Project Manager It

Kevin Draime

**** *** **** **. - *********, TN **923

***********@*****.*** ph. 631-***-****

Objective: To obtain a position with a reputable company where my skills, abilities, and experience as an IT Project Manager/Business Analyst will be utilized to ensure the company’s success.

Professional Experience:

TeamHealth (November 2016 to February 2025) - Tennessee

Position: IT Project Manager

As an IT Project Manager for HIE (Health Information Exchange), I am responsible for all data transmissions from thousands of hospitals and hospital systems to TeamHealth

For new contracts, I set up recurring calls with facility IT to determine how TeamHealth will receive the minimum-necessary data required for billing

oTypical Data Transfer Methods:

SFTP (Secure File Transfer Protocol): Daily, scheduled file transfers on agreed upon delays

HL7 (Health Level 7): Standard formatted data flowing in real time (no delay)

Remote Access: TeamHealth representatives always require access to the EMR (Electronic Medical Records system) to fill any gaps identified in data received via SFTP/HL7. If facilities are unable to automate SFTP/HL7, TeamHealth obtains the data manually (last resort).

oDatatypes:

Charts: Clinical documentation (physician notes, nurse notes, orders, labs, etc.)

ADT: Demographics (insurance information, patient address, employment etc.)

Census/Log: A report showing all patients that arrived to the hospital in a given day (midnight – 23:59)

I schedule similar calls when a facility has an upcoming conversion, beginning at least 6 months prior to go-live. A conversion is when a hospital/hospital system is changing their Electronic Medical Records system (e.g. from Cerner to Epic)

I receive samples of the data we need for billing and distribute to the billing teams, for billing approval, and our HIE engineers to ensure we can process the data into our billing system (OnBase). Any negative feedback must be resolved prior to go-live

Upon go-live, I work very closely with our engineers to set up processing of all three datatypes. Billing Center approval is required before we move anything to Production

After a facility is approved for Production, we update our database with all the technical information our Support Team will need to resolve the tickets they receive regarding missing data. If Support is unable to resolve an issue, it is escalated to me for assistance.

Leading project to automate all facilities that require manual intervention to retrieve the datatypes for billing (billing teams manually retrieve data via Remote Access). I have successfully automated this process for 48 facilities (60% of total) within six months

Billing team leadership contact me directly if there is an issue that is not impacting our ability to bill but is a burden to their team. This is tracked as a Process Improvement with lower urgency

All Go-Lives, Conversions, Production Issues and Process Improvements are tracked on OneNote and updates are shared across all billing teams weekly. We meet internally, with all the teams impacted, weekly to discuss these notes overall and coordinate internal calls as needed.

Royal Health Care an Independent Living Systems Company (October 2013 to July 2016) - New York

Position: Business Analyst for Encounters and Regulatory Reporting Dept. (06/14 – 07/15)

Report all Professional, Institutional, and DME encounters to SCDHHS for Advicare (SC Medicaid)

Encounters are extracted onto a CMS HIPPA Compliant 837 file for delivery to the state

Coordinate the 837 file submissions based on state requirements

Work in congruence with Royal’s Data Center, Provider Systems, Enrollment, Benefits, Informatics, and Claims Departments to remediate encounter rejections

Maintain FTP (File Transfer Protocol) by holding the connectivity with the state

Transfer regulatory, HIPPA compliant files between the plan and the state (Tracked in Excel and Shared Drive)

Draft Work Orders to the data center for necessary changes to the proprietary database, PEGASYS

Thoroughly beta test all modifications before approving the move to Production

Provide direction to software programmers in terms of data needs for SAP Reports

Create DRF (Data Request Forms) to facilitate any requests

Parse, review, and track all response files from the state

Parsing the 277CA file using a SAS Report

Quality Control – Resolve all errors in a timely manner to keep in compliance with the state’s requirements

Organize and lead meetings with SCDHHS, Advicare(client), and proper internal departments to remediate any encounter rejections

Train replacements – Create policy and procedure documents for all duties

Technical Skills:

Project scheduling/coordinating

Client relations

Data Analytics

Excel – Maintain various trackers for statistics and timeliness requirements

Access – Maintain databases and write design queries for compares

Moveit – SFTP application

HL7 – Work closely with our HL7 analysts which has led to a great understanding of the message types and data locations and how we store/query the data

SAP – Direct programmers to provide reports containing data needs

File Parsing – Compiling required information to a specific format (C++)

DevOps – Stories and Sprints to track development

Professional Summary:

I am a professional with a strong background managing complex IT projects. Skilled in leading cross-functional teams, ensuring timely project delivery, and aligning technology solutions with business goals. I am proficient in project planning, risk management, and stakeholder engagement. Known for reliability and flexibility in complex and dynamic environments.

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