Healthcare Consultant

Julia L. Dangtran

linkedin.com/in/julia-dangtran • 804-***-**** • *************@*****.***

PROFESSIONAL EXPERIENCE

Optimity Advisors, Washington D.C. March 2015-Present Senior Associate October 2016-Present

Claims Accuracy Project, Project Manager

• Trained and managed team of 5 to identify over $21M in claim overpayments and clinical inaccuracies using SQL/ Microsoft Access.

• Oversaw weekly data analysis activities and presented recommendations to Executive Director and Hospital Contracting Director to help drive decisions toward the strategy, development, and reconciliation of payment issues.

• Reviewed contract and claims discrepancy findings with hospital contracting and configuration teams to facilitate root cause analysis.

• Received performance-based recognition for commitment to the client and performing above the Senior Associate role by facilitating complex meetings with key stakeholders involving scope, roles and responsibilities, and data quality management.

PBM Implementation and Claims Surveillance Project, Business Requirement Analyst

• Conducted financial claims surveillance for multinational PBM.

• Led contract documentation analysis to deliver due diligence, gap process analysis, and operational recommendations

Benchmarking Assessment Project, Analyst

• Benchmarked claims payment methodology against industry standards to identify saving projections.

• Developed cost analysis models to assess performance of alternate payment scenarios, which were presented to key stakeholders and used to facilitate the implementation of a new health plan payment methodology

Network Operations Process Implementation Project, Reporting Business Analyst

• Interviewed client IT, PMO, and executive leadership and developed 5 Standard Operating Procedures to support process implementation for client’s Network Operations Team.

• Created end-to-end process flows using Visio to document business requirements and highlight process gaps.

• Provided gap analysis and determined organizational improvement opportunities through management tools, quality assurance reports and mechanisms, organizational redesigns, governance restructuring, and strategy roadmap for 2017 initiatives.

Associate March 2015-September 2016

Contract Review & Claims Accuracy Project, Analyst

• Identified $3.3M of payment inaccuracies for 1,663 Medicaid professional, institutional and ancillary contracts for a regional health plan using Microsoft Access.

• Documented issues and risks to project implementation, and facilitated meetings between the corporate and local departments to identify process improvement opportunities. Determined root cause of payment inaccuracies, maintained issues tracking logs & progress reports, and provided provider level summary of findings.

LEADERSHIP

• Optimity Proposal Writing: Spearheaded healthcare growth initiatives and strategic planning through proposal work with Partners and Senior Managers. Submitted winning RFP for a large health plan valued at $600M to conduct ASO vendor management.

• Optimity Delivery Excellence Lead: Organized training initiatives for new and experienced hires. Advised engagement teams by recommending standardized frameworks and best practices, facilitating team building exercises, and providing transparency to enterprise-level delivery outcomes.

• Optimity Campus Recruitment: Led campus recruitment efforts by training peers on interview best practices, screening resumes, and conducting phone and behavioral case interviews.

EDUCATION

University of Virginia, Charlottesville, VA May 2013 Bachelor of Arts in Biology

Honors: Dean’s List

ADDITIONAL SKILLS

Software: SQL, Power BI, Visio, Adobe InDesign, BLAST, ArcGIS, Electronic Medical Records (EMR), Microsoft Office Suite Language: French (Fluent), Vietnamese (Fluent)

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