Manager Service Maimonides Medical

MIGUEL PASCUAL Cell: 917-***-****

*********@*****.*** linkedin.com/in/miguelpascualny

CAREER SUMMARY

A seasoned Data/Interoperability Architect with over 20 years of Healthcare IT experience in Healthcare Integration. Proficient in integrating Healthcare Information Exchanges, EHRs, and Ancillary systems, particularly Radiology & Cardiology PACS, CIS, LIS & RIS and other Laboratory, bedside, and Imaging Modalities. Extremely detail oriented, with unmatched customer service and interpersonal skills.

EMPLOYMENT HISTORY

NEW AGE HEALTHCARE TECHNOLOGIES CONSULTANT – COGNIZANT 12/20 – Present Interoperability Architect / Senior Project Manager

● Spearhead efforts to implement a SaaS solution for Payors seeking to establish compliance with CMS’ Interoperability and Patient Access final rule (CMS-9115-F). Led a team of approximately 40 individuals to implement a solution to address the US Government's CMS’ Interoperability and Patient Access final rule (CMS-9115-F). This implementation required converting datasets from a Payor's 3 lines of business to FHIR profiles, specifically US Core Profiles, CARIN Blue Button Profiles and ARGONAUT (Provider Directory).

● Collaborate with Business Analysts to identify, define, and revise (as needed) all requirements for the project. Worked with the SaaS Product team to implement the SaaS based FHIR Repository within all environments, then test and confirm all the functionality defined within the FHIR Capability Statement are operational. Worked with Product team to set up OAUTH/OPENID for application registration, member and Authorized Personal Representative consent authentication, and MDM for member matching. Work closely with System Integrations team to map the client's Golden Copy Source data from 3 lines of businesses to their corresponding FHIR resources/profiles, as depicted by the relevant Implementation Guides; work closely with QA teams as well as client stakeholders to ensure that SaaS based FHIR Repository, and all corresponding APIs were executing as required; working through all CARIN BB, US Core, and Argonaut test cases, confirming full functionality and performance for all relevant APIs.

● Build, manage, and organize appropriate project plans for any assigned projects

● Develop, maintain, and revise all project materials.

● Track progress of projects and ensure all milestones and timelines are met, quickly identifying and escalating any risks to meeting these milestones and timelines.

● Identify, escalate, and mitigate project risks and issues, communicating project status, and negotiate changes in project scope, resources, or timeline to ensure that the project sponsor and the partner or member are satisfied with project results

● Identify relevant stakeholders and build communication strategies to ensure project deliverables are on time, within budget, and meet desired outcome metrics.

● Collaborate and negotiate with project sponsors and other stakeholders on project management strategy, timeframes, and specific outcomes to be achieved

● Conduct internal and client facing daily stand up meetings.

● Assist Interoperability teams to implement a Azure based SaaS platform, which provides secure and real time sharing of member, provider, claims, and clinical data.

● Deployed Insight tier allowing for the real time, interactive, and batched insights of all claims and clinical data through the use of tools such as SQL, NoSQL, PowerBI, Tableau, Excel, & SSRS. NEW AGE HEALTHCARE TECHNOLOGIES CONSULTANT – NYC OFFICE OF CHIEF MEDICAL EXAMINER 05/20 – 11/20 Integrations Developer / Architect

● Work with the OCME, NYC Department of Health, Healthix, NYCIG, and BHIX Stakeholders to gather and define all requirements.

● Design, implement, and test a set of APIs that enable OCME’s in-house application to query the NYC RHIOs Patient Search SOAP Web Service and REST API in order to obtain real time patient admission data from all NYC hospitals.

● Work with OCME IT to build, and test a PatientSearch Database, configure all ODBC bindings, and SSIS integrations between UVIS (custom internal app) and the PatientSearch Database.

● Develop Mirth Web Service Senders, HTTP Senders, Database Readers, Database Writers.

