Professional with significant experience in business analysis, skilled in data-driven decision-making, and process optimization. Strong focus on team collaboration and delivering impactful results. Reliable in adapting to changing needs while leveraging skills in stakeholder management, requirement gathering, and strategic planning. Recognized for analytical thinking, problem-solving abilities, and effective communication.
Overview
30
30
years of professional experience
Work History
Senior Business Analyst – Specializing in EMR
Humana, Inc.
04.2021 - Current
Instrumental role in transition and EMR migration of 325+ clinics in the span of 1 year
Pivotal responsibility in archiving and migrating over 75 acquired practices to company EMR platforms
Well versed in Merger & Acquisition activities
Deep Knowledge of numerous EMR systems including functionality, table designs, data elements, interfaces, reporting, and conversion requirements
Monitored work of programmers, designers and technicians, assigned tasks and monitored performance against targets
Assisted in the testing and validation of software applications to ensure functionality
Mentored junior analysts, fostering skill development and knowledge sharing within the team
Balanced multiple projects by completing and updating documentation, managing scope and adjusting schedules
Facilitated knowledge-sharing sessions to enhance team collaboration, resulting in better overall product quality
Excelled in successful project completions through diligent work prioritization and time management skills under tight deadlines
Supported smooth transition to new EMR platforms through comprehensive training programs and ongoing guidance for medical staff
Promoted interoperability between different healthcare IT systems, fostering greater cooperation among diverse provider networks in patient care coordination efforts
Documented system specifications and user requirements for internal stakeholders
Business Consultant
Conviva Care Solutions/Humana. Inc.
01.2019 - 04.2021
Expanded career focus to IT/EMR technologies including data management, migration, and healthcare analytics
Collaborated with teams to optimize EMR workflows and enhance user experience
Assisted in troubleshooting technical issues related to EMR systems, ensuring minimal disruption in operations
Championed the adoption of new technologies within healthcare settings, helping organizations stay ahead of the curve in an increasingly digital landscape
Provided expert advice on best practices for electronic health record management, contributing to higher standards of care within client organizations
Proved successful working within tight deadlines and a fast-paced environment
Analyzed electronic medical records for accuracy and compliance with regulatory standards
Provided training sessions for staff on EMR functionalities and best practices
Contributed to documentation of EMR processes, promoting consistency across departments
Regional Administrator
Humana, Inc./Conviva Care Solutions
06.2013 - 01.2019
Promoted from Clinic Administrator to Regional Administrator.
Strengthened the business by actively participating in the operational integration of multiple companies in South and Central Florida.
Managed teams of up to 10 direct reports and 150 indirect reports including Clinic Administrators, Medical Assistants, Front Desk Receptionists, Referral Coordinators, Health Information Management Coordinators, and Nurses. Covered multiple regions with diverse populations.
Supported expansion activities in non-Florida markets, from pre-opening training, office setup, grand opening, go-live, and post opening follow up.
Facilitated training programs delivered to associates and trainers throughout multiple areas of the organization.
Designated as a business lead and subject matter expert in an organization wide project where multiple entities, systems, and processes were consolidated.
Supervised budgets, policies, financial health, reporting, facility management, staffing, organization, Human Resources, associate engagement, and other matters related to daily operations and overall success of the medical centers.
Assisted the Senior Medical Director with onboarding and training of new physicians and mid-level providers.
Consulted on systems, process design, best practices, training programs and overall strategy to maximize business outcomes.
Coordinated in-person and virtual meetings of varying sizes consisting of creating agendas, securing facilities, scheduling speakers, designing presentations, presenting materials, and running technical aspects including meeting specifications, projectors, and sound.
Focused on customer service with extensive training. A graduate of the Disney Institute for Customer Service Excellence.
Collaborated with a wide range of internal and external teams, business leaders, and vendors on various projects and initiatives.
Engaged providers, staff, and patients on the “Patient Experience”. Developed and participated in programs and events designed to increase patient satisfaction. Monitored and collected survey data including Net Promotor Scores.
Analyzed reports and data to track trends, identify opportunities, close gaps, and create action plans for problem areas in order to provide the best chances for success.
Experienced with clinic and provider specific initiatives such as: compliance, acquisitions, migrations, improvements, HIEs, EMR configuration, medical software integration, vendor contracts and integration, insurance contracting, referral management, care & utilization management, value-based care, home health, revenue cycle management, physician engagement and bonus programs, specialist relationships and contracting, network utilization, clinical health & safety/OSHA, Blood Borne Pathogens, Biohazardous waste, population health, risk arrangements, meaningful use/MIPS, HEDIS & STARS, MRA, CAHPS & HOS surveys, and AHCA.
Clinic Administrator
Suzann M. Leslie, D.O, P.A/MetCare/Humana, Inc.
01.2005 - 05.2013
Managed Human Capital including interviewing, selection, on-boarding, training, coaching, conflict resolution, disciplinary action, terminations, timekeeping, payroll, performance reviews and evaluations.
Designed suitable and compliant practice forms, documents, and questionnaires using word processing programs.
Implemented Electronic Medical Records system from paper medical records (Clinical Works in 2005).
Ensured compliance with all state, federal and local programs and licensing institutions including the Agency for Health Care Administration (AHCA). As well as for monitoring and reporting of healthcare programs such as Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare Risk Adjustment (MRA).
Organized inventory and ordering of office supplies, medical supplies and equipment.
Marketed practice to local specialists and specialist groups.
Obtained Certified Professional Coder (CPC) degree, prepared, filed and reviewed insurance claims and payments.
Led associates through two mergers in two years (MetCare in 2011 and Humana in 2012).
Consultant
Legal defense team
01.2003 - 01.2004
Extracted medical records from paper charts and billing data from business software.
Analyzed data elements and checked for validity and accuracy.
Created visual aids to present data findings, including graphs, charts, spreadsheets, and slides.
Testified and presented results under oath in Federal court.
Medical Center Administrative Staff
Doctor’s Care Health Services/Suzann M. Leslie, D.O, P.A.
01.1996 - 01.2001
Started career as a front desk associate in a multi-specialty practice undertaking numerous responsibilities including answering phones, insurance verification, referrals, scheduling, money handling, banking, reporting, medical records, patient correspondence, database maintenance, filing, triaging, rooming patients, relaying test results, preparing claims for filing, managing workers compensation cases, managing motor vehicle accident claims, handling information requests to and from attorneys, posting payments, and communications with pharmacies.
Coordinated patient care, preparation, and scheduling of surgeries and procedures for the in-house Gastroenterologist.
Contributed articles, photographs and other content to a company newsletter as well as planned and designed layout.
Education
Bachelor of Science - Health Administration
Bellevue University
Bellevue, NE
2028
Skills
Requirements gathering
Agile methodology
User acceptance testing
Stakeholder management
Process mapping
Data analysis expertise
Business administration
Data analysis
Team collaboration
Microsoft Office Suite
Process optimization
Consulting
Timeline
Senior Business Analyst – Specializing in EMR
Humana, Inc.
04.2021 - Current
Business Consultant
Conviva Care Solutions/Humana. Inc.
01.2019 - 04.2021
Regional Administrator
Humana, Inc./Conviva Care Solutions
06.2013 - 01.2019
Clinic Administrator
Suzann M. Leslie, D.O, P.A/MetCare/Humana, Inc.
01.2005 - 05.2013
Consultant
Legal defense team
01.2003 - 01.2004
Medical Center Administrative Staff
Doctor’s Care Health Services/Suzann M. Leslie, D.O, P.A.