Dawn Rhinehart
Rio Rancho,NM
Summary
Accomplished Senior Manager for 20 + years. At Cognizant Technologies Solutions, I revolutionized healthcare product delivery and claims processing, enhancing claim to authorization efficiency helped reduce pends by 25%. Expert in Facets and adept at leading cross-functional teams, my strategic planning and emotional intelligence have consistently driven project success and stakeholder satisfaction.
Overview
18
18
years of professional experience
Work History
Senior Manager
Cognizant Technologies Solutions
Englewood, CO
01.2018 - 12.2024
- Directed multi-disciplinary groups in fast-tracking the development and delivery of medical products.
- Enhanced plan renewal processes, reducing build time by 50% through updated methods.
- Streamlined claim-to-authorization matching process.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Reported to executive leadership on performance metrics, challenges, and strategic opportunities.
Director Facets Configuration
Catalyst Solutions
Denver, CO
10.2016 - 12.2017
- Revolutionized resource allocation and strategic planning, increasing efficiency by 10% and growing long-term contracts by 4%
- Cultivated client relationships, resolving key pain points and improving satisfaction scores by 15% within three months
- Trained and guided team members to maintain high productivity and performance metrics
Senior Consultant
AXIOM Systems Inc
Frederick, MD
10.2016 - 11.2016
- Cleared client pended claims backlog and secured three new contracts through exemplary project leadership and client engagement
Senior Facets SME
Optum Consultants
Eden Prairie, MN
03.2016 - 09.2016
- Resolved over 18,000 pending claims and reduced defect backlogs by 80% through meticulous documentation and process improvement
- Leveraged data-driven insights to optimize performance and drive measurable improvements in efficiency and client satisfaction
Senior Associate Manager
Mediant Technology
Phoenix, AZ
09.2015 - 02.2016
- Led a high-performing team in benefit configuration for Montana State Medicaid, resulting in a 96% pass rate
- Focused on team development through mentoring and cross-training employees
- Resolved staff conflicts with empathetic communication, fostering a collaborative work environment
Senior Lead Consultant
Highpoint
East Norriton, PA
04.2015 - 06.2015
- Directed Facets configuration projects from requirements gathering to product builds and comprehensive testing phases
- Collaborated with cross-functional teams to design innovative solutions that enhanced system functionality and accelerated time to market by three months
- Provided mentorship and technical guidance to junior consultants
Senior Lead Consultant
Oleen Pinnacle
Little Rock, AR
01.2015 - 04.2015
- Delivered focused solutions that addressed critical healthcare challenges and optimized patient outcomes
- Led the assessment of business requirements and implemented real-time alert notifications for 677 patient-centered medical home providers, improving care coordination
Senior Configuration and Senior Migration & Conversion Lead
TriZetto
Denver, CO
03.2007 - 01.2015
- Led the successful implementation of Facets for 10 or more health plans, earning client satisfaction and positive feedback.
- Led international configuration assessment initiatives, demonstrating flexibility in dynamic environments.
- Coordinated resources, engaged with executives, and product managers, and delivered projects ahead of schedule.
Education
High School Diploma -
La Grande High School
Skills
- Leadership and team Management
- Cross-functional team leadership
- Strategic planning
- Coaching
- Mentoring
- Talent management
- Stakeholder alignment
- Conflict resolution
- Emotional Intelligence (EQ)
- SQL
- Access database applications
- Data migration
- Data conversion
- Data analysis
- Data visualization
- Facets
- NetworX
- Written communication
- Verbal communication
- Creative problem-solving
- Analytical problem-solving
- Cultural competence
- Adaptability
- Agile methodologies
- Scrum
- Kanban
- Waterfall methodologies
- Workflow optimization
- Resource allocation
- Requirements gathering
- Documentation
- Reporting
- Claims processing
- Troubleshooting
- Root cause analysis
- Medicaid
- Medicare
- Medicare Advantage
- EGWP HMO
- PPO
- ASO
- Large Groups
- Small Groups
- Inspires others
- Motivates others
- Integrity
- Honesty
- Problem-solving
- Analyzes issues
- Drives for results
Timeline
Senior Manager
Cognizant Technologies Solutions
01.2018 - 12.2024
Director Facets Configuration
Catalyst Solutions
10.2016 - 12.2017
Senior Consultant
AXIOM Systems Inc
10.2016 - 11.2016
Senior Facets SME
Optum Consultants
03.2016 - 09.2016
Senior Associate Manager
Mediant Technology
09.2015 - 02.2016
Senior Lead Consultant
Highpoint
04.2015 - 06.2015
Senior Lead Consultant
Oleen Pinnacle
01.2015 - 04.2015
Senior Configuration and Senior Migration & Conversion Lead
TriZetto
03.2007 - 01.2015
High School Diploma -
La Grande High School
Similar Profiles
Prathyusha DamarlaPrathyusha Damarla
Associate at Cognizant Technologies SolutionsAssociate at Cognizant Technologies Solutions
Sanket ShettiSanket Shetti
Generative AI Developer at Cognizant Technologies SolutionsGenerative AI Developer at Cognizant Technologies Solutions
David Jedidiah Elijah PaulDavid Jedidiah Elijah Paul
Business Development Analyst at Cognizant Technologies Solutions India Pvt. Ltd.Business Development Analyst at Cognizant Technologies Solutions India Pvt. Ltd.
Monika Seles JesuMonika Seles Jesu
Data Migration Specialist at Cognizant Technologies SolutionsData Migration Specialist at Cognizant Technologies Solutions
Brenda FordBrenda Ford
Deputy at Santa Fe County Sheriff's OfficeDeputy at Santa Fe County Sheriff's Office