SHAMONA D. JOHNSON

301-***-**** adt0b3@r.postjobfree.com

PROJECT MANAGEMENT HEALTHCARE ADMINISTRATION QUALITY MANAGEMENT

Experienced, strategy-driven healthcare data analyst skilled in the implementation of process improvement, quality assurance, project management, and data analysis. Demonstrated experience providing risk assessment-related feedback, skilled in developing and modifying data related policies, directives, and regulations. Skilled in liaising with other functional counterparts to deliver successful projects that exceed organizational quality metrics. Adept in delivering organizational change management to obtain top-tier results, focusing on business value, risk management, and organizational success.

•Excellent oral, written and interpersonal communication skills; adept in disseminating critical information to a variety of internal and external stakeholders.

•Fluent in applying research and data analysis to make decisions, craft strategy, and track progress towards organizational goals.

•Skilled in managing multiple resources and tasks, effectively crafting analysis into business and customer solutions.

•Adept in making independent, urgent decisions, expertise in making data driven recommendations to guide business solutions.

•Advanced Proficiency MS Office (Excel, Word, PowerPoint, Access), SQL, Cerner, EHR

AREAS OF EXPERTISE

Health Administration, Project Management, Process Improvement, Training & Development, Client Relationship Management, Business Analysis, Strategic Communication, Research, Data Analysis, Quality Management, Contracts, Patient Safety, Patient Support, Research & Analysis, Medical Billing and Coding

PROFESSIONAL EXPERIENCE

Clinical Data Coordinator - Hematology

Children's National Medical Center 06/2018-Current

Manage internal audits for the quality assurance program to ensure the Statement of Work (SOW) quality requirements of the project are met. Develop and manage patient registry system for quarterly invoices, audits, 340B recertification, contracts, and progress reports.

•Create custom reports based on requirements, manage and supervise grant award preparation, collaborated with principal investigators and research coordinators on assigned clinical trials or internal research studies.

•Maintains knowledge and comprehension of assigned research protocols, study procedures, timelines, and eligibility, identifies, implements solution design decisions, improvements in the registry system.

•Develop policies and procedures based on research protocols, participate in system and database committees to manage integrity.

•Identify opportunities for process improvement and incorporate information security into the development process for EACMS maintenance, operations, and enhancement processes.

•Analyze and develop routine and ad hoc quality reports on technical performance and research and suggest solutions to identified issues, analyze the effectiveness of key initiatives and quality improvement efforts.

BI Report Developer

MedStar Health 10/2017-02/2018

Leveraged visual analytics platforms to analyze, visualize and share information, designed and developed solutions to high-impact, complex data problems. Collaborated with business stakeholders to design, develop, and support business intelligence information, translating data and reporting requests into technical requirements and specifications.

•Utilized expert knowledge of data visualization tools to deliver information that allows client users to quickly understand data, ask better questions, and take action.

•Designed, developed, and delivered analytics solutions with consideration for functionality, data, security, integration, infrastructure, and performance.

Data Specialist

HolyCrossHealth 08/2016-10/2017

Researched and collected data for complex and substantially varied issues and data needs. Identifies sources for needed information, while collecting data and inputting data to spreadsheets and databases.

•Provided analytical support to the Patient Accounting management team, identified appropriate operational and financial metrics based on claim activity.

•Tracked performance to target opportunities for operational improvements, developed reports using business objectives for analytics and report specifications.

•Coordinated workflow and activity with insurance company representatives and internal departments, analyzed and resolved specific billing edits that require HCPCS/CPT coding.

Data Analyst

Children’s National Medical Center 09/2015-08/2016

Prepared and obtained division-specific metrics data for the ongoing semi-annual evaluation report. Collaborated with internal partners to mine and analyze quantitative and qualitative data to generate reports and reveal insights utilized to make organizational decisions.

•Created database from various sources to develop medical data files, evaluated data requests for surveys, staff leadership, and senior management.

•Credentialed medical providers with necessary documentation within Joint Commission standards, performed analysis for problem-solving and new methodologies by extracting data using SQL, MS Access, and Excel.

Provider Analyst

United Health Group 01/2008-09/2015

Analyzed credential providers that met NCQH accreditation guidelines. Analyzed and resolved billing edits related to dental CDT coding. Executed dental fee schedule(s) in Facets applications with no errors, ensuring regulatory compliance standards are upheld.

•Supervised team members on provider and claim resolution, extracted reports from database warehousing SQL and business objectives applications including provider claims or fee schedules for data analysis.

•Collaborated with stakeholders on process improvement in health information exchange systems, utilizing industry best practices to improve efficiency and effectiveness.

EDUCATION

Master of Health Administration/Health Informatics

Capella University

Bachelor of Science, Computer Science

University of Maryland Eastern Shore

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