● Used Javascript to parse and manipulate (modify, translate, trim, etc) inbound data streams as well as configure pre and post-processors in Mirth.

● Create As Built Technical Documentations, UML Diagrams, Dataflow Charts as needed.

● Assist QA Team on developing testing plans, creating scripts and steps to ensure a fully functional workflow and dataflow, while identifying risks and exception handling requirements.

● Use SOAPUI and Postman to test PatientSearch APIs. MIGUEL PASCUAL Cell: 917-***-****

*********@*****.*** linkedin.com/in/miguelpascualny NEW AGE HEALTHCARE TECHNOLOGIES CONSULTANT – VETERANS AFFAIR (VA) HOSPITAL 05/18 – 5/20 Senior Intersystems Developer /Data Architect

● Spearheaded efforts to design and develop an Intersystems IRIS For Health FHIR Resource Repository, allowing internal VA applications to access, query and register various VA VX130 Veteran data sets (including but not limited to Patient, Encounters, Appointments, Allergies, & Medications, Claims data sets).

● Build FHIR Productions that are capable of facilitating the conversion between the VA’s VX130 Dataset to SDA Containers, then to FHIR v3, CDA, CCDA, & HL7 v2.x.

● Use Cache Object Script, DTLs, and XSLT Transforms within BPLs to convert CDA & CCDA to Intersystems proprietary SDA format, then convert to FHIR.

● Work with Enterprise Architect to make sure that all designs and supportive diagrams are all in compliance with the overall system architecture.

● Work with Data Analysts, and Data Warehouse DB Admins to identify the necessary tables needed to compile SDA Containers which would in turn be used to produce FHIR Resources

● Optimize SQL queries to reduce cost/latency, speeding up response time when querying result sets, reducing overall response time to the requesting client.

● Create UML diagrams (Class, Object, and Use Case Diagrams) and technical documentations as needed.

● Research, develop, & test custom solutions for a variety of applications healthcare customers, from new solutions to mature, large scale distributed deployments. Work on POCs and cutting-edge features before they’re integrated into the product.

● Influence product decisions, features and APIs based on real-world usage experience.

● Develop Ensemble productions that integrate HealthShare Referral Management (HSRM) with VISTA CPRS.

● Build X12 integration with AET, the VA's Authorization Eligibility Tool (AET) allowing HSRM the ability to consume and reply to x12 EDI 278 pre authorization messages.

● Configure File, HTTPS, and Email Adapters & message handlers needed to facilitate communications between several VA Enterprise systems (CDW, Informatica, Snowflake, VirtruPro, Vista, Cache, ECAMS).

● Built custom SQL queries to assist SCRUM teams on reporting and analytics efforts.

● Develop, test & update SEOC Rest APIs, writing code to extract payload that are used to extract SEOC payload and ingest that data into HSRM.

● Train all new developers on HSRM, HMF (Healthshare Management Framework), VA Network Infrastructure, internal AGILE/SCRUM methodologies, rules and concepts.

● Deploy & test SSL/TLS Mutual Auth FIPS 140-2 compliant integrations.

● Assist developers with deploying code, code peer review, debugging & troubleshooting methods, classes, configuring business rules and DTL in cache object script.

● Assist other teammates in the evaluation of future technical and business needs..

● Work with the security and architecture team to develop secure, fast, scalable integrations with the VA's enterprise applications.

● Work with Data Warehouses (CDW, Informatica, & Snowflake) to verify that all backed up table's field attributes match up seamlessly with the source data from HSRM. Reporting any deviations from source data back to Intersystems, CDW/Informatica/Snowflake, and internal business staff.

● Conduct Gap analysis/mapping between EDI and RFS (Request for Service) forms.

● Help business analysts and developers to create EDI DDE Compliance Rule documentation, standardizing all field names on all forms & GUIs).

● Assist QA team with drafting out test scripts for maintenance release, ad-hoc, & regression and functional testing efforts.

● Assist with Intersystems HSRM maintenance releases and adhoc updates.

