Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Christine Wagner

Royersford,PA

Summary

Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.

Overview

18
18
years of professional experience
1
1
Certification

Work History

Senior Program Manager

Quest Diagnostics
12.2021 - 01.2023
  • Manage Program resource budget for Quest Diagnostics Esoteric Laboratory system conversions
  • Continue to adjust process design to address multiple variables uncovered in financial tracking, increase efficiency of tool and eliminate non-value-added steps
  • Design and implement Huddle Board to use as tool to obtain “snap shot” of overall program status
  • Implement automated travel approval process in order to capture data needed for travel approvals and historical reporting purposes.

Business Project Program Manager

CVS Health/Aetna
05.2018 - 12.2021
  • Managed large-scale project that will bring new health plan option to market for employers with 101 to 300 employees
  • Collaborate with business partners to define business requirements and develop comprehensive project plan
  • Report on project status to stakeholders, business partners, and executive team
  • Engage training SMEs to develop internal Sales training as well as external Broker trainings
  • Monitored progress of programs, using and applying programming documents, program directives, funding documents and other program material.
  • Key Achievements:
  • Oversight of $2.9M in IT investments to support new health plan in Aetna's quoting and downstream applications
  • Worked with key stakeholders to identify top priorities and to ensure key items identified were escalated to senior leadership for decision.

Project Manager

WellCare Health Plans, Inc
12.2015 - 05.2018
  • Managed CMS reporting projects as well as other functional and/or departmental projects and key initiatives from start to finish, acting as subject matter expert in business systems and applications
  • Identified plans and resources required to meet project goals and objectives.
  • Managed projects from procurement to commission.
  • Key Achievements:
  • Led Partnership for Quality program, increasing accuracy of accurate diagnostic coding, and involving 54% of providers and 75% of members
  • Managed internal set up and testing of In-Home Assessment initiative to improve diagnostic coding accuracy and ultimate proper reimbursement
  • Met 97% of assessment goal.

Project Manager

Quest Diagnostics
11.2007 - 05.2013
  • Managed Quest Billing System conversions, from initial planning to completion by overseeing a project team of 25, collaboration and communication with business unit managers, corporate program offices, staff, external service providers and vendors
  • Identified plans and resources required to meet project goals and objectives.
  • Developed business proposals for process changes, including completion of user acceptance testing and conversion, implementation and providing essential training
  • Provided senior billing management with analysis and trending problems during and post-conversion that identified alpha and beta testing issues, resolutions, managed training needs, ongoing issues and enhancements
  • Validated system/site conversion functionality gaps
  • Utilized results to prioritize IT efforts or provide alternative solutions to operational departments
  • Key Achievements:
  • Completed 5 billing system conversions and met all time and budgetary goals
  • Achieved Six Sigma Green Belt – Quest Diagnostics internal certification

Transaction Standards Analyst

Quest Diagnostics
02.2004 - 11.2007
  • Led conversion process of 25 payors to ANSI standard format, federally mandated process for sending and receiving electronic claims, by leading team of 5, managed numerous electronic claims file (837) and electronic remittance file (835) implementation teams, all done seamlessly despite working with multiple internal stakeholders and external customers
  • Collaborated with IT and other key departments to facilitate, monitor and accomplish conversions.
  • Researched billing and invoice problems and resolved issues in compliance with established standards.
  • Analyzed trends and monitored customer behaviors to serve as predictors for future marketplace actions.

Team Leader

Quest Diagnostics
07.2002 - 02.2004
  • Supervised team of 12 accounts receivable employees, responsible for $16M monthly
  • Partnered with cross-functional teams and other business units to resolve insurance carrier issues, analyzed billing volumes to identify and resolve electronic claims submittal issues, utilized Access databases to track claim receipt and adjudication.
  • Mentored and guided employees to foster proper completion of assigned duties.
  • Established open and professional relationships with team members to achieve quick resolutions for various issues.

Education

Bachelor of Arts -

Lycoming College
Williamsport, PA
05.1993

Skills

  • Project Coordination
  • Issue Resolution
  • Resolving Operational Issues
  • Stakeholder Communications
  • Workflow Diagrams
  • Progress Monitoring
  • Six Sigma
  • Status Updates
  • Complex Problem-Solving
  • Problem-Solving Skills

Accomplishments

  • Project Management & Cost Control: Implemented the 270/271 Eligibility transaction company-wide (Quest Diagnostics) with CMS (Medicare), resulting in a reduction of AR aging by five business days, representing a 50% reduction in time, because Quest was able to bill the correct insurance carrier the first time
  • Project Management & Cost Control: Saved the company $35,000 annually through automating a transaction (277) process which saved employees' time of posting payment rejections manually
  • Project Management & Risk Reduction: Identified and reported a compliance issue with widespread incorrect patient health information data, which was ultimately and successfully deleted from Quest's systems, after working with the Quest compliance department
  • Project Management & Operational Efficiencies: Implemented the eligibility standard transaction with CMS for Quest Diagnostics across all 8 business units, requiring collaboration of key stakeholders and 4 department heads.

Certification

  • PMP - Project Management Professional

Timeline

Senior Program Manager

Quest Diagnostics
12.2021 - 01.2023

Business Project Program Manager

CVS Health/Aetna
05.2018 - 12.2021

Project Manager

WellCare Health Plans, Inc
12.2015 - 05.2018

Project Manager

Quest Diagnostics
11.2007 - 05.2013

Transaction Standards Analyst

Quest Diagnostics
02.2004 - 11.2007

Team Leader

Quest Diagnostics
07.2002 - 02.2004

Bachelor of Arts -

Lycoming College

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Christine Wagner