Exceedingly thorough Process Analyst with 11 years modifying ongoing business processes to achieve superlative results. Skilled at designing and applying process changes to improve efficiency and reduce costs, without detrimentally impacting ongoing operations. Documented provider of enhancements that improve both output and worker satisfaction.
Overview
11
11
years of professional experience
1
1
Certification
Work History
C&S Strategy Senior Business Process Analyst
United Healthcare Group
01.2022 - Current
Led the planning and execution of Member Material's objectives, policies, and initiatives in collaboration with Project and Operations teams.
Fostered engagement and relationships with key stakeholders, including state health plans, Member Experience, Marketing, Customer Service, and Finance.
Identified and implemented innovative solutions to improve processes, enhance member experience, and ensure quality.
Implemented controls in the Value Chain process to mitigate unplanned material requests.
Collaborated with Operational teams within Correspondence Management & Development to ensure timely program implementation and delivery.
Assessed and interpreted RFPs, responses, and materials to identify and document operational implications.
Ensured alignment of program/project scope and objectives with the organization's strategic goals and the Voice of the Customer.
Provided detailed requirements to the Materials Operations Team for the execution of Member Materials Strategy.
Managed project plans, risk trackers, and other standard project management documentation.
Drove progress of projects across numerous stakeholders and project teams.
Conducted complex analyses based on data and facts to solve problems proactively.
Anticipated issues and facilitated resolution, identifying, escalating, and driving the resolution of issues and risks.
Led effective meetings with cross-functional partners to achieve decision-making and action.
Developed and delivered presentations to business partners on project status and issues.
Encouraged employee engagement, creating and maintaining an environment of collaboration, best practices, and knowledge sharing.
Supported C&S Strategy initiatives and projects.
Liaised with staff managers to collaboratively design process change implementation plans.
Conducted walk-through demonstrations of proposed process changes.
Streamlined business processes by identifying inefficiencies and implementing targeted improvements.
Reduced operational costs with innovative process reengineering and automation initiatives.
Operational Manager
WellMed Medical Management - United Health Group
12.2020 - 01.2022
Directs, supervises, coordinates specific functions and activities of program, including systems, policies and procedures, human capital, support services, etc. as required.
Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
Identified and resolved unauthorized, unsafe or ineffective practices.
Collaborated cross-functionally to refine procedures, devise best practices and enforce quality metrics.
Established positive and effective communication among unit staff and organization leadership, reducing miscommunications and missed deadlines.
Worked in matrix management environment with oversight of division level managers, operations, sales, finance, human resources, safety and compliance.
Identified procedure or process changes required to improve performance and productivity.
Promotes provision of cost-effective, high-quality health care services to patients.
Tracks and trends outreach and patient engagement efforts and develop new strategies as needed
Monitors clinical performance metrics (Quality, HEDIS, and Focus on Care) and provides continual process improvement including all Quality, HEDIS and Focus on Care processes and/or services
Prepared annual budgets with controls to prevent overages.
Improved team productivity through effective communication, training, and performance evaluations.
Streamlined operational processes by implementing efficiency improvements and reducing waste.
Analyzed data trends to identify areas for process improvement, ultimately driving higher levels of performance across all departments.
Ensured compliance with industry regulations by developing comprehensive policies and procedures manuals for each department.
Collaborated with executive leadership to develop strategic plans aimed at achieving long-term organizational growth and success.
Business Administration Manager
Michael E. DeBakey VA Medical Center
12.2020 - 01.2022
Processed employee expense reports quickly to prevent delays in payouts.
Represented company at conferences and seminars to boost outreach.
Served as executive staff liaison to several committees.
Implemented business initiatives to optimize day-to-day operations, resulting in increase in productivity.
Oversaw HR training, coaching, mentoring and staff retention.
Improved operation procedure between IT provider and end-users.
Developed improved recruiting methods to reduce turnover and build highly effective teams.
Used measurements, analysis and process alternatives to arrive at best practices.
Developed improved recruiting methods to reduce turnover and build highly effective teams.