● Work with Scrum leaders to make sure all Rational Stories and relevant tasks remain up to date with the latest information, burning down hours, and attaching any relevant artifacts to the tasks as needed.

● Work with clients to ensure smooth and successful implementation, delivery and deployment of complex solutions

● Conducted technical evaluation and proof of concept programs evaluating and implementing new technologies and tools.

● Strong understanding of features and capabilities of the Microsoft Cloud Platform (Security, Firewalls, RedisCache, Key Vault, Service Bus, ASR, Networking, OMS, Blob Storage, Resource Groups, NSG, Application Insights, SQL Server, Load-Balancers

& Virtual Machines).

● Utilized Docker and Kubernetes to automate deployment, scaling, and management of containerized applications.

● Performed software installation and maintenance tasks for Azure and AWS cloud infrastructures. NEW AGE HEALTHCARE TECHNOLOGIES CONSULTANT – SEMA4 GENOMICS 01/18 – 4/18 Integration Developer/Architect

● Spearheaded implementation of Corepoint Vr. 7 with A2 (High Availability) in the AWS Cloud.

● Responsible for interface development (specifications and data flow diagrams), mapping, data conversion, testing and documentation of interface specifications.

MIGUEL PASCUAL Cell: 917-***-****

*********@*****.*** linkedin.com/in/miguelpascualny

● Use Confluence, Sharepoint & Visio to create architectural designs, workflow analysis flow charts, process, policy, procedure, policy, best practice documentations & how-to instructional manuals.

● Work with clients and Sema4 business analysts to conduct workflow analysis and obtain other relevant information from clients.

● Formalize business requirements into functional interface specifications.

● Participates in the development of integration and data conversion processes for each implementation.

● Create REST & SOAP based web services to connect Medgis Cloud LIS to SEMA4’s Patient Portal.

● Work in an agile, object-oriented, team environment with version control, change management and continuous improvement protocols.

● Interact and manage multiple EHR Partners and Clinical Integration customers to problem solve on a real-time basis.

● Utilized AWS VPCs to connect Sema4’s Corepoint Interface Engine to Mount Sinai’s Cloverleaf Engine. Coordinated network connectivity troubleshooting efforts, working with trading partner and vendor resources to ensure functional TCP and SSL/TLS based connectivity to all client EMRs and Reference Labs (Quest Diagnostic, Bioreference).

● Leveraged VPC flow logs to analyze network traffic traversing the Internet and IPsec gateways to troubleshoot VPN and SSL/TLS based connections, adjusting security policies and Access Control Lists as needed.

● Set up and configure EC2 application server templates for DEV, TEST, and PROD environments.

● Used AWS Cloudwatch to monitor server and network metrics.

● Set up Alarms to track EC2 server & VPC resources & utilizations.

● Trained Clinical and QA Analysts on how to search the HL7 message repository, check interface status and alerts, and stop/start interfaces using Corepoint Monitor.

NEW AGE HEALTHCARE TECHNOLOGIES CONSULTANT – NORTHWELL HOSPITAL 05/16 – 12/17 Senior Cardiology/HL7 Systems Analyst

● Participated in the Siemens Envision to Cerner Soarian EHR migration for the Northwell Cardiology IS Department, conducting a full assessment and analysis of the Envision EMR’s current state ADT, Order, & Billing interfaces (message type, structure, allowable values, event types & functions) for all Cardiology applications.

● Managed the integration of Cerner Soarian to all Cardiology Services applications within the DEV, QA, & PROD environments, including but not limited to smoke tests, functional testing, Field by Field testing, Unit and End-to-End testing with negative and positive scenario cases, Revenue Lifecycle testing, & System Integrated Testing of all ADT, Orders, Results and Charges. Worked with the Interface Developers to make sure all interfaces were set up to spec.

● Managing the entire cycle of interface application development, including analysis, design, specification, implementation, go-live, and support.

