J. Renee Mullen

acx0bs@r.postjobfree.com

314-***-****

In my resume you will find over ten years of executive management and sr executive director consulting levels of experience. My experiences range from small organizations, small to medium practices, non-profit organizations to large corporations. I have been in my current position with the same corporation for approximately 10 years. With the ever so changing industry I have decided that it is a great time to expand my career. I am ready to venture out for new and exciting challenges. There is much to be offered in career expansions for those of us that are proven to be a great asset to the corporations/companies/organizations that want career minded, hard working individuals. Therefore, if given the opportunity, I intend on being employed with a corporation/company/organization that will allow me to grow, offer challenges and become a successful career for many years.

Thank you for taking the time to review my resume,

J. Renee Mullen

Skills and experience include but not limited to:

Outstanding interpersonal skills

Tactful and responsive on the phone with clients/patients

Genuine concern for welfare of patients and others along with the business

Ability to manage multiple tasks and prioritize without sacrificing quality

Excellent computer skills and familiarity with Microsoft Word, Excel, and Outlook

Superior organizational skills

Extremely discreet when working with sensitive and personal information

Ability to remain calm in chaotic and simultaneous situations

Demonstrates a sincere dedication to the philosophy and mission of the office/company

Complete understanding of Adjudication of Medical Health Claims

Third Party Liability (TPL)/Coordination of Benefits (COB)

Clear understanding of medical benefit structures

Medical code sets

Excellent analytical skills and able to define business requirements

In Depth knowledge of Medicare/Medicaid regulations both state and federal

Identify new business opportunities by partnering with Health Plan and Hospital Sales colleagues, business development and other local resources.

Deliver sales proposals for new business and manage all interfaces between the client and the Company during the negotiation and contracting phase using all standard processes, procedures and templates

Develop strategy for engaging with key decision-makers

Develop a value proposition for each specific target considering their unique needs and capabilities

Provide overall support and expertise to new accounts to ensure clients receive highest level of quality service utilizing operational personnel to resolve problems

Work with local Health Plan teams to serve as the product expert on Health relative to access, coverage and reimbursements.

Developing overall business unit plans for increasing volume and profitability through implementation of national strategies and marketing initiatives

Work with Marketing to develop proactive approaches to be successful

Ensure Quality Control

Conducts an annual review of the continuous quality improvement for Facility and updates as appropriate

Oversees and coordinates the development and implementation of center specific quality indicators

Assists in interpreting and implementing all MO HEALTHNET, Centers for Medicare and Medicaid Services (CMS)

Serves as organizational liaison for reporting and other communication regarding QAPI with state/federal agencies

Works with department leadership to maintain appropriate Policy and Procedure Manuals for appropriate facility operations

Responsible for QAPI activities including but not limited to auditing, statistical analysis, incident reporting and analysis (including corrective action)

Develops QI audit tools and indicators

Plans and oversees education for facility staff on QI activities and techniques

Plans and oversees all required and selected educational programs as well as mandatory in-services, etc.

Oversees data management for QI activities including coordination of collection, data entry, and analysis and assessment of data

Provides monthly, quarterly and annual aggregate reports

Works with department leadership to develop employee competency tests for new and annual employee training

Plans and oversees all credentialing processes

Maintains compliance and grievance logs and reports such monthly, quarterly and annually

Maintains MSDS forms

Oversees infection control program and OSHA training

developing informed consent forms and screening materials, screening and recruitment of subjects, scheduling visits, obtaining informed consent, answering subject inquiries

completion of subjects assessment(s), charting, collection of biological samples (e.g., blood, urine), medical testing (e.g., vital signs), and processing of data and samples collected during subject visits, recognizes, tracking and reporting of adverse events and protocol

Develops and maintains patient databases, investigational logs, study regulatory documents, including screening and enrollment logs, drug accountability logs, subject identification logs, and site signature and records of drugs administered, medical devices monitored and/or procedures

Monitors enrollment goals and initiates strategies to promote enrollment and participant

Monitors study expenses and billing for study services, requests change orders/amendments as necessary

Serves as primary contact with the sponsor regarding overall study conduct, timelines, and budget.

