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Project Manager System

Location:
Pittsburgh, PA, 15220
Posted:
June 19, 2011

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Resume:

AMY PANDOLPH

*** ****** *****

Pittsburgh, PA ***21

412-***-****

abhblq@r.postjobfree.com

____________________________________________________________________________

________

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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