● Coordinated activities involving multiple players including vendors, application teams, subject matter experts, and third-party application experts to determine the business needs for interface per the requirements and adjust the environments as needed to allow for successful HL7 communication between the upstream downstream systems.

● Used various interface engines, including but not limited to Infor Cloverleaf & Siemens Openlink, to archive, analyze, verify and validate inbound and outbound HL7 message structure, type, and relevant patient data.

● Conducted HL7 workflow and dataflow analysis using Siemens Workflow and IDX Imagecast, verification of successful transmission, proper message types and structure, for all Cardiology specific ADTs, Orders, Results and Technical Billing performed within the Radiology Dept (i.e. NM MUGA, Stress Tests, Echo, etc, 12 & 15 lead EKGs, etc).

● Analyzed customer requirements and their impact on the technical aspects of the proposed solutions.

● Worked with the Integrations team to diagnose and resolve interface-related issues.

● Rolled out Syngo Dynamics, CRW, & PaceArt across 4 of Northwell’s Eastern Suffolk Cardiology Practices.

● Spearheaded the Enterprise wide SCM 16.3 upgrade testing efforts for Northwell’s Cardiology Services IT department, working closely with the SCM QA Leads, Integration and Cardio Services IT management to make sure all ADTS, Orders, and Results posted correctly. Resolving any interface or HL7 message formatting issues that arose during testing. NEW AGE HEALTHCARE TECHNOLOGIES CONSULTANT – MAIMONIDES MEDICAL CENTER 09/15 – 4/16 Senior HL7 Interface Engineer

● Conduct complete assessment of the Maimonides' Intersystems Ensemble Production and Test environments, uncovering, and resolving security and system flaws, & performance gaps.

● Performed daily assessment of Intersystems Ensemble's system performance and continuity, conducting database integrity checks, journaling & backups, mirrored DB status, and reviewing all application, console, system monitor, and xDBC logs.

● Assisted clinical analysts on ICD9 to IDC10 post go-live regression testing.

● Participated in the upgrade of Intersystems Ensemble from v2013 to v2015.2.

● Adjust Business Rules, Processes, and Data Transformation Language code, modifying, testing, and troubleshooting HL7 interfaces as needed.

MIGUEL PASCUAL Cell: 917-***-****

*********@*****.*** linkedin.com/in/miguelpascualny

● Full assessment, analysis, administration, & documentation of the “Source of Truth” Communications Interface, a Maimonides Medical Ctr proprietary Identity Management System used to disseminate employee and physician specific information between several systems, including but not limited to Cactus, Peoplesoft, Avaya, Active Directory, Kronos, AMCOM, etc.

● Troubleshoot SQL SSIS packages, jobs, monitor SQL logs and reports, code, debug and conduct code review of TSQL code. Modify “Source of Truth” database tables as needed. NEW YORK E-HEALTH COLLABORATIVE

12/12 – 8/15 Senior HL7 Interface Engineer

● Implementation, configuration, and maintenance of Bidirectional TCP, TLS, and sFTP file-in HL7v2 (ADT, ORU, ORM) HL7v3/HIE SOAP/RESTful (PIX, PIXm, PDQ, CDA, C-CDA, CCD, XACML, ITI-18, ITI-41, ITI-43, ITI-44) & FHIR RESTful interfaces on Intersystems Healthshare and Ensemble systems running on Windows Server 2008 and Linux environments.

● Served as the subject matter expert for all SHINNY HIE connectivity related issues. Building and supporting VPN and TLS connections between the Statewide HIE and EMR systems with specific focus on HL7 v2.x standards & HL7 v3., & FHIR. Lead network debugging and troubleshooting efforts of complex HIE network implementations.

● Troubleshoot IHE and FHIR web services connectivity issues on IIS and Apache web servers ranging from failed TLS connections (403 errors), erroneous url request, failed CRUD attempts, etc.

