CHERYL L. WARREN

***** ******** ***** ********, ******** 48186 313-***-****

ac6sei@r.postjobfree.com

SUMMARY

An innovative and results-driven healthcare professional with a strong background in health information systems, health insurance enrollment and reconciliation, business consulting, marketing, business analysis, regulatory compliance, health education, Medicaid, HIPAA, systems administration, and software documentation. Proven ability to conceptualize and capitalize on market trends. Leverages excellent communication skills to build external relationships, provide training, and deliver presentations. A strong closer who excels at establishing rapport and client trust. Demonstrated track record of growing revenue by identifying client needs and positioning a company to maximize annual budget.

EXPERIENCE

HEALTH ALLIANCE PLAN OF MICHIGAN (HAP), Detroit, Michigan

Business Consultant/Computer Analyst, Southeastern Michigan, 2000-2018

Worked with and coordinated efforts of customer base, providers and vendors (W9), and other IS departments in identifying and implementing short- and long-term corporate business needs for assigned system applications. Provided expertise in detailed design, maintenance, and strategic planning of complex applications. Initiated analysis and ensured adequate evaluation of system impacts. Managed performance of application software based on customer requirements, and ensured systems conformed to government program and regulatory agency standards.

Served as system expert for customer bases and other IS departments. Prepared recommendations for enhancements to system applications and vendor services. Developed project plans and monitored project scheduling and completion. Coordinated IS efforts and customer needs to ensure expedient response to and resolution of system issues. Performed regular quality review checks to ensure superior product for ongoing production support. Led and assisted in research and development of new system application releases, and coordinated identification of interfaces with provider, pricing, and member groups.

●Ranked first in goals and volume for Detroit region.

●Received HAP Program Achiever Bronze Level for New Prescribers recognition for three consecutive months.

●Won Recognition Program’s “Managing Change,” “Goal to Leadership Recognition,” and “You Made a Difference” Awards.

Reconciliation Specialist, Southeastern Michigan, 2000

Maintained integrity of marketing and enrollment data related to membership, premium dollars, and collection of revenues. Validated remitted dollar amounts against HAP billing statements, and identified and resolved all issues on accounts. Completed appropriate online transactions, including EDI and obtaining final results on employer group accounts.

●Received Director’s Award for exceeding 100% of reconciliation of Ford Motor Company attainment in first year of employment.

●Assisted auditor with conducting quick and accurate closed reconciliations.

ADDITIONAL EXPERIENCE

OMNICARE, Enrollment Specialist, 1998-2000. Communicated and interfaced with internal and external personnel on daily basis to resolve enrollment, finance, and marketing issues of large employer groups in accordance with group service agreements/master group contracts. Received, reviewed, prepared, and verified data for accuracy and completion in all provided Medicaid documentation. Served as department leader, and assisted with new hire training. Collected and maintained quantitative data on effectiveness of health education programs. Facilitated and developed multi-employee health program series. Functioned as program manager for semi-annual community health fair.

UAW-GM LIFESTEPS HEALTH PROMOTION PROGRAM, Pleasant Grove Baptist Church, Health Educator, 1996-2005 (Concurrent). Collaborated with health specialists, such as nurses and diabetes educators, to determine plant and community health needs, availability of services, and develop goals for meeting future needs. Conducted health education programs, training workshops, and one-on-one education counseling. Prepared and distributed health education materials, including bulletins, newsletters, and visual aids. Developed and maintained cooperative working relationships with plant managers. Supervised professional and technical staff in implementing health program goals and objectives.

EDUCATION

SPRING ARBOR UNIVERSITY, Spring Arbor, Michigan

M.A., Organizational Business Management, 2007

B.S., Management of Health Services, 1997

CERTIFICATIONS

SBC Marketing and Product Build

Computer Skills Training Center Certified

American Red Cross

Medical Terminology

ICD-9-CM CPT Coding

Employee Renewal

ITIL Foundation Certified, EXIN

Visual

Sale Workforce

COMPUTER SKILLS

Mainframes and Databases Key Code, Microsoft Office Suite, GQL, Oracle, Pivot Tables, MADS, Diamond, PERADIGM, Xcelys, Facets, SQL Developer

Contact this candidate