Implementation Project Manager Heathcare Technology

Phone: (***) ***-Teresa **** - Bauer Email: ******@****.***

SUMMARY

Over 15 years in healthcare technology, results driven client relationship program and project implementation manager, highly skilled in complex enterprise solution implementations, transformation and process improvement from both a vendor and client perspective managing large integrated virtual project teams

Professionally and effectively partner with client leadership to implement enterprise-wide initiatives

Proactively work as the client advocate, successful in the cultivation, development and maintenance of client relationships often translating into additional product offerings and/or value-added consulting services.

Highly skilled and successful in liaison roles that facilitate effective working relationships through virtual, cross-matrix, and cross-functional, multi-department teams both internally and externally

Extensive collaborative management skills with internal and external clients for successful quality driven implementations, includes operational process improvement, resource management, system and process definition and implementation, identifying gaps to current capabilities and determination of creative solutions and strategies.

Experienced with SDLC (Software Development Life Cycle), SAAS implementations, UNIX, PROGRESS, ORACLE databases and distributed web technologies.

Proven leader with the ability to motivate team members toward project delivery deadlines

Collaborate with all levels of management and staff PROFESSIONAL EXPERIENCE

OPTUM360 (UNITEDHEALTH GROUP) Telecommuter 2011 – April 2016 Senior Hospital Solutions Implementation Manager, Project Manager

Successfully implement Revenue Cycle Management Software / SaaS / RCM technology

(eCAC/CDI) in premier hospitals and medical centers; significant HL7 interface efforts with existing EMR/EHR systems management; clients included Mount Sinai in NY, Hartford Healthcare in CT, among others nationally.

eCAC/CDI is a highly configurable cloud based enterprise solution, an industry leader in CAC coding technology that increases coding staff productivity ensuring hospitals and health systems accelerated payments by decreasing DNFB/payer claim denials.

Maintain a high level of consultative communications internally and externally at all levels in a transparent, proactive manner

Develop execution strategies and provide solution-oriented problem identification and resolution in efforts to secure superior teamwork, solution delivery, and client satisfaction.

Lead periodic Project Governance sessions with the C-Suite, prepare and present executive level progress and status reports

instrumental in facilitating contract upsells to existing clients resulting in increased revenues

Balance multiple implementations/upgrades while effectively managing to constant changing project, resource availability, and client needs.

Lead virtual teams of technical and HIM professionals, the scope of each implementation varies, from 12 – 24 months in duration depending upon the size and complexity of the hospital/medical centers' systems.

Authored internal Project Management Guide documenting standard operating procedures, policy, processes, and training aids that support uniform internal and client implementation planning and execution; key contributor in the delivery and maintenance of the standard project schedule template utilized across the project management team. MCKESSON HEALTH SOLUTIONS NORWALK, CT 2007 – 2011

Senior Implementation Manager, Project Manager

Successfully implemented ClaimsXten (CXT), a component based enterprise-wide solution utilized by health plans/payers to clinically audit claims enabling payers to process claims in alignment with medical payment policies, resulting in substantial savings opportunities.

Managed timely project deliverables via project schedules, change management, and on-going project assessments at several Fortune 100 health plans in a project and program manager capacity, ensured timely project deliverables, inclusive of re-prioritization of timeline, scope, and resources. Worked closely with the client to manage implementation and integration issue

resolutions Worked collaboratively within a matrix cross-functional team environment managing client and HEALTH internal NET OF team THE resources, NORTHEAST SHELTON, CT 2003 – 2007 Manager - Medical System Medical Management 2004 - 2007

Led the Medical Management implementation efforts in alignment with the corporate initiatives, including the definition of workflow design, critical go-live requirements, training, testing and roll-out

Established and advanced process improvement cycle for DSM vendor operations efforts inclusive of external vendors’ risk assignment methodology

Responsible for the hiring, development and management of employees along with the development and execution of systems training programs for continued associate education. Consultant – Medicaid CT 2004

Successfully managed the “CT Encounter Format Modification Release” project. Coordinated efforts between the Manager of Compliance-CT, ITG, BCG and the State’s vendor that produced an encounter submission consistent with compliant data reporting

Increased acceptance rate to 97%, representing a 22% increase in acceptance over the previous month’s encounter submission.

Project Manager - Senior 2003 - 2004

Responsible for a web-based application and vendor relationships, ROI review and focus group sessions to determine business driven needs/requests

Reduced calls by 10% - met ROI goals/ expectations

Implemented a pilot program for electronic claims attachment requests and retrieval. Redefined Claim department workflow procedures for maximum application benefits while ensuring maximum profitability and integrity

Reduced paper claim attachment submission by 18% - exceeded pilot project objectives

Acted as a co-project manager for the successful electronic connectivity of six (6) companies OXFORD Conducted HEALTH contract/PLANS scope review for resource Trumbull, coordination CT 1998 and - workflow 2003 process definition Project Manager - Senior 2000 - 2003

Coordinated and managed all aspects of business project goals, ensured designated project goals and objectives were accomplished within targeted timeframes and budget.

Directed the infrastructure vendor (CSC), the technical vendor (Keane) and the internal IT staff in the development of an enterprise architectural framework and two transactions, ensured a successful implementation as a model for all the company’s future IT architecture and applications including HIPAA

Managed the definition, design and development of an enterprise J2EE architectural framework, from Proof of Concept to the first application. Managed multiple JAD sessions required for final design including the consultants who assisted in the design, coding and functional/technical specifications.

Project completed on time and under budget by over (10%), successfully rolled out to over 800 Users.

Volunteered to be one of 14 IT professionals to be part of the SDLC focus group tasked with instituting modifications to existing processes to accommodate new Oxford requirements

Recipient of the prestigious annual “Interdepartmental Cooperation Award” for the utilization of networking skills towards business issue resolution, leadership and consistent performance

Only IT employee recognized among ~400 IT professionals

One of five employees recognized company-wide (total 3500 employees)

Recipient of Oxford Health Plan’s Star Awards on a annual basis

Project Management Institute – Began PMP certification process Business Analyst- Senior 1998 - 2000

Performed in a Project Management capacity for the company’s first internal web-based Call Center (CC) application and external website for small group enrollment, responsibilities included the facilitation of usability studies

Managed a cross-functional multi-department team in a matrix environment; planned and executed pilot rollouts

Created 100 new HTML pages - 25 sub-applications, UI design was intuitive and mapped to call flow

Reduced new hire training by 30% and call handle time by 35%, successfully rolled out to over 400 reps

RELATED EXPERIENCE

USCO DISTRIBUTION Project Manager

> Responsible for a 15% increase in sales working closely with the sales teams UNITED BEAUTY SUPPLY CORPORATION Senior Manager – IT

> Reduced total FTE count by 20% in a six (6) state region while increasing productivity ULTIMATE DATA SYSTEMS National Implementation

> One of two employees that met or exceeded all regional goals

> Reduced customer response time by 40% by instituting new FTE procedures

Contact this candidate