● Addressed issues with PIX Actor transactions such as failed ITI-44 transactions, missing notifications that never made it from the Patient Identity Source (e.g. ADT PIX feeds) to the Patient Identity Cross-reference manager service & IBM Initiate eMPI system, failed attempts to reference patient identification information (ITI-45) across different Patient Identifier Domains due to failing PIX Manager, issues with eMPI, etc.

● Experience interfacing with several EMR/EHR vendors and interfaces, including but not limited to Cerner, Epic, Centricity, Mckesson, eCW, MedAllies, & Allscripts.

● Write & debug DTL (Data Transformation Language) code to implement & troubleshoot inbound/outbound message transformations in order to meet client or internal custom messages schema/structure requirements.

● Develop and test HL7v2, HL7v3, and FHIR interfaces written in Cache Object Script, Java,, JavaScript, HTML, & .NET utilizing JSON & XML formats to support a multitude of different IHE profiles /transactions (PIXv3/PIXm, PDQ/PDQm, XDS (ITI-18 for Registry Stored Query, ITI-41 for Provide & Register Document Set-b, ITI-42 for Register Document Set-b, ITI-43 for Retrieve Document Set, ATNA and FHIR APIs used by NY based healthcare institutions looking to connect to the SHINNY.

● Used Cache Studio, Terminal and VC/m to build, modify, recompile, store classes and provide version control as needed.

● Provide ongoing support for Patient Portal/Clinical Viewer connectivity, authentication, and MPI (Master Patient Index) search issues.

● Conduct ADT > PIX mapping, working with clients to make sure all relevant patient demographics showed up on the PIX queries.

● Extended FHIR resources to allow for more detailed patient demographic queries/results.

● Worked with the client’s interface engineers to conduct UAT for their ICD-9 to ICD-10 data mapping tables, verifying the receipt of the correct ICD-10 codes while making sure that the results (ORU messages) containing the ICD-10 codes were posting correctly onto the RHIO’s Clinical Viewer.

● Spearhead efforts to implement SAMSHA Patient record access control, alerts, & auditing within Intersystems Healthshare.

● Configured Intersystems Deepsee Analytics for numerous Healthcare Facilities (over 60).

● Resolve patient consent issues including but not limited to “Break the Glass”, subscription files (in MDM form), patient consent policies.

● Conduct and coordinate continuous All Staff In-depth training on HL7v2, HL7v3, & FHIR connectivity troubleshooting.

● Perform backup and restoration of full and incremental Cache Database and Journal files.

● Worked on the DIRECT Messaging EMR to HISP & HISP to HISP connectivity project, establishing XDS connections between the NYeC HISP and multiple HISP connected healthcare facilities (I.E. MedAllies, eCW, etc). Configure XDS Doc Registry

● Provide technical leadership in "go-live” deployment of integrated application systems and troubleshooting and optimizing any functional issues that may arise.

● Work with customers on all phases of implementing Interfaces that includes analysis, design, programming and validation.

● Function as Tier 3 technical team lead for Integration Engineering team.

● Monitor Integration Team service desk queue for any inbound SEV1 & SEV2 tickets, assigning tickets to appropriate technical or business resources, escalating to other teams (Programming, Server Administration, Project Management) as needed while keeping upper management abreast on all news and discoveries along the way.

● Developed and maintained technical diagrams and documentation of systems maps, code, integration documentation for data flows, network connectivity, application routing, filtering, data manipulation, problem resolution, root cause analysis and change control integrated services in a complex statewide environment.

● Completed the successful migration of all Healthix, Interboro, THINC, STHL, BHIX, & eHNLI VPNs, TLS, HL7v2, HL7v3, & FHIR connections from CSC legacy datacenter to NYeC’s new point of presence at Internap (NYC) and in the cloud using AWS. MIGUEL PASCUAL Cell: 917-***-****

*********@*****.*** linkedin.com/in/miguelpascualny

● Assist in overall architecture and infrastructure design for AWS cloud solutions which meet customer needs for scalability, reliability and performance through the use of AWS services such as EC2, IAM, Route53, VPC, S3, RDS, DynamoDB, & CloudWatch.

