PROFESSIONAL EXPERIENCE:

Interim Allscripts Application Manager

Confidential

Responsibilities:

• Researched, analyzed and presented best approach to Confidential for all out Confidential t clinics associated with Long Island Jewish. Strategized with leadership on best approach going forward. Led end-to-end implementation efforts including Command Center set up for Revenue Cycle encapturement.
• Activities included coordinating delivery of multiple infrastructure (framework) projects, developing cost benefit analyses for the program, communication to executive committee, creating and reporting program status utilizing a dashboard, and allocating resources across multiple projects.
• Led team of 6 Allscripts system analysts to implement conversions (7 in all) from Canopy to Allscripts Care Manager. End user support and monitoring.
• End user support and monitoring to ensure customer satisfaction with the user interface

Delivery Solutions/Operations Technical Project Manager

Confidential, Englewood, CO

Responsibilities:

• Worked with Revenue Cycle Report Manager to leverage existing function support groups to execute processes focused to meet business processes and services
• Improved compliance with CMS requirements, increased administrative efficiency, reduced costs, optimized revenue and leveraged healthcare IT reform to compete more effectively.
• Accomplished project objectives by recruiting, selecting, orienting, assigning, scheduling, coaching employees; communicating job expectations; planning, monitoring and appraising job contributions; enforcing policies and procedures.
• Achieved operational objectives by contributing information and recommendations to strategic plans and reviews; prepared and completed action plans; implemented production, productivity; quality and customer service standards, resolved problems, identified trends, determined system improvements and implemented change.
• Met financial objectives by forecasting requirements, prepared annual budget, scheduled expenditures; analyzed variance and initiated corrective actions. Worked within Revenue cycle to encapsulate internal and external changes meeting opportunities and improvements. End user support and monitoring
• Facilitated Change Control Meetings and documented decisions. Communicated decisions out to interested and need-to-know parties.
• Technical and financial track included experience focusing on root cause analysis for facets; including enrollment, billing, and ASO claims.

ICD-9/ICD-10 QA Project Manager

Confidential, Prince George NY

Responsibilities:

• Defined project governance policies and managed financial concerns, for Revenue Cycle Management. Shortened Revenue Cycle by making improvements to decrease the amount of time from creation of the claim to the payment.
• Managed EDI Transactions for testing Health Information Exchange (HIIX) - strong working knowledge of Ansi12, Identified and tested healthcare specific EDI transactions ( ) specific to client needs.
• Managed integrated test activities with project team consisting of about 10 (3 Major - Cerner, Emdeon, 3M) impacted applications and 20 team members across various clinical and non clinical applications. Modules include PharmNet, FirstNet, RadNet, PathNet (Gen Lab, Micro), INet, and CareNet.
• Worked with team members to modify existing integrated test plan to document workflows and details impacted by ICD10 changes.
• Test activities focused on application logic changes related to ICD10 and included report output data files.
• Script Management
• Position ended when ICD-10 was pushed off by CMS for a year.

ICD-9/ICD-10 QA Project Manager

Confidential, Lakewood, CO

Responsibilities:

• Reporting within Revenue Cycle Department
• Change Management Facilitator. End user support and monitoring
• Created Organization-wide ICD-10 test strategy, test plans (for multiple Epic projects), test scripts, scenarios and cases.
• Presented status report weekly on QA findings. Worked with analysts to Unit Test their specific area while attending to QA testers for end-to-end testing effort.
• End user support and monitoring to ensure customer satisfaction with the user interface
• Script Management

Healthcare IT - Technical Delivery Project Manager

Confidential, Englewood, CO

Responsibilities:

• Project Manager using Waterfall and Agile methodologies for CVS and Wellmark clients implementing custom development of the Facets Managed Care application, version 5.01. This product designed with automatic functions common to care management and meeting ICD-10 Q4 deadline needs via claims processing to medical management and core administration to network management.
• Improved compliance with CMS requirements, increased administrative efficiency, reduced costs, optimized revenue and leveraged healthcare IT reform to compete more effectively.
• Accomplished project objectives by recruiting, selecting, orienting, assigning, scheduling, coaching employees; communicated job expectations; planned, monitored and appraised job contributions; enforced policies and procedures.
• Achieved operational objectives by contributing information and recommendations to strategic plans and reviews; prepared and completed action plans; implemented production, productivity; quality and customer service standards, resolved problems, identified trends, determined system improvements and implemented change.

