Project Management Business Development

Tricia L. Lester, MBA, BA, PMP, NCCT

Frisco TX **034

Cell: 817-***-**** (Preferred Phone)

Email: *************@*****.***

Executive Program & Project Management:

Administration/Director

Executive Leadership – Healthcare, US Government Programs - Commercial Projects

Decisive and innovative leader with proven 20+ experience in successfully implementing complex and challenging Healthcare systems and e-learning programs for federal, private and commercial clients. Effective change agent and business SME with ability to transform average organizations into excellent teams. Skilled in Practice Administrator, Agile Practitioner, Full cycle Revenue Implementation from Patient to Payment, organizational management, new business development, budget management, and profit and loss functions. Demonstrated analytical, synthesis, and innovative problem-solving aptitude and strategic and tactical planning that led to growth in clients and revenue.

Program/Project Management – Program Director working with Military Research Projects (assigned to specific Military Key Personnel) - Practice Administration-Customer Relations - Business Process Improvement

New Business Development - Proposal Writing - Team-Building Communications

P&L - Budgeting - Articulate Speaker - Strategic and Tactical Planning

EDUCATION & CERTIFICATIONS:

●MBA – St. Leo University, Saint Leo, FL

●BA – St. Leo University - Psychology & Business Management

●AA – St. Leo University - Liberal Arts & Accounting

●PMP – 2011 (Renewing) 2025

●Cybersecurity – 2021-2025 Annual Update

●NCCT Certifications/NCICS – Certified National Billing, Coding, Claims Processor, Instructor,

●AAPC Membership, FASA Membership, RCC Membership

●Notary Public – Texas Seal

Communication Management

Project Management

Stakeholder Management

Risk Management

Incident Management

Change Management

Vendor Management

Quality Management

Team Collaboration

TECHNICAL SKILLS & PROGRAM EXPERIENCE:

●JIRA, Confluence, MS Project, MS Teams, SharePoint, Tableau, Power BI, CISM, eMass, Adobe Acrobat, and MS Office(e.g., Word, Excel, and PowerPoint), desktop publishing, quality control, and white glove reviews

●Excellent verbal and written communication, technical documentation, problem-solving, process improvement, organizational, and coordination skills, Write and edit technical and nontechnical narratives as necessary to prepare compelling content and contribute to the development of best practices, SOPs, formats, and other guidelines to ensure final products reflect the quality of our services.

●Collaborate with multidisciplinary teams and interview operational and technical subject matter experts to develop content that is compliant and responsive to client needs.

●Accounting and Payroll management to include: PeopleSoft, ADP, Paychex, Kronos, TIMECO, Sage Peachtree, QuickBooks, Quicken, Xponenthr

●AdvantX, Amicas, Centricity, Athena, NexGen, Cerner, Kareo, E-Prescribe, Imedica/APRIMA, EPIC, Mysis/Allscrips, Medi-Tech, OfficeAlly, e Clinical Works, EcareSoft, Care Manager (CSM), Charge Master Duties, SOX, and SAP, MDAudit, 3M, TrueCode encoder.

●Expertise in: HMO, PPO, EPO, IPA’s POS for Contracting and Credentialing as well as: Medicaid, Medi-CAL, Medicare, Value Options, Tri Care, Workers Comp, and All Commercial Carriers, technical writing

●FMLA, LOA, ADA, EEO, TWC, Cobra & Recruitment, Retirement, pension, 401K, 503B, and profit-sharing coordination and implementation

*Cerner Direct Experience: 17+ years

● Interaction/Implementations/Deployments/Decommissions/Recomissions/

● Query (SQL)/Mapping/Transitions/Integrations- Vendors in and out of system to seamlessly serve the healthcare population

●o VA – Veterans Administration – GCIO – Requirements/Implementation/PMP/Deployment/Management (Query) Reporting

●o Molina Healthcare Inc – Requirements/Implementation/Testing/Deployment/Management(Query) Reporting

●o UTSW – Decommission current system – Project Managed Cerner Requirements/Implementation/Training/Testing/Deployment/Tracking-bug Fix/Reporting

●o UNT – Reorg – Design/Requirements for implementation of Cerner/Implementation/Testing/Deployment/Management - Reporting

●o USPI (United Surgical Partners Inc) - Reorg – Design/Requirements for implementation of Cerner/Implementation/Testing/Deployment/Management

●o Baylor Scott & White - Project Managed Cerner Requirements/Implementation/Training/Testing/Deployment/Tracking-bug Fix

EMPLOYMENT HISTORY:

GovCIO

Cyber Security Technical PMP/Program Manager (Department of Veterans Affairs) August 2021 – Present

Government contract working with technical components of ATO/CONOPS process and procedures. Reporting, documenting, revisions, meeting requirements for new project scope and follow through.