● Led continuous deployment of the datacenter and cloud based servers used to host the SHINNY platform.

● Helped set up and managed 44 Unix servers with 99.9% uptime.

● Wrote scripts automating security upgrades and cut vulnerabilities 15%.

● Managed DevOps during the integration of over 200 Healthcare institutions and practices throughout the State of NY.

● Perform all standard systems administration tasks, such as: proactive performance tuning, load testing, monitoring and profiling, troubleshooting, backup and recovery, installations, capacity planning, and configurations on an as needed basis as well as applying patches and performing upgrades on both Windows and Linux servers on deployed on both VMware ESX hosts and AWS EC2 Instances, both manually and automated using powershell and python scripts.

● Built several multi-environment Windows 2012 and Linux based VMware ESX hosts for Healthshare 2014 Platform Environment on VMWare virtual environment, within multiple domains (dev, stage, & prod) in a single forest. This included AD, IIS, DNS, and Application servers for environments on both Active and Passive (Disaster Recovery) environments.

● Deploy VMWare Virtual Machines and use Clones, Snapshots, templates.

● Monitor, troubleshoot and capacity planning of vSphere environments.

● Responded to server down alerts in a timely manner and brought them up via HP iLO/ Dell DRAC.

● Proactively identify and perform hardware and software upgrades.

● Set up Clinician and Patient Active Directory user groups, policies and rights, to control, and audit Clinician and Patient Portal user access. Assisted with User password resets, user creation and deactivation, & user group membership management.

● Set up & configure shared folder permissions to control user and group access

● Prepare, test and deploy GPOs to multiple domains.

● Ensure Integration Team’s compliance with all change control processes and procedures, including but not limited to code validation, workflow analysis, Visio diagrams and technical documentation.

● Working on multiple projects concurrently, while monitoring the status of tasks and escalating issues when appropriate. Communicating, prioritizing, and resolving issues in a timely manner.

● Work with the Project management team to create SOWs & refine project plans as needed.

● Provide continual assistance to all NYeC Business Analysts and Project Managers to translate interface requirements into interface and network specifications.

● Deliver post-implementation support for client hospitals, physician offices, and labs.

● Spearheaded the efforts leading to the successful connection of the STHL RHIO to the SHINNY

● Recommend and revised workflow and process changes that help increase efficiency and effectiveness within the Software Development Lifecycle (SDLC)

● Maximize network performance and security by monitoring Network device performance, thorough daily audits of Firewall & IDS (Intrusion Detection System), conducting internal and externally sourced vulnerability testing, troubleshooting network problems and outages; scheduling upgrades.

● Configured and troubleshooted hundreds of Site to Site IPsec VPN & SSL/TLS connections which were used for the NY State Healthcare Information Exchange’s connectivity to numerous Healthcare facilities.

● Established networking environment by designing system configuration; directing system installation; defining, documenting, and enforcing system policies & standards.

● Installation, administration and maintenance of Intersystems Healthshare and Intersystems Ensemble 2011, 2012 & 2013 Productions at an HIE level.

● Assisted in securing the entire NYeC network by establishing & enforcing policies; defining & monitoring access.

● Reporting network operational status by gathering, prioritizing information; managing projects. NEW AGE HEALTHCARE TECHNOLOGIES CONSULTANT – MONTEFIORE MEDICAL CENTER 9/11 – 11/12 SENIOR PACS SYSTEM ADMINISTRATOR

● Lead the efforts in the implementation and support of the following projects, GE Dashboard, LifeImage, Hermes Nuclear Medicine PACS, PACSHealth ACR Dose Monitoring/ACR Triad Server, and GE Viewpoint, GE Centricity CRMA (PACS on IPAD & Iphone) and GE Dashboard.

