Project Manager Management

ROBERT HOPKINS

908-***-**** ***********@*****.***

OPERATIONS/ADMINISTRATION•PROJECT MANAGER•TECHNICAL MANAGEMENT

Provided strategic technology direction and building state-of-art IT Operations to support the company’s growth. Managed diverse projects, including complex multi-site environments, migration of claims collection process to latest technology and deploy new EDI translator system. Recruited, developed and managed teams of technologist. Skilled in applying technology and management practices to improve staff performance and team building. Managerial acumen coupled with entrepreneurial drive and flexibility.

PROFESSIONAL EXPERIENCE

Emdeon, Nashville TN 1982–2011

Leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system with sales of over $1 billion.

Assistant Vice-President, Special Projects 2007-2011

Led large scale mission critical product migrations while managing an EDI Translator Programmer group.

Directed the Claims Inbound File Processing migration of over 2000 clients, including Hospitals, Medical Clinics, Labs, Faculty Practice Groups and Dental Vendors, which represented over 150,000 doctors and dentists from Verizon Data Services to Emdeon’s Claims Input File Processing System. Reduced $2.4 million in annual expenses and 30% greater throughput of claim data which allowed for near real-time processing of over 4 million claims per day.

Project Lead in the migration of 400 Dental clients from Verizon Data Services to Emdeon’s internal Dental system resulting in improved response time and reduced processing timeline by one full day.

Upgraded Claims Inbound File Processing system to handle Government regulated HIPAA X12 Version 5010 837 on-time and made CERT system available so Clients could start testing prior to mandated start date.

Provided critical information necessary to become EHNAC certified in 2007, 2009 and 2011 certification.

WebMD – Emdeon Business Services Unit, New York, NY 2000-2006

Leading provider of health information services, serving consumers, physicians, healthcare professionals, employers and health plans with over $500 million in Sales.

Assistant Vice-President, Product Management 2000-2006

Managed EDI Translator Programmers and Production Control, in addition to management of Third Party Contract with Data Processing Facility

Spearheaded project to implement a process to route healthcare claims to internal Gateways prior to validation/editing of claims to streamline, enhance turnaround of claims and provide information results to clients within 4 hours down from 24 hours.

Launched the first Commercial Inbound File Processing system for the receipt and distribution of Government required HIPAA X12 Version 4010 837 transactions.

Provided critical information necessary to become EHNAC certified in 2005.

Established controls and enhanced implementation procedures of the Claim Inbound File Processing System which reduced the number of abends by 80% and created an added sense of urgency.

Quintiles’ wholly-owned subsidiary ENVOY, Durham, NC 1998-1999

A fully integrated bio and pharmaceutical services provider offering clinical, commercial, consulting and capital solutions.

Director of Special Projects 1998-1999

Directed Mainframe Programmers and Production Control area, in addition to management of Third Party Contract with Data Processing Facility

Successfully directed first disaster recovery test (DRT) of the Claims Processing System within 24 hours and all test systems were operational in 72 hours.

ENVOY-NEIC, Nashville, TN 1996-1997

Provided transaction processing services for the health care market include managed care transactions, facilitating on-line pharmacy claims adjudication, electronic claims clearing for physician and dental claims, on-line Medicaid eligibility, and credit card and check guarantee.

Director of Special Projects 1996-1997

Director of Product Development 1996-1996

Managed four distinct IT areas: Telecommunications, Mainframe and PC Programming, Production Control and Management Reporting. In addition, was responsible for administration of Third Party Contract with Data Processing Facility

Consolidated Claims Clearing house (12,000 client connections) on time into existing Claims Processing System within a nine month period.

NEIC, Secaucus, NJ 1982-1996

The nation's largest processor and clearinghouse for Commercial electronic health care transactions.

Director of Systems

Systems Manager

Manager, Technical Services

Management and technical positions with increasing responsibilities from 1982-1995

EDUCATION

BS, Business Administration, Computer Science – Bowling Green State University

Improving Your Project Management Skills – American Management Association

Hands-on Introduction to TCP/IP – Learning Tree International

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