over 30 projects
• Gathered, documented, and filed business requirements specifically involving data sources, data, business rules, filters, reporting period, metrics, calculations, training materials, and support plan

Confidential, Englewood, CO

Project Manager/ Business Communication and Training Analyst

Responsibilities:

• Researched, collected, and created communication for IT related end user topics
• Handled client inquiries about IT related issues
• Planned Public Relations events for demonstration of upgraded software
• Gathered, documented and published training requirements for Meditech and other applications for Go Live event
• Scheduled training rooms, reserved equipment, and coordinated correct build for specific class
• Facilitated weekly meetings with trainers and client to coordinate training efforts
• Presented updates on training coordination progress to Executive Leadership

Confidential, Greenwood Village, CO

Eligibility Business Analyst

Responsibilities:

• Managing group set up accounts’ data for new groups, open enrollment, and Confidential
• Documenting training manuals for departmental process flow from Great-West policies and procedures to Confidential ’s policies and procedures
• Managed data in Facets application involving enrollment eligibility set up to ensure adjudication of claims are processed correctly

Confidential, Denver, CO

Revenue Cycle Business Analyst

Responsibilities:

• Provided high level analysis to identify trends preventing claims from being received by the payer
• Created process to improve reimbursement turn - around time from 30 days to fifteen days for Medicare claims to meet client’s expectations of collections
• Implemented strategic and operational initiatives for claim denial and claim management

Confidential, New Orleans, LA

Revenue Cycle Management Consultant

Responsibilities:

• Assessed Revenue Cycle in two different departments’ workflows and identified root cause of complaints were due to inquiries identical and resolutions were opposite
• Chose best practices (after measuring) from the two groups to implement consistency while providing seamless process to the patient
• Managed and developed over 40 clinics’ processes for patient collections and inquiries
• Performed vendor analysis to provide recommendation for saving costs
• Coordinated communication between client’s staff and executive level to meet client’s goals within all departments
• Managed the changes in each department as the flow shifted as a result of one change to the other

Confidential, Superior, CO

Business Management Consultant

Responsibilities:

• Conducted Practice assessment to determine strategic next steps
• Conducted Cost Benefit Analysis to determine strengths and weaknesses of the practice

Confidential, Centennial, CO

Project Manager/Reimbursement Lead

Responsibilities:

• Applied Six Sigma methodologies within operations to decrease errors, waste, and inconsistencies
• Change management for Reimbursement Department as existing volume increased to ensure that processes were in accordance with Medicaid (30 states) and Medicare’s regulations
• Analyzed data to determine the demographic area of recipients to forecasts the type of inquiries, risks, and concerns to create process flow
• Designed and developed new customer service team for 5.5 million dollar project to work closely with cross- functional departments already in progress to eliminate duplicate efforts and seamless processes for the recipients
• Partnered with over 100 clinics to educate and train on proper documentation for eligibility and authorization steps with in regards to ordering products for proper reimbursement
• Created and performed auditing process to evaluate reimbursement risks and to determine amount of annual reserves
• Analyzed software applications to determine if system could support business and industry rules
• Coordinated and participated in decision making involving business rules and industry rules and created processes aligned with requirements
• Managed training project for new incoming and teams to coordinate with existing teams outlining specific responsibilities for each team
• Trained vendor teams on internal process in addition to coordinating the flow through all departments
• Acted as liaison between existing department, new team, and vendors to communicate written and verbal updates as well as changes
• Created and organized training models for staff
• Designed documentation and communication process for staff to update changes for various Medicaid state regulations
• Recovered 1 million in charges that was not initially billed allowing process improvement to be implemented as a proactive measure
• Designed Access Microsoft database for executive level to use as reference for reports
• Employee of the Quarter 2007 chosen by executive level team