Healthcare IT - Epic Project Manager

Confidential, Missoula, MT

Responsibilities:

• Project Manager over 2 ambulatory implementations covering in excess of 30 out- Confidential t clinics and ancillaries in accordance with a 2 hospital go-live deployment.
• Utilized PMI methodologies (with flexibility) to report status from MS project plan, issues, action items and risks, as well as project timeline to easily identify project status as ‘on target’ or ‘behind’. Developed work-streams from Epic work lists accordingly.
• End user support and monitoring to ensure customer satisfaction with the user interface.

Healthcare IT - Epic Team Lead / Meaningful Use Manager

Confidential, Alta Bates, CA

Responsibilities:

• Assigned as analyst lead/project manager over team of 7 Epic ambulatory clinical analysts and trainers.
• Utilized PMI methodologies to accurately status over 60 workflow/ defect/ enhancement changes (to include maintenance and optimization projects).
• Assumed responsibility for HIPAA compliance regulations and Meaningful Use in- Confidential t initiatives.
• End user support and monitoring to ensure customer satisfaction with the user interface

Healthcare IT - Customer Support Manager

Confidential, Broomfield, CO

Responsibilities:

• Asked to train on over 36 areas of Provider Technologies specific to Confidential applications.
• Attended and supported go-live of Confidential applications. Reported and analyzed defects, enhancements and issues overall.

Healthcare IT - Special Projects Project Manager

Confidential, Colorado Springs, CO

Responsibilities:

• Assumed responsibility for HIPAA compliance regulations, Meaningful Use and ICD-9 to ICD-10 preparation and readiness.
• Assumed responsibility for Joint Commission (JCAHO) Elements of Performance (EPs) compliancy by writing, editing and auditing existing Information Management policies and procedures. Created and audited specific and quantifiable measurable requirements of Joint Commission standards resulting in overall compliance for accreditation of the organization.
• Assured performance expectations were met by providing ‘evidence’ of HIPAA standards and the action performed to demonstrate compliance. Wrote Information Management supporting documentation to include: Information Management Plan, Confidential t Health Information Confidentiality and Privacy Plan, Downtime Procedures Communication and Notification Plan (and checklist), Workforce Security Plan, and over-all Workforce Security Plan, etc.
• Network and Server Infrastructure includes the logical design of network topology and the physical implementation of networking devices, servers, and other auxiliaries such as power supply, cabling and racking.

Healthcare Provider Network Project Manager

Confidential, Greenwood Village, CO

Responsibilities:

• Demonstrated leadership and assumed responsibility for the integration of Great West Providers Network with Cigna Providers Network (shortly after the acquisition of Great West Healthcare in 04/08). Performed gap analysis and technical reviews in order to provide options for best and easiest implementation solution.
• Performed project and technical assessment of claims payment processing systems (to include mainframe applications such as BEN and Computrack) as well as Facets Managed Care System. Utilized standard project management methodology and process to deliver several $500,000.00 projects on time, on budget and within scope. ROI produced over $3,000,000.00 per year after implementation and ‘ease of use’ for payer administrators.
• Lead project teams on several $500,000.00 projects completing under budget by $25,000.00 - $50,000.00 and prior to deadline by 2 - 3 months. Facilitated cross-functional teams (approximately 35 members) with emphasis on team-work, quality, productivity, and consistency. Team members included application managers, system analysts, programmer analysts (developers), system test analysts and various business application specialists (SME’s). Assured project was ready for change management and governance review.
• Provided strong problem solving and decision making through-out project and communicated status consistently to executive management. Demonstrated long-range planning with projects extending over months up to a year or more in length.
• Proficient in Clarity/Open Work Bench and MS Office applications (including MS Project and Visio) for Facets Implementation.
• Implemented/tested wide variety of healthcare options ranging from HMO plans and flex care plans, to open access plans, indemnity plans and preferred provider plans (via Computrack which was replaced by Medicaid). Implemented/tested access to wide range of physicians, specialists and hospitals across the country with over 450,000 available physicians from which to choose and nationwide emergency care coverage (24-hour service).
• Customized cost-sharing options readily available - copayments, deductibles and coinsurance.
• Commissioned Legacy systems. Network and Server Infrastructure for network arrangement and the physical implementation of networking devices, servers, and other.