● Prepared Change Requests Summary and Install Plan Documentation (Pre-Implementations, Implementation, Post-Implementation, and Backout Plan) as required by the CAB Committee when any changes were requested on a production system. This also entailed a description of the Business Justification, Change Description, Downtime and Notification, Impacted Areas, Impacted Technologies, Remote or Local implementation, etc.

● Responsible for the daily administration and maintenance of GE Centricity RA1000, CA1000 and Philips Xcelera Cardiology PACS, Nuance Commissure Voice Recognition Systems, GE Muse MIGUEL PASCUAL Cell: 917-***-****

*********@*****.*** linkedin.com/in/miguelpascualny

● Daily assessment of ecosystem functionality and performance.

● Worked closely with Ancillary team (RIS-IC Analysts) to troubleshoot modality worklist issues, missing reports, missing orders, missing or erroneous exam codes and modifiers.

● Trained Radiology and Cardiology staff on their corresponding workflows and applications

● Worked with Server Engineering to build Virtualized Server Environments and cloud based storage solutions for several Radiology and Cardiology applications.

● Worked closely with Desktop Support and Server Engineering to package Cardiology and Radiology applications in order to automate remote installs utilizing SCCM technology.

● Conducted remote and local installations of all Radiology and Cardiology applications. HOBOKEN UNIVERSITY MEDICAL CENTER

2/08 – 8/11 SENIOR PACS/RIS/MDI SYSTEM ADMINISTRATOR

● Maintain a high level of availability on all mission critical Radiology and Cardiology systems by collaborating with HUMC IT as well as system vendors to suppress any technical issues impacting the operation and/or availability of the PACS & RIS systems.

● Provide 24/7 comprehensive support of all Radiology/Cardiology PACS/HIS/RIS functions including: validation of data, exception handling, daily reporting of cases pending completion, dictation, or final sign-off as well as PACS/RIS remote connectivity issues for Radiologists, Cardiologists and referring physicians.

● Lead the planning, integration, configuration, implementation and end-user training efforts on GE Centricity PACS, and OpenVISTA RIS.

● Performed business analyst functions, assisted on project and resource planning, creating a detailed business analysis, outlining problems, opportunities, solutions and requirements for the business. Ensure comprehensive understanding amongst all technology partners, contributes to training development, facilitates user acceptance testing and manages requirements changes.

● Improve the SDLC efficiency and effectiveness by implementing AGILE methodology to rapidly deploy and integrate fully functional SaaS and SaMD applications.

● Assisted on the design, implementation & support of the Quadramed Enterprise Scheduling, an enterprise wide scheduling module used by the institution to facilitate patient scheduling by improving efficiency, reducing patient wait time, increasing revenue, & reducing no-shows via call back appointment reminders..

● Spearheaded the efforts to integrate QES with Medsphere Openvista RIS & Quadramed Affinity EHR.

● Support, maintenance, and configuration of Quadramed Affinity EHR, including but not limited to user and physician maintenance, charge master and procedure code maintenance, exception log monitoring, interface development.

● Analyzing, interpreting and reporting clinical, financial and operational performance trends from various channels & departments, identifying areas performing outside of predetermined thresholds

● Gathering requirements, compiling, interpreting and reconciling key business clinical, financial, operational and statistical data, and generating a variety of complex and detailed value-added reports for senior-level executives & external clients.

● Migration of the Radiology ChargeMaster from Quadramed Affinity EHR to Medsphere Openvista EHR

● Worked with LAB Analyst to conduct a QA of all LAB procedures, LOINC, and ICD9 coding, making sure that all codes were accurate within the HL7 messages. Confirming receipt of all orders in Sunquest and verifying that all completed exams and results triggered the appropriate LAB results and charges within the Carevue OpenVista EMR. Identifying any exceptions and addressing them as needed.

● Assisted in the Medical Device Integration (MDI) implementation project, integrating Accelero Connect Middleware with Openvista via Cloverleaf Interface Engine. Aiding in the completion and continued management of all

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