Victoria R. Burwell
Remote,MI
Summary
Senior Technical Product Manager with 8 years of experience in vendor relations, healthcare claims processing and data analytics for compliance. Skilled in vendor management, translating company needs into technical initiatives to advance organization and processing. Expertise in building trust and collaboration with internal and external stakeholders. Focused on continuous improvement and employing technology to enhance proficiency.
Overview
7
7
years of professional experience
Work History
Senior Technical Product Manager
Optum Insight
10.2021 - Current
- Cross functional position using the combined skills of a Product Owner and Product Manager
- Building relationships between customers and internal businesses; identifying and evolving solution ideas into revenue generating applications furthering healthcare
- Proficient in writing Press Releases and Frequently Asked Questions
- Identifying opportunities for improving quality and efficiency and participating in process improvement initiatives
- Collaborating and working cross-functionally with Product Manager
- Prioritizing and maintaining sprint backlogs for assigned products, balancing requirements for stakeholders
- Member of the Attitude of Gratitude Event Committee for Prepayment Operations Department
- Effectively integrates activities between the product marketing, product management and engineering team
- Coordinates the creation of product prototypes and mockups
- Oversees products being built by the development and engineering teams
- Translates business analytics into solutions
- Assists in new team member training
- Proficient in organizing and utilizing Agile Scrum ceremonies
Product Owner
Change Healthcare
05.2021 - 10.2021
- Worked collaboratively with customers and internal stakeholders to elicit, analyze, and manage requirements so product development teams could effectively deliver solutions that meet the needs of both Change Healthcare and the customer
- Key liaison to the technology delivery group, ensuring that requirements are understood, meet expectations, and release in a timely fashion
- Focuses and prioritizes the development effort, drives execution of the product plan
- Worked in Agile environment and frequently reviewed the business needs, refined priorities, outlined milestones, deliverables, and identified opportunities and risk
- Worked closely with scrum teams, occasionally leading scrum calls
- Translated product roadmaps features into well-defined product requirements including features, user stories and acceptance criteria
- Critically evaluates information gathering from multiple sources, reconcile conflicts, teardown high-level information into details and formulate features, user stories, and acceptance criteria
- Collaborates with software developers to research existing business and system process
- Worked as a member of the Staying Connected Events Committee for the Prepayment Operations Department
Business Analyst II
Meridian Health Plan
10.2017 - 05.2021
- Operated in the Special Investigations Unit to monitor health care providers for Fraud, Waste, & Abuse
- Specifically oversaw vendor related cases, invoice and file exchange process and implementation of new technology
- Worked strategically to diagnose & shape areas needing system improvement processes
- Work directly with vendors, oversee communication and product efficiency
- Develop and conduct new hire training for various internal departments
- Review medical records & sensitive documentation to determine appropriate payment to providers
- Completed research regarding CPT codes and medical records
- Have background in utilizing various coding websites to look up CPT code definitions
- Evaluated and recommended providers for post- pay investigation using coding knowledge and pre-payment reviews
- Pull and process daily excel files pertaining to provider payment
- Create and manage monthly, quarterly, and yearly reports detailing FWA vendor recoveries and investigations for multiple states and multiple lines of business
- Draft and develop policies and training guides, including a job aid, new hire training and department to department training regarding vendor management
- Oversee invoicing from vendors related to fraud, waste, and abuse investigation recoveries
- Create and manage system improvement opportunities with the Information & Technologies team
- Prevented $11.1 million dollars in 2019 from incorrectly paying to Healthcare Systems throughout MI and IL
- Assisted in the implementation of new vendors relating to the prepayment process
Education
Bachelor of Social Work (BSW) -
Saginaw Valley State University
Saginaw, MI05.2016
Skills
- Product Owner (Agile)
- Website Design & Development
- Strategic Planning
- Customer and Business Operational Support
- Training & Development
- Data Analysis
- Microsoft Office
- Graphic Design
- Writing
- Donor Management Systems
- Requirements Gathering
- Quality Assurance
- Social Media Management
- Communication
Activities
- Outreach Programs, International and Domestic, 2009-2014
- Volunteer Youth Leader The Lakes Community Church, 2014
- Running
- Embroidery
- Guitar, Piano
- Information Technology Lead, The Well Ministries of Southwest Michigan
- Information Technology & Marketing Lead, New Life Gathering Conference, 2022 & 2023
- Prayer Team Member
- Biblical Studies
- Product Management Training
- Volunteering
Timeline
Senior Technical Product Manager
Optum Insight
10.2021 - Current
Product Owner
Change Healthcare
05.2021 - 10.2021
Business Analyst II
Meridian Health Plan
10.2017 - 05.2021
Bachelor of Social Work (BSW) -
Saginaw Valley State University
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