Dawnielle Williams

Covington, GA *****

832-***-****

adx6hd@r.postjobfree.com

I am a Clinical Healthcare professional that has been in the industry for over 11 years. I focus on improving care delivery for underserved populations through culturally sensitive programs that improve access and quality of care in aspects of data in clinical trials. My mission is to ensure diverse populations receive quality healthcare to better their livelihood and quality of life specializing in building relationships, facilitating site visits, reviewing medical records, documenting clinical notes, data management, date engineering, reporting regulatory data, market analysis and trends, providing root cause, CAPA and ultimately overseeing quality and clinical process improvement via various platforms.

Professional Experience

United Healthcare (Total Med Staffing)

Jan 2023-April 2023

Clinical Data Engineer

Provide backup and restore as required to support release management activities.

Building Azure Data and restore as required to support development activities such as Azure SQL server and Microsoft SQI data servers.

Familiar with Logic Apps

Work independently with business and technical stakeholders to understand the organization’s obstacles and provide due diligence.

Used Salesforce and CRM

Migrate external regulatory related documents from various sources to Veeva Vault

Design solutions to meet functional and non-functional requirements.

Proactively provide guidance on engineering methodologies, standards, and leading practices

Guidance of engineering staff and reviews of as-built configurations during construction phase

Identify, communicate, and mitigate Risks, Assumptions, Issues and Decisions throughout a full lifecycle.

Estimate and outline the recommended solutions.

Used knowledge of data warehousing

Execute the hands-on implementation of proposed solutions and provide technical guidance to teams during the solutions’ development and deployment phases.

Migrate data between servers and Work on special projects assigned by management.

•SQL Server Replication, Manage database back-up and recovery & Use QSHR and QSMP

Install and configuration of Microsoft SQL Server, Zip, and unzip files for daily projects.

SQL Backup and restore operation Microsoft SQL server integration services

Query Optimization, Root cause analysis and Quality Improvement

Provide back-end support for Veeva Network

Analysis data back systems and input data into Veeva Vault

Used excellent written and verbal communication skills.

Basic ITIL and GDPR knowledge, ICD 10 and HCPS, Hedis Quality and Compliance

Process Vendor Imports and Give System Administrator Access

Centene HealthPlan (Healthcare Support Staffing)

Sept 2022 – March 2023

Clinical Quality and Compliance Medical Reviewer

•Review assigned medical records to verify clinical data elements for HEDIS.

•Integrate data collected from a variety of electronic and paper sources.

•Managed database backup & recovery.

•Configured and managed SQL Security settings.

•Used salesforce.

•Demonstrated proficiency in Microsoft Office: Outlook, Excel, and Word and similar applications.

•Identified findings supported by documentation guidelines with elevated level of accuracy.

•Ensure charts meet CMS guidelines and report critical incidents immediately.

•Install and configure new Microsoft SQL Server instances.

•Design solutions to meet functional and non-functional requirements.

•Proactively provide guidance on engineering methodologies, standards, and leading practices

•Guidance of engineering staff and reviews of as-built configurations during construction phase

•Identify, communicate, and mitigate Risks, Assumptions, Issues and Decisions throughout a full lifecycle.

•Estimate and outline the recommended solutions.

• Execute the hands-on implementation of proposed solutions and provide technical guidance to teams during the solutions’ development and deployment phases.

•Attended conference calls as necessary to provide information relating to clinical reviews and compliance.

•Performed Vendor Imports, SQL back up and Admin refresh.

•Participated in Database Management System selection and maintains database performance.

•Proactively monitor SQL Server maintenance tasks, troubleshoot failed jobs & resolve issues.

•Zip and unzip files for daily projects, Use QSHR and QSMP

•Familiar with Logic Apps

•Provide backend support for Veeva Network

•Analyze database and business systems for Veeva network systems.

•Successfully complete HEDIS® software training and uses software correctly.

•Responsible for meeting daily over read production goal and review, abstract, over read or auditing as needed.

PPD Thermo Fisher Scientific April 2022 – September

Clinical Account Medical Management for Clinical Trials

•Performed ongoing reassessment of the review process to offer process improvements.

•Creates and maintains documentation for GCS on how to use Veeva vault.

•Analys database systems and input data into Veeva Vault

• Assist with writing content as needed.

•Migrate external regulatory related document from various source for Veeva vault applied.

