Dawn Treharne PMP CSPO
Senior IT Project Manager
Fair Oaks,California
Summary
Highly experienced healthcare professional with a diverse background in IT project management and healthcare consulting. Recognized as an expert in Agile methodology and skilled in effectively engaging stakeholders. Successfully revitalized the Third-Party Liability Claims Engine for Ohio MMIS, resulting in a projected impact of $7.7M in 2024 after a previous failed installation. Actively involved various stakeholders such as patients, providers, payers, and policymakers to gain a comprehensive understanding of the evolving healthcare market and industry from multiple perspectives. Proficient in implementing PMI Project Management Best Practices to drive successful outcomes.
Overview
22
22
years of professional experience
2
2
Certifications
Work History
Senior IT Project Manager
Gainwell Technologies/Ohio Dept of Medicaid (ODM)
Sacramento, CA
07.2022 - Current
- Revitalized the Third-Party Liability (TPL) Claims Engine for Ohio MMIS, resolving a failed implementation and enabling a projected $7.7M impact in 2024
- Increased business outcomes by {15%} by directing large-scale IT projects ensuring strategic alignment
- Served as a key liaison between Ohio Medicaid and Gainwell Technologies, driving collaboration and project success
- Led project teams to deliver on time and to high-quality standards while mitigating risks
- Delivered executive-ready KPI dashboards to support informed decision-making among stakeholders, ensuring project and goal alignment
- Delivered reliable solutions by overseeing software design, development, testing, implementation, and support phases of IT projects.
Senior Implementations Project Manager
NextGen Healthcare
Sacramento, CA
07.2022 - 07.2023
- Achieved $50K cost savings by developing and implementing custom EMR systems for 5 large healthcare organizations utilizing Agile methodology
- Increased user adoption by {25%} by overseeing software and hardware installations and training at {50} client sites
- Provided visionary leadership to project teams and software consultants, cultivating a collaborative environment and ensuring the successful delivery of high-quality project outcomes
- Earned the prestigious NextGen Team Excellence Award for exemplary leadership and outstanding performance, underscoring a strong commitment to driving team success and achieving project objectives
- Successfully managed multiple projects simultaneously by prioritizing tasks according to urgency, resource availability, and alignment with organizational goals.
MITA Healthcare Consultant
CA Dept. of Health Care Services (DHCS)
Sacramento, CA
07.2021 - 07.2022
- Managed and directed project requests for the California Department of Health Care Services (CA DHCS) Medi-Cal Program, ensuring full compliance with CMS Medicaid Information Technology Architecture (MITA) standards
- Demonstrated deep expertise in MITA tools, leveraging their critical role in advancing program success and enhancing operational outcomes
- Developed and implemented enterprise-wide support strategies aligned with MITA frameworks
- Monitored adherence to regulatory requirements
- Led reporting, risk assessment, and business process improvement initiatives for multiple complex projects, exemplifying strategic leadership and a proactive approach to mitigating risks and optimizing organizational performance
Senior Project Manager
Blue Shield California (BSC)
Sacramento, CA
05.2020 - 02.2021
- Led key initiatives for Manifest MedEx (MMX), including the ADT Project, HEDIS Project, and Documentation & Analysis Program, driving strategic outcomes and operational efficiency
- Reduced manual hospital processes by {30%} by spearheading ADT project for electronic prior authorizations
- Communicated complex technical concepts to Executive and VP-level leadership, fostering informed decision-making and project success
- Developed comprehensive project plans, identifying risks and mitigation strategies for timely completion.
- Evaluated vendor proposals, selecting those that provided the best value for cost, quality, and timeliness.
Senior Project Manager, Client Services
Conduent State Healthcare (DHCS)
Sacramento, CA
01.2017 - 02.2019
- Improved documentation compliance by {30%} through comprehensive needs assessment and SLA standard transformation
- Directed development as well as implementation of real-time work stream methods across Change Control, Risk, and Issues Management functions to allow tracking between DHCS and Conduent
- Partnered with IBM to develop technical documentation designed for training
- Acted as a Liaison and articulated thought processes in a succinct and effective way with Customers (DHCS) and IT partners
- Developed project charter, business case, project documentation and master schedule for project
Client Account Executive
Integrated Medical Partners
Sacramento, California
06.2015 - 01.2017
- Enhanced client services by implementing best practices, resulting in a {15%} improvement in revenue cycle efficiency
- Led RCM operations tasked with streamlining Payer reimbursement compliance across the two largest Radiology Providers in Alaska
- Presided over advisory services aimed at ensuring efficient use of revenue, including assisting with outlining best practice strategic positioning
- Established Key Performance Indicators (KPIs) and utilized Big Data Analytics to accentuate key insights using simplified methods tailored to each client's requirements
- Mastered and constantly improved sales prospecting, follow-up and upsell processes.
- Monitored industry trends to provide valuable insights and recommendations to clients.
- Evaluated customers' potential needs to make appropriate recommendations.
Founder & CEO
Professional Practice Management LLC
El Paso, TX
01.2003 - 08.2013
- Managed small to medium-sized Clinics, including managing A/R, A/P, Human Resources and IT Support
- Increased client base by 50%, resulting in a $2 million revenue increase annually
- Reduced operational costs by 25%, leading to savings of $500,000 annually
- Achieved a 40% reduction in project lead times by automating scheduling processes
- Increased customer satisfaction by 30% by implementing new client engagement protocols
Skills
Product Vision
Backlog Management
User Stories
Stakeholder Engagement
Agile Methodologies
Sprint Planning
Cross-Functional Team Leadership
Requirements Gathering
Release Planning
Product Roadmap Development
Acceptance Criteria Definition
Data-Driven Decision Making
Product Sizing
Software development life cycle
Stakeholder management
Data analytics
Certification
PMP, Project Management Institute
Timeline
Senior IT Project Manager
Gainwell Technologies/Ohio Dept of Medicaid (ODM)
07.2022 - Current
Senior Implementations Project Manager
NextGen Healthcare
07.2022 - 07.2023
MITA Healthcare Consultant
CA Dept. of Health Care Services (DHCS)
07.2021 - 07.2022
Senior Project Manager
Blue Shield California (BSC)
05.2020 - 02.2021
Senior Project Manager, Client Services
Conduent State Healthcare (DHCS)
01.2017 - 02.2019
Client Account Executive
Integrated Medical Partners
06.2015 - 01.2017
Founder & CEO
Professional Practice Management LLC
01.2003 - 08.2013