Summary

Expertise:

* Business Analysis * Requirements & Solutions Identification * Gap Analysis & Process Re-engineering * Agile Methodology

* Use Cases/User Stories * Stakeholder Identification & Support * Corporate Client Relations * Operations Management

* Software Development * Quality assurance * Project Management * Regulatory Compliance * Healthcare Management

Quick study of: * New Technologies * Software & Database Systems * Corporate Culture * Corporate Operations

* Processes & Procedures * Foreign Languages

Employment Roles

* Leader: Empowers employees through mentoring and training, instead of simply delegating or micromanaging

* Innovator: Enhances company processes through creative-analytical problem solving

* Instrument of positive organizational change that promotes growth

Education

Augustana College, Rock Island, IL

* Bachelor of Arts in Business Administration, 2007

Concentrations: Marketing, Finance, International Business

Employment Experience

Kosmos Wellcare, Inc. Dallas, TX

* A premier, state-of-the art multinational healthcare practice management solutions firm providing fully customizable and comprehensive front office, back office, and billing services that are HIPAA compliant in 1040 and 1050 formats, as well as EDI 835/837 formats, that service practices of all sizes and types with front line business solutions and 24/7/365 support.

Business Development Executive July 2011 – Present

* Successfully managing business development and sales for Midwest regional market.

* Collaborate in-depth with owner and managing partners over product development, quality assurance, and marketing strategies to foster continual growth.

* Successfully create, manage, and analyze logistics, business tools, and promotional strategies in managing all point-of-sale encounters with physician practices of all medical specialties and sizes ranging from sole proprietorships to major hospital and health networks.

Independent Consultant Loves Park, IL

Independent Consultant November 2010 – Present

* Successfully providing expert insight into the products, services, use cases/user stories, market strategies, industry landscapes, and firms within the cost containment and fraud prevention niches of the healthcare and health insurance industries.

* Successfully advising clients such as consumer research organizations, asset management groups, and other investment parties regarding industry specific strategies, practices, paradigms, and other information relating to Independent Medical Examinations (IME) and alternate Utilization Review (UR) services.

* Successfully operating as registered member of multiple, internationally recognized and acclaimed consultant networks, as well as completely independently.

Exam Works, Inc., Network Medical Review, Elite Physicians Rockford, IL

Worker's Compensation Client Coordinator November 2009 – November 2010

* An independent review organization and subsidiary of the world’s largest IME management corporation, conducting evidence-based medicine peer reviews for worker's compensation, short term and long term disability, FMLA, and IME/IMO, and medical billing for insurance and claims management services within the cost control sector of the healthcare industry

Business Analyst & Accounts Manager

* Successfully analyzed company resources and operations procedures to ensure best practices via process re-engineering, utilizing use cases/user stories and workflow layouts, and cross-trained new employees to immediately perform as fully-functional, highly-productive staff members, able to successfully adapt to frequent organizational change.

* Successfully consulted upper level management, serving as both analyst and liaison between stakeholders and technical teams, regarding development and implementation of highly-efficient audit and tracking tools, quality assurance procedures, management methods, personally designed IT instruments, and other human resource productivity and efficiency solutions using Agile methodology.

* Successfully conducted user testing of delivered software, newly designed/re-designed processes, and overall intradepartmental and enterprise level business methodologies via metrics comparing initial design to finished results/deliverables/implementations within project management and organizing, collecting, and conducting qualitative and quantitative analysis on user feedback obtained via personal interviews and group conferences.

* Successfully established strong business relationships with 5 newly obtained, long term clients by analyzing requirements, establishing expectations, implementing business solutions tailored to client needs, while ensuring highly positive first impressions.

* Successfully analyzed medical records, UR guidelines, and cases; determining requirements and implementing logistics for thousands of worker's compensation claim peer reviews, status reporting, troubleshooting and tracking from origination to completion, and assisted physicians in all matters.

* Successfully managed client relations with 11 different client offices, including several divisions of Fortune 500 company Sedgwick Claims Management Services (SCMS).

* Significantly improved client relations and re-established a strong business to business relationship with Bunch & Associates, the company's most problematic client, via cross-functional requirements analysis, increasing client business volume received by 200%.

National Accrediting Commission of Cosmetology Arts & Sciences Alexandria, VA

Accreditation Specialist, Staff Co-chair of the Joint Subcommittee on Public Relations, Co-chair of the Educational Quality and Control Committee April 2008 - April 2009 (resigned to geographically relocate)

* An agency partnered with the United States Department of Education to accredit and monitor privately owned, for profit, vocational schools that provide training for state board certification and occupational licensing

Business Analyst, Compliance Auditor, & Consultant

* Successfully implemented positive, growth-oriented organizational change by acting as both analyst and liaison between stakeholders and technical teams, analyzing business process requirements, determining ideal methods/solutions, monitoring status and demonstrating value through use cases/user stories and workflow diagrams, and leading interdepartmental teams in transferring all agency records through electronic data interchange to a contemporary web-based CRM database implementation using Agile methodology; consequently establishing greater data management standards and operational practices leading to the acquisition of over 400 new clients.

* Redesigned the agency’s business overall operations model by analyzing logistics, identifying gaps via determining resource-inefficient processes, conducting impact analysis, and replacing low-output yielding practices with simple, highly-productive IT based solutions, testing systems via individual user feedback as well as group conference forums and interviews.

