Andrea D Baynes
Consultant V
Based In CO
Summary
Strategic and results-oriented leader with a proven track record of driving high-impact, cross-functional initiatives under tight deadlines and high visibility. Recognized for fostering collaboration across departments, resolving complex challenges through unbiased analysis, and aligning teams toward shared goals. Known for adaptability, clear communication, and a people-first approach that inspires trust and delivers measurable outcomes.
Overview
17
17
years of professional experience
Work History
Consultant V
KP Health Plan Operations: Member Services
03.2023 - Current
- Process Improvement Portfolio Delivery Lead: Created and operationalized best practices for team execution of initiatives, which promoted crucial external partnership development along with data driven internal improvement efforts which streamline capabilities within the MSCC
- Spearheaded overhaul of portfolio (methodology, utilization, presentation) which tracks and delivers ~ 40% of team workload by creating P&Ps and best practice recommendations for efficiency and efficacy
- Optimized cost savings analysis to reflect team impact of an estimated $500,000 savings for 2024 (projected $1.2m for 2025)
- Served as lead consultant/program manager on time sensitive projects providing detailed analysis, recommendations, and management of solution implementation with visibility to Senior level leaders
- Interim Manager: led team of consultants in professional development by promoting strengths while providing constructive feedback. Assisted in year end evaluations.
Consultant IV
KP Health Plan Operations: Member Services
05.2022 - 03.2023
- Identified and resolved workflow constraints to streamline contact with members
- Optimized and executed an actionable P&P document recertification program for all of MSCC stakeholders which promoted standardization across resource repository
- Introduced deliverable tracking methodologies and presentation standards for internal projects to promote consistency and brand identify for team visibility
- Promoted within 12 months to leadership role due to swift acclimation in department and production of results in a fast and positive manner
Business Consultant/Consultant IV
KP National Revenue Management
01.2016 - 05.2022
- Led program initiatives in partnership with technical teams to meet business case deliverables within pre-determined budget and timelines
- Developed strategic department improvements via root cause analytics
- Designed training curriculum for 300+ trainees for technical solution deployments
- Managed vendor relationships to produce an increase in productivity
- Produced and presented business cases to justify executive sponsorship of programs
- Served as project manager for multiple implementations of technological improvements
Business Systems Analyst
KP National Revenue Management
09.2013 - 05.2015
- Served as business-side technical lead on region-wide implementations
- Developed and produced multi-regional financial reporting which included external financial comparisons
- Assessed business requirements to create focused, quality solutions; Oversaw project management for dashboard reporting implementation
Coding Project Lead
KP Colorado Revenue Cycle
12.2010 - 09.2013
- Served as Project Coordinator, then Project Manager for multiple Coding/Revenue Cycle improvement efforts
Administrative Team Lead
Urban Lending Solutions, Broomfield, CO
01.2009 - 01.2010
- Front Office Management
- Accounting & Finance Project manager
Education
Six Sigma Black Belt
Council For Six Sigma Certification
12-2025
Management Essentials
Financial Leadership Institute (FLI) - KP
01.2020
Certified Revenue Cycle Representative
HFMA
01.2020
EpicCare, Hospital Billing, Tapestry Certification
EPIC
Verona, WI01.2018
BS - Business/Health Care Administration
Milligan University
05-2009
Skills
Problem Solving
Process Definition, Analysis and Improvement
Project/Program Management
Strategy Development
Microsoft Office (Advanced )
undefinedTimeline
Consultant V
KP Health Plan Operations: Member Services
03.2023 - Current
Consultant IV
KP Health Plan Operations: Member Services
05.2022 - 03.2023
Business Consultant/Consultant IV
KP National Revenue Management
01.2016 - 05.2022
Business Systems Analyst
KP National Revenue Management
09.2013 - 05.2015
Coding Project Lead
KP Colorado Revenue Cycle
12.2010 - 09.2013
Administrative Team Lead
Urban Lending Solutions, Broomfield, CO
01.2009 - 01.2010
Certified Revenue Cycle Representative
HFMA
Six Sigma Black Belt
Council For Six Sigma Certification
Management Essentials
Financial Leadership Institute (FLI) - KP
EpicCare, Hospital Billing, Tapestry Certification
EPIC
BS - Business/Health Care Administration
Milligan University
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