Summary
Overview
Work History
Education
Skills
Timeline
Generic

Ann Zelt

Glenshaw,PA

Summary

Talented project manager and data analyst with expertise in managing projects with HEDIS and Utilization Management to improve quality measure calculation and using technology to improve efficiencies.

Overview

18
18
years of professional experience

Work History

Senior Project Manager

EnGen/HMHS
01.2018 - Current
  • Monitored project progress, identified risks and implemented corrective measures to acquire success.
  • Coordinated cross-functional teams to determine timely delivery and compliance of project requirements.
  • Partnered with project team members to identify and quickly address problems.
  • Championed innovative approaches when faced with complex problems or opportunities requiring non-traditional thinking..
  • Negotiated and managed project budgets to meet goals.
  • Streamlined project processes by implementing agile methodologies, resulting in increased efficiency and faster completion times.
  • Communicated project updates to stakeholders at all levels.

Technical Business Analyst Consultant

Highmark BlueCross BlueShield
03.2006 - 01.2018
  • Gathered feedback from end-users to identify areas for system enhancements or adjustments to better align with evolving business requirements.
  • Enhanced interfaces to promote better functionality for users.
  • Presented business leaders with ROI estimations to drive project planning.
  • Created detailed reports from member enrollment, claims, providing demographics and contracting using SAS and Excel to create and validate test data; research solutions; and present solutions to customers.
  • Designed user-friendly interfaces based on best practices, improving overall usability and user satisfaction rates.
  • Consolidated business rules for system enhancements.
  • Produced charts and diagrams to assist with problem analysis.
  • Developed and maintained data warehouses and data marts to support business operations.
  • Provided training and support to end-users, empowering them to effectively utilize new systems and tools.
  • Updated and developed scripts and queries to extract and analyze data from multiple sources.

Education

Bachelor of Science - Business Administration

Juniata College
Huntingdon, PA

Bachelor of Science - Nursing

Pennsylvania State University
University Park, PA

Skills

  • Team Collaboration
  • Creative Thinking
  • Project Management- Waterfall and Scrum
  • HEDIS quality measure expertise
  • Financial Administration
  • SAFe 5 Agilist
  • Clinical Coding Expertise- CPT, HCPCS, ICD, Revenue, DRG, NDC
  • SQL, SAS
  • SDLC
  • Microsoft Excel, PowerPoint, Word, Outlook, Visio, Project
  • End User Training
  • HEDIS and Value Based Reimbursement Development

Timeline

Senior Project Manager

EnGen/HMHS
01.2018 - Current

Technical Business Analyst Consultant

Highmark BlueCross BlueShield
03.2006 - 01.2018

Bachelor of Science - Business Administration

Juniata College

Bachelor of Science - Nursing

Pennsylvania State University

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Ann Zelt