Project Manager Management
Resume:
EXPERIENCE SUMMARY
Healthcare professional with over 16 years of experience as a business analyst and project manager on multiple applications and system development projects with a financial acumen and healthcare provider experience (hospitals, physician practices, medical groups,).
Extensive experience working with end-users, technical and testing teams.
Operated as implementation leader for Siemens Soarian Financials software on Revenue Management and Patient Access
Project Manager for Patient Access using the AHIQA software system
Background establishing and implemented the Guarantor Billing Profile as well as developing quality standards and protocols for quality assurance testing models
Experience developing policies and procedures for Soarian Financials that confirmed the hospital was in 100% compliance with federal, state and county requirements.
Expert in forming rules and expressions for Revenue Management as well as developing testing strategies for Soarian Financials and IDX applications
Excellent skills in creating custom training manuals for client functional front end users and implementing the process flow for Revenue Management
Abilities in developing the Payer and Health plans in the Soarian Master File and performing unit and integration testing scripts for Soarian Financials
Core Competencies
Revenue Cycle
Patient Access
Rules, Workflow Engine
Project Management
Project Life Cycle
Systems Administrator
EMR/EHR
Creating Test Cases and Scripts
Functional and Unit Testing
Developing Policy and Procedures
PROFESSIONAL EXPERIENCE
Huron Consulting Group
April 2016 –
Senior Consultant
Analyzed client’s business requirements and processes through document and workflow analysis
Identified and reconcile errors in client data to ensure accurate business requirements
Creating custom training manuals for client functional front end users for my current West coast client
Developing Policy and Procedures
University of Missouri Healthcare
January 2017 – March 2017
Senior Consultant
Analyzed client’s business requirements and processes through document and workflow analysis
Identified and reconcile errors in client data to ensure accurate business requirements
Created Visio workflows from the client’s policy and procedures
Senior Consultant
St. Joseph’s Healthcare Medical Center
April 2016 – October 2016
Ensured content and structure of all testing documents/artifacts is documented and maintained
Inaugurate credibility and develop relationships with mid-level client managers
Checked and reviewed the test cases documents, test plan, test objectives and test scenarios
Ensured the timely delivery of different testing milestones
Tracked new requirements/changes in the project
Documented, implemented, monitored, and enforce all processes for testing as per standards defined by the organization
Estimated and obtained management support for the time, resources and budget required to perform the testing
Winthrop University Hospital
May 2015 – February 2016
Testing Manager
Developed the test plan for the tasks, dependencies and participants to mitigate the risks to system quality
Ensured content and structure of all testing documents/artifacts is documented and maintained
Facilitated effective, cross-functional working sessions with the client and valued stakeholders.
Inaugurate credibility and develop relationships with mid-level client managers
Checked and reviewed the test cases documents, test plan, test objectives and test scenarios
Tasked to test all interface engines
Ensured the timely delivery of different testing milestones
Tracked all of the new requirements/changes in the project
Documented, implemented, monitored, and enforce all processes for testing as per standards defined by the organization
Estimated and obtained management support for the time, resources and budget required to perform the testing
Organized and deliver succinct, clear and insightful and influential executive-level presentations and reports
Attended business meetings and followed up on defects until closure
Northshore Long Island Jewish Health System
July 2011 – May 2015
Project Manager/Systems Analyst
Worked on Health Provider Template for Soarian Financials
Created Soarian and GE Centricity Master File comparison matrix
Created documents in OMS and uploaded
Created pre and post notes in the Scheduling system
Built expressions in the Master File for generating the documents in OMS
Project lead for the testing of Electronic Document Management software
Project Manager for Siemens Scheduling application
Knowledge of Allscripts Touchworks EHR
Strong understanding of various Interface engines
Experience creating document filing rules
Created test scripts for testing the scanning and printing functionality
Tasked to test the scanning and printing for 58 different Medical and ambulatory groups affiliated with North Shore Long Island Jewish Health Systems
Project Manager for Soarian Security (Soarian Financials, Scheduling)
Functioned as part of a client delivery team to create and implement advisory and/or technology solutions to improve financial, operational, outcomes
Proactively identify client needs and assist in developing solutions, which helped to identify business development/upsell opportunities within the client.
UMass Memorial Hospital
February 2011 – May 2011
Systems Analyst
Conducted functional testing for Remittance Processing and Claim Definition Qualification rules for Soarian Financials
Evaluated the denial processing rules and conducted unit testing for Soarian Financials
Generated a mass quantity of 837Is and UB04s to evaluate timing for claim edits
Documented and opened defect tickets from the functional testing
Completed functional testing for billing data completion rules for insurance claims
Evaluated UMass late charge rules and service maps for Revenue Management
Virginia Hospital Center
1998 – 2010
Functional Analyst/Project Specialist
Determined claim eligibility via analysis of 837’s, UB’s and 1500 transactions for Soarian Financials
Determined the process flow for the various hospital software systems
Implemented Soarian Financials at VHC ambulatory(outpatient) practices
Worked with business analyst, developers and other departments to resolve issues with IDX and Soarian Financials
Conducted system functionality testing through the development and execution of test cases for Soarian Financials
Generated and executed test scenarios, scripts, cases and test data to create error reports to ensure issue-free applications for the implementation of Soarian Financials
Developed custom training documentation for front end-users for Soarian Patient Access and Revenue Cycle
Conducted training classes for end-users of IDX and Soarian Financials
Developed and maintained policy and procedures for AHIQA software
Created policies and procedures for Revenue Management
Monitored and provided assistance with improvement efforts for both providers as well as internal billing functions
Project Manager for a front-end web-based software system
Performed GAP analysis of business and system problems
Ensured all artifacts complied with corporate SDLC policies and guidelines
Systems Administrator for the AHIQA software program
Project Manager for Siemens EDM application
Provided Timely Financial and Operational Information to Senior Management
Developed management tools to quantify, measure, and monitor work processes
EDUCATION
Health Informatics for Innovation, Value & Enrichment (Administrative/IT Perspective) by Columbia University on Coursera. Certificate earned on April 10, 2017
Bachelor of Science, Health Systems Management, Potomac College, Washington, D.C.
Masters level course work in Cyber Security, University of the Potomac (anticipated completion date December 2017)
Currently working on Project Management Certification, PMPVIEW LLC, Washington, D.C
Electronic Health Records Management diploma, in process, Ashworth College
Six Sigma Green Belt and Lean Design Certificate, Aveta Business Solutions
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