PROFILE

Relationships savvy to meet business and stakeholder immediate objectives. Practice/Project Manager PMP / SCRUM Product Owner team player to deliver multiple long, short-term and critical projects. Delivered on time, under budget with minimum supervision. List of Providers, Payers, State Agencies, Standards and Code Sets listed below.

Practical Experience

• Data Analytics - Healthcare
• Revenue Cycle Management
• Meaningful Use 1, 2 EHR ROI
• SDLC Waterfall, Agile Scrum
• Health Information Exchange HIE
• Policies, Reports, Mandate Compliance
• System, User, Unit Testing QA
• Regulatory Compliance Procedures
• Mobile Apps, RTLS/RFID
• Utilities and Telecom
• Digital Strategy ACO
• Clinical and Ambulatory systems
• Financial Neutrality Mapping ICD-10
• Building Customer Healthcare expertise
• IT Pharma or Biotech PM expertize
• Vendor management contract RFP's
• Supply Chain Materials
• Medicare, Medicaid MMIS experience
• Provider Payer interfaces workflow

Confidential

Project Management

• Confidential create 3 HC dashboards, ACO, OR and Quality. Create Analytics dashboards for Advanced Applications for Care Process Models Sepsis, Heart Failure, Newborn, and C-Section
• To set up Training Plan to provide Developer, Superuser and user training for the Hospital system
• Implement action items from the Organization Analytic Maturity Assessments.
• Confidential Deploying 3 Medhost Modules for Meaningful Use 2. CPOE, PhyDoc and ClinRec.
• Ensure Pre-Go Live deliverables are resolved. IT/IS assessment, reassessment workflows and signoffs.
• Deliver Go-Live project plan, training, command center, User provisioning and Physician assists.
• Close out MU2. Project Plans, targets on training, issues resolution. Review of HIX Standards for attestation.
• Confidential Transitioning the ICD-10 effort from Cleveland Clinic Revenue Management to the Provider practice of Deloitte LLP to be completed by November. The ICD-10 project will be run by the CCHS and Deloitte PMO.
• Assist in the transitioning effort for Professional Coder Training and Data Informatics sub-projects. Includes collecting the documentation including EDEFICS data and Analytics studies in a SharePoint.
• Monitoring the progress of the professional coders training using Health Stream modules.
• Using Edifices Impact Analytics tool. Reviewed Financial Risks, Mapping risks and Clinical Coding Risks.
• Assisted Deloitte Staff in Code mapping Development draft first mapping workflow.
• Confidential Mapping, Financial Neutrality, Inpatient Claims, Encounters Regulatory, EDW Non-Regulatory reports.
• Analyzed actuarial data to determine Payment Neutrality for inpatient claims 2011 and reviewing diagnosis-related groups DRG space. Claims worth 3,000 million. Error rate 2- 3 incorrect coded.
• Conducted Mapping meeting to identify error of ICD-9 to ICD-10 code conversion errors
• Prepared site by site reviews for October 2013 contract reviews.
• Assist with Testing effort, Use SDLC gating process, Budgets, Testing and QA plans.
• Deep Dive Meetings with senior management on current progress of deliverables.
• Confidential 5010, ICD-10, HIM, Regulatory and Compliance. Engage customers and meet their requirements. Meaningful Use objectives, integration with other clinical systems and end-user training.
• HIPAA 5010, ICD-10 and Meaningful Use project implementation. Training and presentations.
• Strategic analysis Federal and State healthcare mandates, regulatory and compliance implementations.
• Build the customer Healthcare IT expertise by developing cost effective strategies - revenue management, contingency planning, cash flow analysis, risk management and compliance
• Content Development, Thought Leadership in HIM, Meaningful Use Stages 1 and 2, EMR/EHR and IT
• ICD-10 Regression Testing assessment for HealthCare One, Indianapolis, IN using SDLC Waterfall
• DSM-IV to DSM-V conversion projects for 10 functional sections in 3 project areas.
• Advanced install schedule by 9 months for 135 customers. SDLC deliverables diverse offsite team.
• Confidential implementation and ICD-10 assessment services in six sectors for the ICD-10 Steering Committee
• For Orlando Regional Medical Center, Arnold Palmer, Winnie Palmer, MD Anderson Cancer Center, Dr P. Phillips, South Seminole and South Lake Hospitals.
• Provided HIPAA 5010 updates. The work was based on Full Cycle SDLC and AGILE.
• Completed HIPAAA 5010 initial testing with live data . Gap analysis was 84 completed.
• Succeeded in bringing the project on schedule from 3 months late. From 10 done to 100 assessment complete and 36 project done.CDI review, automated coding software assessment.
• Created Project Plan and timelines for 1 Clinical, Ambulatory Revenue applications, 2 Hospital and Physician Practices coding upgrades, 4 Training, 5 Corporate Communications, 6 Non-Covered entities and 7 , Vendor Management. Used PowerPoint and SharePoint for documentation.
• Reviewed federal mandates Meaningful Use 1, 2 and its impacts.
• Reviewed 300 Clinical and Revenue Management Applications found 47 had ICD-10 implications.
• Track deliverables by outside vendors and contractors for code, software and business processes flows.
• Create and manage general and specific training for delivery by the ICD-10 project training teams.

Confidential

• Acquisitions, IT Regulatory, Collaborations Divestitures AC D team for the North Country Chazy .
• Responsibilities include the classification of documentation of intellectual R D Pharma property.
• Data sent from 803GB of files shares, 72 eRooms, 106 applications databases to Pfizer R D.
• Decommission 25 applications, 3 lab based data systems and 318 R D computers.
• Create project plans to assist the site lead to closure of the Chazy R D site, the Rouse Point Pharmaceutical factory, Business Technology BT sites and the Plattsburg R D administration site

Confidential

• Assisted the RFP presentation for a Medicaid contract for DHHS DMAS Commonwealth of Virginia VDH
• Used VITA Commonwealth Project Management methodologies to prepare the Takeover program plan to continue delivering 11 plans. Gap analysis to map the business needs e-Scan data HITAC .
• Review MMIS participation in payments for provider incentive funding and the VHEN payer portal.

Confidential

• Short-term contract to transfer skills and procedures to allow SCDHHS to monitor 3-year 150 million transportation services contract by two brokers who arranged transportation services for Medicaid Beneficiaries.
• Delivered the first database for contract monitoring, tracking 314 transport providers reducing risk by 40 .
• Reviewed 601 deliverables based on Medicaid Policy and benefits to reduce risk by 40 creating new reports.

Confidential

• Supplier of Military Active wears. To develop Inventory, Material Supply Chain Management RFID systems.
• Reduced PKMS upgrade Pick Ticket Management System upgrade 99R2 to 2004R2 by 5 months.
• To rollout 3 major systems: 1 upgrade and 2 new systems.
• Confidential 3 Web Portal, Infrastructure, and Financial Services projects using SDLC approved standards saving of 20

Confidential

• Delivered 19 privacy policies, review HIPAA compliance plans with MMIS team, transaction sets from all NC Local Management Entities LME . Revised training manuals for over 10,000 staff at 13 state facilities.