Quality Assurance Project

Oliver Rue

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

Westland, MI *****

Cell: 734-***-****

Email: ****@*******.***

SUMMARY OF QUALIFICATIONS

• Experienced and knowledge of HIPAA and Sarbanes Oxley regulations

• Experience working with healthcare data including HEDIS measures

• Conducted data analysis using skills in biostatistics and database management.

• Managing and leading efforts in the review, application, and maintenance of policies and

procedures.

• Thorough knowledge of Department of Defense Intelligence Information

System (DODIIS) and the Defense Technology Certification

and Accreditation Process (DITSCAP) certification and accreditation

roles, responsibilities, and methodologies

• Theoretical understanding of risk-based control assurance

• Understanding the following IT auditing standards:

o Data mining and extraction techniques

o Database development

o Internet security evaluation techniques and tools

o System Quality Assurance and testing

o Computer Forensics.

EDUCATION

University of Detroit Mercy

Master of Science: Information Assurance

Wayne State University

Graduate Certificate: Community Health Services Research and Evaluation

State University of New York at Buffalo

Bachelor of Arts – Health and Human Services

EXPERIENCE

CLINICAL RESEARCH ASSOCIATE COORDINATOR

December 2009 – Present

University of Michigan

• Obtaining information from the National Cancer Center Network (NCCN), Dana

Farber Cancer Institute, the City of Hope, and the Coordinating Center and communicating

this to the community sites.

• Route Clinical Research Associate questions and concerns to the Coordinating Center

and National Cancer Center Network and relay responses to CRA's. Plan and conduct

monthly telephone conference calls with Clinical Research Associate’s from Michigan

community sites.

• Maintain data quality assurance for the project for the State of Michigan, such as:

monitor data completeness and quality in the accumulating database,

• Review Logic Check Exception Reports and QA Reports from Clinical Research

Associate, e.g., data tables, table counts, accrual, and review of source documentation

against submitted data.

• Conduct on-site audits, develop and distribute audit reports to National Cancer

Center Network, Coordinating Center and the community sites, oversight of follow-up audit

recommendations.

• Design of internal reports, e.g., monthly Concordance Report for sites.

• Work closely with the Coordinating Center and site participants to assure that data

collection issues are addressed and that site concerns are resolved.

• Maintain up-to-date knowledge regarding National Cancer Center Network Breast

Cancer Treatment Guidelines and the database.

INFORMATION ASSURANCE

Eastern Michigan University April 2010 – September 2010

• Collaborate to set up and configure honeypots

• Assist with establishing techniques to select the best address space for the honeypots will

launch basic simulated attacks on the Honeypot that the students configured during earlier

activities.

• Attacks include footprinting and fingerprinting by sending probes through scanning utilities

such as nmap.

• Identify and map the segment of monitored addresses (i.e., the honeynet) within a larger

address space.

Facilitator

University of Detroit Mercy

Center for Cyber Security and Intelligence Studies January 2010 –

March 2010

• Assist in the development of the Forensic Laboratory

• Provides research assistance to Principle Investigator(s)

• Monitor current reports of computer viruses to determine when to update virus protection

systems.

• Modify computer security files to incorporate new software, correct errors, or change

individual access status

• Performing security, analyses and risk/vulnerability assessments

• Coordinate implementation of computer system plan with establishment personnel and

outside vendors

• Monitor use of data files and regulate access to safeguard information in computer files.

• Perform risk assessments and execute tests of data processing system to ensure functioning of

data processing activities and security measures.

HEALTH CARE ANALYST

Blue Cross Blue Shield of Michigan June 2008 – March 2009

Physician Group Incentive Program

• Responsible for identifying, collecting, analyzing, and maintaining data to evaluate

issues that support prospective business decisions.

• Coordinated projects for senior management.

• Research, analyze, identify, and evaluate data from assigned problems to evaluate

existing and potential trends and issues.

• Analyzing HEDIS like data

• Assisted in the management and monitoring of multiple projects simultaneously by

establishing project plans and objectives to ensure attainment with defined parameters.

• Participated in the compliance and regulatory transparency workgroup.

• Communicated results of analysis to management via reports/presentations and assist

management in implementing programs that provide solutions.

• Recommended, communicate, and implement solutions to identify problems/root

causes of issues.

• Provide expertise and guidance to unit and corporate staff as required

QUALITY MANAGEMENT PROJECT COORDINATOR

Health Alliance Plan July 2005 – June 2008

Quality Management Research and Development

• Provided technical expertise and function as a resource to customers on strategies for

assessing quality.

• Coordinated all activities relevant to assigned projects. Including identifying population,

establishing goals and objectives, collecting data and measuring results/outcomes.

• Worked with clinicians to develop clinical and preventive service guidelines.

• Conducted background investigation of the scientific and medical research literature.

• Developed proposals, design of data collection methods, health promotion activities and

creation of project databases.

• Tracked quality measures over time, identify opportunities for improvement, develop and

implement solutions.

• Analyzing HEDIS, membership and pharmacy claims data

• Assist in the development and validation of standardized quality measurement systems such

as HEDIS.

• Provided analytic support and assistance to internal customer and external entities.

• Quality improvement healthcare initiatives for childhood, adolescents and adult

immunizations, tobacco cessation, senior health and cancer screenings.

• Managed large database and complete HIPAA control modules

PROJECT COORDINATOR/DATA MANAGER

Voices of Detroit Initiative July 1999 – July 2005

• Coordinated the design and implementation of patient enrollment and tracking process for

uninsured Detroit residents.

• Maintained identification tool to track medical services for over 27,000 enrollees

• Developed and maintained tool for enrollment statistics and evaluation. Formatted and

designed enrollment, healthcare cost and utilization data for analyses.

• Monitor and control expenditures to ensure transactions are in compliance with policies and

procedures. Identified opportunities for quality improvements, increased project enrollment

and overall impact of cost analysis of the program

• Provided research and analysis by preparing monthly progress reports.

• Managed research projects and was responsible for data management projects, data quality

and database structure.

• Participated in research projects concerning the underinsured and uninsured emergency

room, primary care and pharmacy utilization patterns. Perform and evaluate raw datasets.

• Assists with the development and design of databases.

• Ensured that Internal Review Board and Human/Animal Subject Compliance guidelines were

appropriate and current.

• Ensured that research projects and analysis timelines were established completed Established

and maintained working relationships with agencies/organizations required supporting the

accomplishment of agency goals.

• Monitored national and state health policy issues related to access to care. Represented and

promoted the Voices of Detroit Initiative through presentations and attendance at conferences

and community events.

• Contributed to the planning and budgeting of a collaborative oral health system in the City of

Detroit

COMPUTER SKILLS

• Familiar with: DB2, MYSQL, Microsoft Visual Basic, C++ and SQL

• Proficient in Microsoft Office Programs, SPSS, Microsoft Project, MC Source Diamond

Medical Billing and SPSS

CERTIFICATIONS

Committee on National Security Systems Certification

• Project Management

• Information Technology Audit

• Network Security

University of Detroit Mercy Certificate of Achievement

• Certified Information Technology Security Manager

• Certified Information Technology Auditor

ADDITIONAL TRAINING

Michigan Public Health Training Center

• Conducting Useful Program Evaluation

• Access, Interpret Use of Health Data

Graduate Summer Session in Epidemiology at University of Michigan

• Economic Measures of Effectiveness of Health Services

• Introduction to Evaluation Research

• Introduction to SAS

Contact this candidate