Analyzed and assessed proposed system changes and determined impact to users.
Facilitated fast-paced and dynamic entrepreneurial environment.
Increased accuracy through improved processes for fiscal monitoring, payroll and operational expenses.
Prepared operational and salary budgets.
Developed strategic plans and initiatives.
Fostered strong rapport with clients, vendors and stakeholders through consistent follow-up and communication.
Reduced office expenses by finding smarter solutions for vendors, suppliers and services.
Managed over 10 employees.
Improved operational efficiency by streamlining business processes and implementing cost-saving measures.
Developed and executed strategic plans for organizational growth, resulting in increased profits and market share.
Clinic Operations Manager
Michael E. DeBakey VA Medical Center
08.2015 - 12.2020
Performed patient assessments and contributed to development of interdisciplinary care plans.
Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
Monitored duties assigned to personnel to promote high levels of patient care and job efficiency.
Oversaw day-to-day business and clinical activities by establishing goals, objectives, standards of performance and policies.
Prepared and retained records, files and reports according to various government and practice standards.
Conducted frequent clinic walk-throughs to maintain safe work environment.
Confirmed availability of sufficient supplies for delivery of quality patient care orders.
Built relationships with physicians to create steady referral pipeline.
Monitored number of patients and wait times to create efficient flow of patients from check-in to check-out.
Recruited, hired and educated staff on state and federal statutes on sleep service and independent diagnostic testing facility(IDTF) guidelines.
Collaborated with store manager to maintain daily operations.
Ordered all pharmacy supplies and kept check on inventory levels.
Successfully negotiated client contract renewals to create increased revenue.
Defined testing protocols, quality assurance initiatives and clinic policies and procedures.
Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives.
Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
Established and developed strong administrative team by delivering ongoing coaching and motivation and fostering career advancement.
Managed office operations while scheduling appointments for department managers.
Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
Prepared meeting materials and took clear notes to distribute to stakeholders.
Monitored and evaluated personnel performance to complete annual reviews, recommend advancement or address productivity concerns.
Oversaw quality control and productivity rates to increase revenue and production times.
Prepared all reports, letters, memorandums and FMLA request for Primary Care. Evaluates trends in missions, technology, manpower, fiscal resources, and other factors influencing future needs
Streamlined clinic operations by implementing efficient scheduling systems and staff coordination.
Enhanced patient satisfaction with timely appointment scheduling and effective communication strategies.
Administrative Coordinator
Michael E. DeBakey VA Medical Center
02.2013 - 08.2015
Collaborated in timely processing of billing and accounts receivables.
Coordinated flights, ground transportation and hotel accommodations.
Monitored and directed incoming mail and prepared outgoing mail.
Transcribed meeting minutes for management's records.
Prepared detailed documents and reports in adherence administrative processes.
Handled patient scheduling, check-in, check-out and processing.
Addressed questions and managed communications with patients and insurance agents.
Made travel arrangements for staff members.
Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Performed hourly quality assurance inquires to waiting veterans, guardians and family members for improvement of complex relationships between patient satisfaction, clinical safety and financial measures established by Press Ganey's scientific studies.
Verifies authenticity of military discharge and prior combat status on DD-214s submitted by veterans, while processing applications for medical benefits and enrollment into Veterans healthcare system.
Initiated timely project management within budget constraints for multifaceted problems concerning executive leaders.
Analyzed and solved multi-faceted problems that effected executive leaders and business initiatives.
Improved customer satisfaction scores through application of superior conflict resolution and problem-solving skills.
Education
MBA - Health Administration
Walden University
Minneapolis, MN
12-2015
Bachelor of Science -
William Penn University
Oskaloosa, IA
05-2012
Skills
Resource Management
Stakeholder Management
Financial Analysis
Operations Management
Data Analytics
Project Management
Business Continuity Planning
Data Visualization
Process Mapping
Accomplishments
Used Microsoft Excel to develop inventory tracking spreadsheets.
Improved or maintained profit and revenue margins over previous years.