Technical Issues Escalation Project Manager

Confidential, San Francisco, CA

Responsibilities:

• Responsible for implementing a revenue cycle/revenue capture solution to close the loop on clinical automation. Reviewed and triaged over 400 Epic EMR related issues - defining them as interface, workflow,, mapping (inter-module), testing and/or charge dropping problems. Helped develop in- Confidential t specific workflows for 26 in- Confidential t services.
• Managed issue resolution with and amongst various teams to include: Epic: in Confidential t, ambulatory, Emergency Department, OpTime, PowerChart, various interfaces, and overall revenue safety applications.
• Helped shorten revenue cycles and cut operating costs
• Integrated care delivery/data flow cycle with minimal impact on existing workflow

PharmNet Interface Testing Project Manager

Confidential, Englewood, Colorado

Responsibilities:

• Created, developed and reviewed system, integrated and regression tested scripts/scenarios for Cerner PharmNet application.Managed integrated testing efforts internally and externally (with 86 hospitals).
• Lead issue review and escalation of interface testing while researching best possible solution.

Systems Applications and Cerner IT Project Manager

Confidential, Colorado Springs

Responsibilities:

• Managed over 125 business, clinical and healthcare information technology system applications (including Cerner Millennium). Gathered and monitored status from six project managers while working in conjunction with clinical staff to assure hard deadline was achieved.
• Created and maintained project work plans with scope, weekly status project reports, and issues database while continually communicating status to executive staff.
• Released data functionality from development environment to subsequent environments.
• Demonstrated excellent oral and written communications to all levels of staff in a hospital setting (clinical, administrative, and technical staff).

Confidential

Senior Consultant

Responsibilities:

• Released data functionality from development environment to subsequent environments.
• Planned and managed health-care IT project implementation and sub-projects in lock-step with organizational objectives.
• Re-aligned existing health-care IT projects that ventured ‘out-of-scope’.
• Implemented project controls and methodologies that mitigated overall project risk.
• Worked with IT Services leadership to develop and maintain effective customer (clinical services) relationships during the project, including plans for ongoing support.
• Prepared formal input on project team members’ performance delivered to departmental managers for personnel evaluations.

Confidential, Colorado Springs, Colorado

Responsibilities:

• included; departmental lecture presentations, class (up to 25 students per class) and one-on-one, when needed.Created Captivate video/audio files (for ED Physicians and Batch Charge Entry unit clerks).
• Developed and wrote manual, job aids, quick pocket guides and instructor led agendas for and super-user teams.
• Participated in train-the-trainer sessions for Cerner modules as well as post go-Live end-user support efforts during critical hours in the Emergency Department and Intensive Care Units.
• Created and maintained calendar, class rosters, evaluations, and wrote competencies (when applicable).

Business Analyst, Quality Assurance Analyst

Confidential, Minneapolis, Minnesota

Responsibilities:

• Helped drive testing process through development and execution of test scenarios, as well as regression tested and problem reported database management for Ingenix Evidence Based Management (EBM) applications.
• Communicated issue tracking through generation of reports and diagnostic steps to include status of testing coverage for all EBM software.
• Demonstrated in-depth knowledge in software application testing and system development life cycle.
• Commissioned Legacy systems. Network and Server Infrastructure for network arrangement and the physical implementation of networking devices, servers, and other.

Epic Ambulatory Upgrade Trainer

Confidential, Denver, Colorado

Responsibilities:

• Responsible for staff of 25 Ambulatory clinics on Epic Spring 2005 enhancements and defect fixes. included; lecture presentations, class department (up to 16 students per class) and one-on-one, when needed. Created and maintained Camtasia video files (approximately 12).
• Developed and wrote manual, job aids and agenda.
• Conducted train-the-trainer sessions for Epic ambulatory and post go-Live end-user support efforts.
• Carried out on-the-spot JCAHO audits of Procedural and Medication Orders.

Physician Trainer

Confidential, Lafayette, Colorado

Responsibilities:

• Team Lead responsible for organizing and scheduling team to train over 300 Physicians in Epic in- Confidential t, OpTime and Emergency Department functions.
• Developed and wrote manual, job aids and agenda.
• Maintained class rosters, evaluations, and wrote/scored competencies

Project Consultant

Confidential, Colorado, Aurora, Colorado

Responsibilities:

• Resolute Confidential t Accounting allow access to the latest LMRPs (and on-going updates) published by the Medicare carrier or fiscal intermediary to whom they submit their claims for reimbursement. Completed development and requirements work necessary to support the LMRP Knowledgebase(TM) database to perform Medicare/Medicaid processing required to screen orders and claims for medical necessity. Validated ability to screen orders (at the point of order entry) to make certain that they comply with the local Medicare guidelines for medical necessity compliance