Utilize VA/GCIO systems to access documents

Create technical components for review and sign off

Manage and monitor ATO dates - create timeline for upcoming approvals

Create, lead, and attend meetings daily

Update monthly, weekly and daily reporting for all work accomplished/pending and upcoming for resource planning and execution

Collaborate with all departments on projects in common

Assess any and all requests for updates to documents from all departments, then disbursing to the resource attached to the project for review or revisions (process improvement)

Attend trainings enhanced education sessions as requested

Molina Healthcare Inc

Program Manager July 2019 - Aug, 2021

Responsible for business projects and programs involving department or cross-functional teams of subject matter experts, delivering products through the design process to completion.

●Assess and evaluate business requirements, to provide tailored solutions

●Collaborate with business users, and Product owner to manage agile projects

●Provide governance, reporting, and performance levels on each task

●Lead scrum teams for backlog refinement, sprint planning, and sprint retrospective reviews

●Process improvement amongst internal teams as well as cross-functional teams

●Plans and directs schedules/daily plans (stand up mtgs) as well as project budgets.

●Monitors the project from inception through delivery, monitoring includes schedule, cost and scope variance.

●Decompose the business requirements into technical, functional, nonfunctional and security requirements

●Generate Business Requirements Document (BRDs) in collaboration with business and technical SMEs

●Assigns, directs and monitors system analysis and scrum teams and collaborate with scrum master to address impediments.

●Positions' primary focus is project/program management, rather than the application of expertise in a specialized functional field of knowledge although technical team members are assigned to each PM.

●Training of new team members as well as stakeholders as needed.

●Manage agile and Kanban projects with varying sizes in parallel

Precise Consulting LLC

Program Manager/CBO Director Jan 2014 – Oct 2019

●UT Southwestern - transitioned management for termination and completed overhaul of the department to agile based project development and deployment

●Used Kanban approach to manage, monitor, and report deployment and production statuses.

Practice Administrator - Pediatric Department (Parkland, Children’s and UT)

●Various Specialty Clinics (Primary Care-OB-GYN-Radiology-Neurology, Spine/Orthopedics-Pediatric-Cardiology-Urology-ENT-Dermatology-Nephrology-Ophthalmology) ASC’s, LTAC, Inpatient Mental Health Facilities, Hospice and Urgent Care Centers and free standing ER

●Leverage the industry standards such as CMMi, PMI and SAFE and recommend the best business processes

Third Party Collections-all payers (Hospital and Clinic)

●CLIA/OSHA/HIPAA, HR, Accounting, Payroll, Marketing, System Implementation, Integration, Template Creation, Data Migration and Management, HIM, Vendor Relations, Quality Control, Reporting, New sources of Revenue (equipment purchasing and implementation) Revenue Cycle, Credentialing, Auditing, Fee Schedules, Medicare and Medicaid education and training.

Oasis Innovative Solutions LLC

Business Owner – Director Level 2002-2013

●Practice Administration and Implementation of new Facilities:

oSpecialty and Surgical Hospitals, Home Health, Various Specialty Clinics (Primary Care-OB-GYN-Radiology- Neurology- Spine/Orthopedics-Pediatric-Cardiology-Urology-ENT) ASC’s, LTAC, Inpatient Mental Health Facilities, Hospice and Urgent Care Centers

Clinicas Mi Doctor 2009 - 2010

Practice Administrator/Director of Managed Care / HR / Compliance Officer

● Responsible for all departments’ process and flow including: HR, Payroll, recruiting, training all staff and providers on implementation of systems, health records, credentialing, physician contracting, CLIA administration, health information management and resource for billing and coding.

Life Path Systems, dba. Collin County MHMR – 2008 – 2009

Client Financial Services Adminisrator/ HIPAA Compliance Officer

●Oversee all phases of the office to include Implementation process for new billing phase, supervision, training, performance management, billing, collections, and coding.

●Transitioned unseasoned staff from a State Provided Sub-Cap to full fee for service insurance program.

●Report, create and maintain financials, budgeting and contract negotiations. Physician, QMHP, staff and volunteer recruitment with insurance paneling and credentialing responsibilities.

●Operations for all departments create and improve all policies and procedures along with implementation for improved productivity.

●All functions for executive reporting and new revenue sources.

●Front door management along with Medical record management.

●Perform and run audits for all payors and contracts

Interfaith Community Services, Behavioral Health Department – 2000 - 2004

Director/ Operations/Human Resources & HIPAA Compliance Officer

●Directed and organized a site of 120 professional staff, contract staff (interns, externs & volunteers) and provided management to 13 sites including shelter housing with the county.

●Under my supervision our Psychiatric services grew from $300k in fees in 2003, to $5 Million in contracts, insurance and private pay clients.

●Recruited Physicians, Masters level therapists, volunteers and line staff for all programs and insurance panels to include Medicare and Medi-Cal. Built, managed and trained staff to implement full service billing, coding and protected Health Information department for all clients in North County of San Diego.

●Responsible for human resources management of the team to include payroll and benefit management, along with budget planning, marketing, credentialing, volunteer coordination, training, and HIM implementation into the EMR system.

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