•SQL, Data Analysis, NCQA, CMS, ICD 10, CPT, HCPCS, NDC Coding and Matrix

•Successfully complete HEDIS® technical specification training and testing

•Used Salesforce and CRM

• Planed, coordinated, and executed Veeva vault activities in accordance with compliance guidelines.

•Ensures GCS documents are produced in accordance with corporate / BU procedures and regulatory guidelines.

•Provide advanced data entry and contract management assistance to the Global Pharmacovigilance Agreement Database Coordinator Global Pharmacovigilance Team, and /or company departments involved and or compliance matters.

•Assist the Global PV Pharmacovigilance Agreement Database Coordinator with pharmacovigilance agreements coordination for all external party agreements to ensure that the company follows all PV relevant industry standards and regulations globally.

•Attends conference calls as necessary to provide information relating to clinical reviews and compliance.

•Provides support for data collection, documenting, and quality reviews in electronic format.

•Used knowledge of data warehousing

•Proactively provide guidance on engineering methodologies, standards, and leading practices

•Guidance of engineering staff and reviews of as-built configurations during construction phase

• Execute the hands-on implementation of proposed solutions and provide technical guidance to teams during the solutions’ development and deployment phases.

•Familiar with Logic Apps and data modeling experience in the clinical trial domain

•Adverse Event, Serious Adverse Event and Product Compliance identification and documentation

•Analyze, research inquiries & documents interactions according to CMS guidelines.

•Successfully completes HEDIS® technical specification training and testing.

•Ability to interpret client provided complex medical and technical information.

Amerigroup/Anthem Health plan April 2011 – March 2022

Clinical Business Development Account Manager

•Facilitated meetings with staff quarterly, monthly & annually for policy updates and health plan changes.

•Cultivated positive relationships on projects with other key departments; through analysis of contracts, fee schedules, and claims, recovered $500k in overpayments triggered by improper configuration.

•Used knowledge of data warehousing.

•Developed and oversee training communications to assist with the onboarding of new employees and processes in department workflows, to meet leadership objectives.

•Work with Sales and Marketing to plan events

•Used Python

•Analyze data base systems and input into Veeva Vault.

•Migrate external regulatory related documents from various sources to Veeva Vault

•Researched and resolved both routine and escalated State and DOI complaints and Followed HIPPA

•Performed Site visits across three states & exceeded daily production with 97% accuracy rate.

•Reviewed medical records request, abstracted clinical data according to NCQA & CMS guidelines.

•Abstracted quality measures focused on Perinatal Care, Blood Pressure w/diabetes, & Hemoglobin A1C

Responsible for abstracted data into EHR system for quality and KPI tracking improvements. Design solutions to meet functional and non-functional requirements.

Proactively provide guidance on engineering methodologies, standards, and leading practices

Guidance of engineering staff and reviews of as-built configurations during construction phase

Identify, communicate, and mitigate Risks, Assumptions, Issues and Decisions throughout a full lifecycle.

Execute the hands-on implementation of proposed solutions and provide technical guidance to teams during the solutions’ development and deployment phases.

Education

Master of Business Administration/Healthcare Management (MBA)- 2021

Columbia Southern University, Orange Beach, AL 3.58 GPA

Bachelor of Science in Healthcare Administration (BS) -2018

Columbia Southern University, Orange Beach, AL 3.38 GPA

Lake Taylor High School

Norfolk, VA graduated 1988

Skills

Contract Negotiation, NCQA, EDMS, Credentialing, Medicaid Implementation, SQL, Team Building, Medical Terminology, HEDIS, Process Improvement, Claims Resolution, Query Resolution, CMS, Problem Solving, Time Management, EDI, SOP, Network Analysis, Matrix, Project Management, RFP, Strategic Planning, HCPCS, Letter of Intent, Client Relationship Building, Regulatory Compliance, Training Facilitation, Data Analysis & Reporting, CPT Codes, Medical Billing, Electronic Data Capture, Yellow Belt, Six Sigma, EMR, HIPPA, Good Clinical Practice, Data Management, Good Clinical Documentation, CAQH, Implementation and Pharmacovigilance, Clinical and SQL

Technical Skills: Pay span, Health Link, Facets, Availity, Cactus, Salesforce, Contraxx, Compass, Emptoris, Veeva Vault, Report Manager, NextGen, SharePoint, Microsoft Office Suite, Veeva Vault, Medical Management Information System (MMIS) Adobe Acrobat Reader, Epic, Eclinical, SQL, Cerner, ECDS, Provider Link, and Genesis Cloud.

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