Project Manager System
Resume:
AMY PANDOLPH
Pittsburgh, PA ***21
***********@*******.***
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WORK EXPERIENCE
Senior Business Analyst, Coventry Health Care, IT Government Programs, 2009-
Present
.Project Manager for converting enrollment application database to CDW
(Data Warehouse)
.Project Manager for government letter improvement processing project.
.Maintain database maintenance for the Electronic Enrollment Application
Files utilizing Access.
.Responsible for analyzing the enrollment reporting function for Medicare
processing.
.Support and troubleshoot department applications.
.Responsible for processing and analyzing daily Medicare term reports.
.Analyze internal reports to improve department functionality.
Senior Business Analyst, PNC Bank, 2008- 2009
.Project Lead for the Blaze Advisor business rule development
implementation process for Health Care Advantage Program. Reviewed business
process and functional requirements.
.Responsible for creating business rules that would monitor for accurate
billing, remittance and eligibility processing business requirements (EDI
835-837 standards utilized).
.Worked with the QA team to test and enter defects of the HCA (Health Care
Advantage) software
program into Mercury Quality Center.
.Collaborated with QA to Evaluate test scripts for continued software
testing.
.Utilized Edifecs for developing and processing error severity remittance
files.
.Interpret claim processing, remittance and financial flow charts for
project management analysis.
Systems Analyst, West Penn Allegheny Health System, Primary Care Network,
2004-2008
. Responsible for maintaining the IDX/Groupcast Database System for the
Primary Care Network - including installing software update releases
.Provided full system client support for physician group practice
management system software (IDX).
.Worked with end users to support and implement system software to
physician group management practices.
. Responsible for maintaining the AIX server and monitoring system
performance and requirements.
.Worked with the vendor (GE) for client system enhancements and outlier
problem resolution utilizing requirements gathering/prototypes.
.IT Project Manager for Referrals Plus implementation to system physician
offices.
. Responsible for training system users the IDX-Groupcast application
software.
.Project Manager for converting several existing system databases to a new
AIX server. Responsible
for managing the work of 12 employees during the process to ensure
project completion.
.Analyzed user requirements for report generation and system process
improvement.
.Consulted with the Client on system requests to create the business
requirements needed for the system.
.Project Manager for the Physician Office website development initiative.
.Utilized PostgreSQL to maintain tables and create queries for management
of physician dashboard.
.Developed documentation for improving departmental functionality and
efficiency.
. Utilized Data Connect (HL7) to link the Lab Interface(Orchard) to IDX.
Systems Support Analyst, CareCentric, Inc, 1997-2003
.Provided full system client support for the home medical equipment billing
software and home health administration packages (Mestamed).
.Analyzed and resolved client support issues dealing with software,
hardware and operating system.
.Consulted with the Client on system requests to create the business
requirements needed for the system.
.Advised clients on report design to meet business requirements.
.Worked with programmers to resolve reported software problems.
.Analyzed data from software generated reports to meet client needs.
.Utilized Unix/VMS/Windows NT operating systems to perform daily work
functions and system support.
.Troubleshot hardware problems including printers, drives and system
networks.
.Consulted customer base on system procedures, performance and problem
resolution.
.Managed installation of system software updates.
Flood Analyst, Flood Zone Determination Services, 1996
(Organized and provided data for determination of flood zone areas.
(Managed specific geographic areas for flood zone determination.
(Interacted closely with departments in the facility.
EDUCATION
MS, Health Care Supervision and Management, University of Pittsburgh, 1994,
GPA: 3.73
Thesis: Development of a quality assessment tool for long-term care
facilities.
BS, Health Information Management, University of Pittsburgh, 1992, GPA:
3.37
PUBLICATIONS
Watzlaf, J.M., Valerie, Ph.D.,RHIA, Mazzoni-Maddigan, Jane, Ph.D., RHIA,
Pandolph, Amy, MS, RHIA.
"Quality Assessment in a Long-Term Care Facility Using the Medical Record
as Principal Data Source."
Journal of Health Information Management Research Vol. 3, No. 2, (Winter
1995):24-36.
Pandolph, Amy, MS, RHIA, Mazzoni-Maddian, Ph.D, RHIA, Watzlaf, J.M. Ph.D.,
RHIA. "Development of a Pilot Quality Assessment Tool for Long-Term Care
Facilities." Topics in Health Information Management. Vol. 18, No. 1,
(August 1997):23-31.
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