* Personally established dozens of new, long-term accounts by demonstrating the value contribution gained from agency services by analyzing potential clients’ business requirements and comparatively illustrating the value of accreditation in relation to financial and institutional data and ensuring best practices; consequently improving agency image among industry peers.

* Oversaw and led client consulting by analyzing needs in relation to compliance and business goals, while in-office and during on-site consultations and audits on regular business travel.

* Successfully analyzed and managed over 150 institutions across the United States and U.S. territories throughout servicing, driving compliance business process re-engineering.

* Successfully redesigned, organized, and hosted quarterly workshops for business owners and industry representatives, as leader of an interdepartmental team.

* Successfully led a team of Commissioners and agency executives each quarter to audit and analyze the account history, business statistics, and audit results to determine quality control decisions in consideration of executive level business presentations.

EduCap, Inc., Loan To Learn Sterling, VA

Loan Operations Verifier July 2006 - September 2006 (resigned after second promotion offer to complete bachelor’s degree)

* The primary brand of a national, privately owned, credit-based educational lender and leading competitor with Sallie Mae

Business Analyst, Financial Analyst, & Loan Closer

* Successful led teams of analysts and loan closing officers collaborating with management, acting as analyst and liaison between stakeholders and technical teams, to analyze system functions, determine operational business requirements, and utilizing gap and impact analysis to develop superior versions of ARGO mortgage/loan database software through Agile methodology, utilizing use cases/user stories and workflow charts of servicing queues directing debt instruments/products in development and quality assurance.

* Successfully analyzed the loan applicant profiles of all loans in processing by determining requirements, establishing the logistics of acquiring and validating all information pertinent to approving and closing loans, and verifying borrower identities, income levels, liquid assets, educational statuses, and rare/scarce financial information.

* Led interdepartmental teams to investigate suspicious loans and combat fraud.

* Promoted to manage loan consolidations to lead communications between lenders and borrowers while analyzing financials for large principle loans.

* Set milestones in company history by closing multi-million dollar sums and breaking records for daily gross totals; due to efficient functional analysis.

Homework Helpers Learning Center Loves Park, IL

Marketing Associate August 2000 - August 2003

* A sole proprietorship specializing supplement services in primary and secondary education for a regional market.

Business Analyst, Marketing Manager, & Consultant

* Successfully led analysis and managed overall operational functions, processes, logistics, and documentation procedures via comprehensive assurance of maximum resource efficiency in accomplishing strategic goals and company mission.

* Successfully served as liaison between owner and employee stakeholders and technical development consultants to re-engineer business processes for best practice under Agile methodology, utilizing gap analysis with regard to impact to existing systems to implement new systems within human resource management, market department, and operations.

* Successfully utilized testing metrics and methods to compare initial design to resulting deliverables, including use cases/user stories during and quantitative and qualitative analysis of resources throughout development.

* Increased business client base by 200% between August 2000 and May 2001 by ensuring products and services rendered surpassed client expectations.

* Expanded target market/niche area by tailoring company products and services to the specialized needs of local customers while retaining mass-marketable product and service platforms.

* Successfully managed strategy formulation, implementation, and quality control of all primary media, training, and peripheral marketing materials in company integrated communications plan.

Computer Software Proficiency

Microsoft: Windows, Access, Excel, Word, Outlook, FrontPage, Publisher, PowerPoint, Works, SharePoint, Dynamics

Adobe: Acrobat, Photoshop, PageMaker, Illustrator

Corel: Paint Shop Pro, Draw Graphics Suite

Apple: OS, IMovie

Databases: ARGO, ARGUS, proprietary, On-Base, Oracle, Time Tracker, ADP, Sage ACT

Programming & Statistics: SQL, SPSS, Java, C++, HTML, SAS, .JMP, Crystal Reports, ReportNet, COGNOS

Other: Quark Xpress (desktop publishing/graphic design), Macromedia DreamWeaver (web design)

Regulations Expertise

* Code of Federal Regulations

* Respective state bureau and department of vocational licensing laws

* Official Disability Guidelines

* Respective state regulations governing medical utilization review (California Medical Treatment Utilization Schedule, West Virginia Rule 20, Minnesota 522, State of New York Insurance Department, Colorado Cochrane Guidelines, State of Washington Department of Workman’s Compensation, et cetera)

* American College of Occupational and Environmental Medicine

* HIPAA 4010, HIPAA 5010

* ICD9, ICD10

* CPT

* 835/837 electronic claims formats

Industry and Community Involvement

* Full member of American Advertising Federation, 2007

* Elected Technology Chair, Public Relations Officer, and Webmaster for Omicron Sigma Omicron Fraternity of Augustana College, 2005 – 2007

* Chartered the Scandinavian Club of Augustana College, 2006

* Highly involved member of the Augustana Business Club, 2003 - 2007

* Staff leader of the top ranked advertising team representing Augustana College in the National Student Advertising Competition with the development of a full annual integrated marketing communications plan for a major multinational consumer product, 2006 - 2007

Additional Skills

* Intermediate fluency with Swedish language in conversation and literacy

* Art: Fine art – 19 years, Graphic Design – 9 years; featured: Rockford (IL) Art Exposition, 1992 and 1993; R’Addy: 1st Place – Poster Design - 2002

* Musicianship: Piano – 17 years, Vocals – 9 years, Guitar – 5 years; featured: Yamaha Clavinova Festival, 1st Place - 1997

* Author: Poetry – 7 years, Lyrics – 5 years

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