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Master's in Healthcare Administration

Location:
Silver Spring, Maryland, 20904, United States
Posted:
January 23, 2019

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Resume:

Glory Tribhuwan-Pandit MHA

***** Castle Blvd, Apt 201, Silver Spring, MD 20904

240-***-**** • ac7929@r.postjobfree.com

Education

Masters in Healthcare Administration (2018) – Washington Adventist University, Takoma Park, MD

Executive post graduate in Business Management (2010) (Specialization in Human Resources)

Bachelor of Science (2004) (Chemistry)

Diploma in Information Technology (2003) (Computer hardware, software, and networking)

Qualification Profile

A versatile healthcare professional with comprehensive cross-functional knowledge and proven skills in administration, business processes, operations, and clinical requirements. Adept at strategic analysis, planning, project management and problem-solving to optimize the performance of the organizations.

Solid written and oral communication abilities. Deliver clear and informative presentations, reports and proposals.

Strong interpersonal skills. Highly collaborative team member and leader with the talent for establishing positive working relationships across departments. Excel at customer service.

Plan, develop and manage the full cycle of projects to design workflow, upgrade information-management systems, improve client services, and achieve financial efficiencies. Define requirements and scope, and oversee the development, implementation and quality assurance.

In-depth understanding of business requirements, strategies, and competitive positioning in the healthcare industry. Expert in achieving compliance with HIPAA and other private, Federal, state regulations, and corporate medical guidelines.

Skilled in research and analysis. Utilize metrics, observation, stakeholder feedback, and other data and input to determine needs, feasibility, and return-on-investment.

Detail oriented, with an aptitude for managing schedules and coordinating providers, activities, and facilities to ensure effective delivery of services.

Solid hands-on knowledge of clinical skills, medical terminology, and patient care.

Core Skills and Expertise

Applications and Tools:

Microsoft Office, Microsoft Visio, EClinical Works, EPIC, Cerner, Point-of-Sale (POS) systems, IT, Electronic Medical Records (EMR), EHR, eClinicalWorks, CPT and ICD-10 coding, HRIS, HCM, People soft, Workday, ATS, CRM, Kronos.

Business & Operations:

Project Management, Scheduling, Process Improvements, Workflow Efficiency, Budgets, Advising, Consultations, HIPAA, Billing, Insurance Authorization, Resource Allocation, Regulatory Compliance, Recruiting, Orientation, Employee relation, Benefits.

Work History

Human Resources Generalist and Project Coordinator February 2017 to till date

Adventist HealthCare

The first and largest healthcare system in Montgomery County focused on a mission of improving the health of people and communities through a ministry of physical, mental and spiritual healing.

HR Activities

Manage all HR operations recruiting, onboarding, orientation, benefits, and employee relation, and exit interviews.

Ensure HR initiatives are aligned strategically with the company's short and long-term goals.

Serve as a link between leadership, management, and employees by answering questions, communicating decisions and helping to resolve work-related matters.

Ensure compliance and keeps up-to-date with all legislation such as the Employment Standards Act, the Pay Equity Act, Occupational Health and Safety Act and the Human Rights Code.

Ensure employee files are ready for the Joint Commission audits.

Monitor clinical staff license and certification are updated timely.

Assist the recruiters with job fair, projects and duties as requested and administering skills testing for potential new hires.

Recruit and interview candidates; provide management with hiring recommendations.

Perform reference check, background check, I9 verification and onboard the new hires.

Facilitate general hospital orientation.

Process all new hires, benefits, termination and payroll paperwork and ensure compliance with applicable laws and regulatory mandates.

Analyze benefits programs as a part of overall employee compensation packages.

Analyze employee utilization of current benefits and develops specific recommendations for review by management.

Collaborate with insurance carriers and consultants on benefits policy content and language ensuring clarity and consistency.

Coordinated 401(k) profit sharing and health benefits plans.

Work with frequent interruptions, rapid pace environment with attention to detail and maintain emotional control under stress.

Create a letter for employment verification and employee loan forgiveness.

Develop standard and ad hoc reports, dashboards, and metrics for HR. Participate, compile data for external surveys, and best practice benchmarking.

Monitored unemployment claims by reviewing claims, providing documentation and coordinating responses with management.

Train operational managers in Human Resources/Payroll.

