Description
I hold an MBA in Business Administration and Information System Management, Bachelor's in Health Service Administration and working toward my PhD in Organizational Leadership Management. I have 30 years' in Health Care with 22 years in Health Care Management. Also an extended background in the following fields Customer Service, Employee Benefits, Master Data Management (Enterprise Data Lakes software), Project Management, Contracting, Provider Relations, Insurance Property Claims, Health Insurance (Government and Commercial), STD and LTD, Workers' Comp, Managed Care Systems, Dural Medical Equipment (DME), Data Analytics, Information Technology/Electronic Data Integration (IT, EDI) including knowledge of AS2, FTP and SFTP, handling requests and identifying all request aspects EDI activity. Operations Support, Rational Tools (Certificated). In addition, Medical & Pharmacy Claims, PBM Solutions, Prior authorization, Appeals, and Reconsideration with an ITIL v3, Six Sigma Methodology. My current responsibility as a Project Manager for Process Improvement manages and supports the development of new or improves process throughout the Army Headquarter MEDCOM Business Office. My position working in an information Technology environment where I lead several a project consisting of design and build a solution that creates and enhances the business flow operations. Experienced Project Manager with five-year' experience in project planning, implementation and execution and proven ability to support multiple projects with medium to high complexity. Part of my responsibility was to enhance SharePoint and build programs applications so that the data is visible and accessible to the entire MEDCOM Headquarters. I have a keen knowledge of Microsoft project and office Information Technology application, systems, and processes Resource Management policies and practices and change management techniques with an ITIL and Six Sigma Methodology. and Highlights Idea Entity/Contract HQ MEDCOM Business Office June 2017 to Nov 2018 2748 Worth Road, Suite 19 FT. Sam Houston, TX 78234 Chris Flores, COR, 210 414-3005 Aaron Robinson, Exec. Admin, 808 781-2447
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Work Experience
COMPANY | POSITION HELD | DATES WORKED |
---|---|---|
(Confidential) | Business/Functional Analyst | 11/2018 - Present |
Idea Entity/Contract Hq Medcom Business Office | Chris Flores | 6/2017 - 11/2018 |
Manpower | Manager Project Manager/Business Analyst Consultant/Contractor Kgs/Pro Sphere/Contractor Sr. Business/Functional Analyst/Edi Hdo | 6/2017 - 6/2017 |
Texas Oncology | Regional Supervisor Patient Account Specialist Ii | 2/2015 - 8/2015 |
Revenue Cycle Billing | Hr Manager | 9/2013 - 1/2015 |
Experience | Edi System Administrator | 9/2013 - 9/2013 |
Komal Patel | Health Care Scouts Contractor/Superior Health Care Specialty Pharmacy Coordinator | 2/2012 - 9/2013 |
Matrix Absence Management | Claims Supervisor | 2/2010 - 1/2012 |
Employees' Benefits Management | Integrated Claims Examiner | 1/2010 - 2/2010 |
Boon Chapman | Manager Senior Claims Benefits Analyst | 7/2008 - 1/2010 |
Walgreens Health Initiative | Healthcare Benefits Leader Provider Relation Resolution Supervisor | 10/2003 - 7/2008 |
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Accomplishments
Highlights:
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Job Skills
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Keywords
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