Trains clinical staff on study protocols and procedures and supervises the Clinical staff when the principal investigator or sub-investigators are not present to direct clinical research activity

Develops, completes and/or maintains site documentation including but not limited to case report forms, data clarification forms, source files and regulatory documents

Communicates pertinent information to other staff members who may be involved in research (e.g., physicians, laboratory technologists)

Ensures all staff working on a project have been properly delegated by the Principal Investigator and have received adequate protocol training

Represent investigator meetings as needed, attendance at other meetings with study sponsors or their agents as needed

Responsible for tracking subject recruitment and enrollment and reporting safety issues

Oversees the ordering and shipment of study drug supply, ensuring that drug accountability logs are maintained

Coordinates study start-up activities with the sponsor and internal staff including the Site Initiation Visit

Answer inquiries and resolve complex employee and retiree problems concerning benefit coverage, claims disputes

Coordinate and handle audits relative to each benefit plan for each company consulting for

Ensure completion of the necessary filings to maintain each benefit packages qualified status

Ensure both the accurate and timely preparation of amendments to qualified retirement plans and health and well-being plans

Manage the administration of all Company wellness and benefit plans including, but not limited to, medical, dental, vision, life insurance, disability insurance, workers’ compensation, pension, and 401(k)

Lead the design, implementation, and communication of employee benefit plans and new or changed benefit offerings

Businesslike, mature, professional appearance and demeanor

Commanding personality capable of leadership

7+ years of highly successful business experience

Comfortable with group presentations

Ability to communicate effectively and persuasively in both oral and written forms

Discipline to work from a home office

Need for a position that offers significant opportunity for advancement & personal growth

Track record of ethical behavior

Developed and directed two programs for developmental disabilities, for non profit organizations, that were given CARF and JACHO accreditations and approvals

Gathering and synthesizing clinical information

Conducting healthcare reviews

Determining consistency with requirements on coverage, contracts and criteria in evidence based necessity

Collect and analyze information required

Brief work History:

2006- current: Gateway Medical Consultant, LLC.

St. Louis, MO.

Medical Consultant/Director

Brief Duties: give ext edu hour with in-services, EMR/EHCS/EHCR set up, up dating and training, medical facility retire, sales and closures, state and federal complicates and regulations, staffing, re-evaluating facility/practices, back ground checks, dictations, chart reviews, phlebotomy training and other medical in-services, clinical management, Quality/ compliance management, Financial over sight, clerical management, etc

SEE ABOVE FOR SKILLS AND EXPERIENCE

2006-2003: Cathedral Rock, Inc

Texas, Missouri and Illinois

ADON, DON

Brief Duties: management of medical/nursing staff, social services staff, scheduling, state and corporate reports, NARC records, state and federal compliances/regulations, staff in-services, ext edu hours, medical/pharmaceutical supplies and report, on-calls, assist doctor with rounds and on-call, corporate meetings, phlebotomy and other lab services, etc…

SEE ABOVE FOR SKILLS AND EXPERIENCE

2003-2001: Life Skills Foundation and Judevine Center for Autism

St. Louis, Missouri

Program/Staff Coordinator

Brief Duties: Build program called Community Connections and educational services for development disability patients/clients, schedule and manage staff, write life plans for patient/client, do medical intake, provide medication certifications/cpr/mandt/first aid/behavior specialist training and certifications, phlebotomy and other medical care during programs and program activities, fundraisers, social worker services, etc…

SEE ABOVE FOR SKILLS AND EXPERIENCE

2001- Nursing Staffing Companies, Grace Hill Clinic, Washington University Care Clinics, Concentra, Gateway Blood Services, St. Anthony’s Medical Center

St. Louis, Mo

Nurse and medical assistant

Brief Duties: patient care, phlebotomy and other lab duties, Blood donor services, Infection control, etc…

SEE ABOVE FOR SKILLS AND EXPERIENCE

Educational Outline:

Grade School: Lonedell R-14

Lonedell, MO.

Regular courses with some advanced courses

High School: Salem High

Salem, MO.

Regular/Advanced courses/Classes

A Honor Roll

Honor Graduate with scholarship

College: Washington University School of Medicine

St. Louis, MO

Premed

PhD General Medicine/Internal Medicine

MSN (Lisc not current)

MBA Masters Business Management

College: Webster University

Webster Groves, MO

MSW (lisc not current)

Behavior Specialist

Developmental Disabilities Studies

Autistic behavior/tendencies/studies

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