Project Management Activities

Actively involved in designing the new Human Capital Management system (HCM) system Workday with the vendor.

Analyzes, and interprets trends or patterns in data sets; develops recommendations based on findings.

Conduct training and implementation for the HCM system.

Developed and led the meeting between departments for implementation (HCM) Workday.

Announced developments of the HCM system to the project manager using spreadsheet reports.

Resolved issues and disputes of the employees and reported to the project manager.

Identified and worked to remove barriers to successful completion of the overall project, with emphasis on resolving issues with subcontractors.

Facilitate and coordinate the change management plan by engaging teams in the establishment and implementation of new projects to support the project manager.

Facilitates information flow between leadership, management, and change control board.

Preparation, editing, and assembling of reports required for meetings and presentations.

Automate, standardize, schedule and publish key reports to help the business with data and insights (DAMIC).

Continuously research, analyze and improve the existing reports to build process efficiency.

Interim Office Manager May 2016 to January 2017

Adventist Healthcare - Behavioral Health Outpatient Wellness Clinic

Coordinate with 10 Physicians every day to keep up with their schedule.

Work with physicians to maximize appointment access and provide day-to-day operational supervision to the clinic staff.

Identify and solve service delivery problems. Developed and delivered solutions to improve physician satisfaction and patient experience.

Helped in implemented new software eclinicalworks (EHR – Electronic medical record system) for high efficiency and effectiveness of the clinic.

Post all the charges into eclinicalworks for patients as per the service and the different providers.

Maintain reports of all payments using eclinicalworks.

Scheduling, rescheduling, canceling, and creating recurring appointments for the patients using eclinicalworks.

Credentialing the physicians.

Performed insurance coverage verification, co-pays, third party insurance, and billing in Cerner for all patients.

Making sure the physicians/providers have submitted notes for each patient.

Strategic planning for patients managed care with no insurance or underinsured.

Oversee the needs of all the four behavioral health clinics in absence of the office manager.

Maintain current knowledge of insurance requirements and an understanding of the changing demands of federal regulations and organizational requirements.

Ensure that all required documents are scanned into eclinicalworks for the patient’s record.

Assists in the budget justification, and maintains reports and records needed to account for utilization of funds.

Ensure that all correspondence/communication associated with billing, collection, and reimbursement activities are completed on time.

Human Resources Executive May 2013 – July 2015

Ventura Securities Limited

Ventura Securities Ltd. (Ventura) commenced its operations in 1994 as a stock broking house.

Serve as lead for sourcing strategy development and utilization for the Talent Acquisition team

Conduct HR interviews and forward them to the concerned departments/manager.

Consults with the hiring manager regarding candidate selection. Coordinates offer of employment and notification of candidates not selected with the service center.

Prepare offer letter and appointment letters.

Identifying recruitment needs across levels through mapping of skills required for different roles and analysis of the existing level of competencies; presenting in the management review meeting.

Planning, scheduling and conducting different training programmes in consultation with various departmental heads.

Maintaining various records in excel sheet like employee master file, insurance data, existing workforce data, projected workforce, etc.

Leave management involved checking the excel sheet over LMS (Leave management system) for loss of pay, allotment of leave in case of a new employee, adjustment in leave balance in case of discrepancy, etc.

Manage payroll accurately and closure within the timeline for input with the accounts department.

MIS reports preparations on attendance, exit and entry data, outdoor applications, leave application, late-in reports.

Support the organizational engagement and development initiatives.

Human Resources Team Member, April 2005 to Jan 2013

Reliance communications Private Limited

Reliance Communications is a telecommunication company. A subsidiary of Reliance Group, its services include GSM, fixed-line broadband and voice, and direct-to-home satellite television.

The hiring of the candidate's proficient with specific technical IT skill sets.

Conduct preliminary round of HR interview.

Bulk hiring 15-20 customer care representatives every day.

Onboard new hires in the organization from agent level to manager level.

Overview of the organization and policies.

Guide the new hires to complete the joining formalities.

Maintain the MIS of new hires.

Make the final data entry in SAP for generation of employee codes.

Identifying training needs across levels through mapping of skills required for different roles and analysis of the existing level of competencies; presenting the training progress in management review meeting.

Conduct soft skills and systems training for five different processes.

Performing batches at vendor locations.

Coordinate with client and business for enhancement of training.

Conduct skill verification test on the shop floor.



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