Worked with multiple technology teams, business partners, operations, and support to bring the appropriate solutions into the organization. Demonstrate ability to translate and interprete business needs into technical requirements, as well as analyzing impact of changes as new solutions are introduced. Excellent interpersonal skills including leadership, analytical abilities, communication, and organizational. Adaptable Manager offers many years of experience coordinating operations to achieve organizational goals. Communicative team leader with expertise in strategic planning and inventory management. Committed to driving improvements through innovation and leadership.
Overview
17
17
years of professional experience
Work History
Manager, Implementation Tech Added Services
LexisNexis
01.2024 - Current
Managed full project lifecycles beginning at inception and ending with customer-facing deployments.
Defined communication and monitoring policies and worked collaboratively to publish status reports and stakeholder updates.
Led risk management efforts, gathering departments leads to collaboratively identify potential risks and brainstorm mitigation strategies.
Analyzed workflows and established priorities for daily operations.
Communicated relevance of organizational goals, policies and procedures to implementation staff.
Developed project metrics to follow system build-out progress.
Created user documentation and support materials for new system implementations.
Analyzed customer feedback and identified areas for improvement in existing implementations or processes.
Identified potential risks associated with new implementations and developed strategies to mitigate them as needed.
Maintained comprehensive records of all activities related to system implementations.
Ensured that all team members involved in the implementation process had access to the resources they needed in order to complete their tasks efficiently.
Met with stakeholders to collaborate and resolve problems.
Reviewed and approved project plans prior to implementation.
Developed and implemented operational policies and procedures to ensure efficient business operations.
Provided leadership and direction to staff members to ensure successful completion of projects on time and within budget.
Collaborated with other managers across the organization to develop strategies that support overall company objectives.
Implemented systems for tracking operational performance metrics.
Investigated customer complaints related to product and service quality or delivery issues.
Conducted regular audits of employee performance and provided feedback on areas of improvement.
Identified opportunities for process improvement initiatives through analysis of current processes and procedures.
Managed day-to-day operations while ensuring high levels of customer satisfaction were met at all times.
Maintained effective communication between staff members by providing guidance on tasks and projects or addressing any concerns they may have had about their project work or job duties.
Prepared reports summarizing operational results against established goals and objectives.
Monitored team progress towards achieving milestones set forth in project plans.
Resolved conflicts among team members by mediating disputes and proposing solutions that both parties could agree upon.
Hired and onboarded team members to meet immediate and expected demand.
Managed team of 8 employees, conducting performance evaluations and facilitating professional development.
Spearheaded the adoption of new product implementations, streamlining operations and enhancing capabilities.
Developed and implemented operational policies and procedures to enhance productivity.
Ensured compliance with industry regulations and maintained high standards of operational excellence.
Led process improvement initiatives, resulting in an increase in operational efficiency.
Facilitated cross-departmental collaboration, improving communication and efficiency across the organization.
Oversaw staff training and development programs, equipping employees with necessary skills and knowledge.
SSO Implementation Manager
Optum Digital
07.2016 - Current
Manage digital projects from planning, design, development, and launch to post-project analysis
Create detailed and accurate project briefs, estimates, functional specifications, schedules, timelines and written status reports throughout the project life cycle
Assists on all digital SSO efforts
Collaborated with product owners, tech leads, engineering teams, and stakeholders across the enterprise to achieve efficiency; determine projects, funding needs, and staffing to support the IAM roadmap
Managed, trained, mentored a team of 4 business analysts
Compiled and tracked team and vendor metrics for senior leadership
Responsible for managing team projects, day to day operations
Interviewing, licensing, and over hours support as needed
Triage, troubleshoot, and problem-solving issues related to identities, systems, access accounts, and authentication
Designed, implemented, configured, coordinated, troubleshooting, and testing with IAM Ping solution
Including change requests with internal and external team, and certificate renewal projects
Point of escalation, documented, and communicated issues and remediation paths to stakeholders
Senior EDI Business Analyst
Rally Health
07.2016 - 01.2018
Performed lead role to support EDI design, provide analysis, support, and guidance to both internal and external customers on moderate to complex electronic data transfers
Defined requirements for EDI interface supporting the application
Trusted advisor providing EDI technical and strategic direction, supported end to end project management life cycle
Using Agile methodology delivering EDI capabilities
Prepared scope and BRD’s (Business Requirements Document) for the project
Communicated requirements, issues, blockages and bugs with business and development teams
Coordinated work with all work streams to determine hand off points and ensure that end to end process was captured
Provided input to designs and technical specifications
Manage and drove multiple projects to completion in all phases within corporate specified deadlines
Work with stakeholders, Product owners, Support team, Development team, analysts and other SME's to elicit requirements, map out process flows and document procedures
Clarify stakeholder needs for the developers, coordinate solutioning and maintain clear communication with all stakeholders
Work with developer to implement integration and validate POC
Identify potential problems and define requirements, and user stories, custom mappings
Conduct data transfer testing and reviews submissions for accuracy; troubleshoots transmission errors
Serves as primary resource of knowledge and experience as a technical contact for internal and external stakeholders on any EDI-related issue
Monitors, audits and maintains interfaces between business systems to include interfaces between internal and external partners with key focus on external Electronic Data Interface (EDI) processes
Diagnoses EDI process problems, coordinating with other technical and/or business resources as necessary for assistance
EDI Connectivity Specialist
Arrowstream
11.2015 - 07.2016
Primary contact between system interfaces and vendors
Triage EDI/interface issues and support operational needs
Worked directly with trading partners, other areas of the IS department, as well as other department within the organization
Responsible for maintaining and managing data file transmissions
Worked closely with the senior EDI analyst when mapping changes were necessary for specific business processes or to support industry standard based transactions
Responded, resolved, and documented in a timely manner according to assigned completion date (participated in design and implementation of Cleo/Extol EDI systems)
Gained initial exposure to CRM, logistics, and distribution industry
Customer facing skills, project management skills, and hands on experience with migrating external client files (FTP/SFTP/AS2) protocols
Full comprehension of design, maintenance, and implementation of EDI
Monitored, allocated, and tracked all tasks associated with assigned projects; utilized spreadsheets, calendars, and SharePoint to maintain project flow
Conducted daily/weekly meetings with team and business
Monitored and prepared weekly status report on support activities for management and stakeholders
Planned, mobilized, and managed resources to achieve goals
Coordinated with third party EDI service providers and external trading partners on EDI certification configurations
Promoted and resolved business EDI queries, Managed risks, issues and problems to completion
Proficient in excel, Filezilla, Team Track, EDI transaction sets, IPS switch WS_FTP pro, SharePoint, knowledge in Password and Key based SSH authentication methods
Worked with different levels of development and support throughout the organization, and the ability to manage multiple tasks simultaneously while meeting strict deadline
EDI Analyst
Care1st Health Plan Arizona
02.2012 - 09.2014
Worked closely with the senior EDI analyst when mapping changes were necessary for specific business processes or to support standard based healthcare transactions
5010 implementation, revised cms form 1500 form changes, NDC implementation, Meritus Health Plan implementation, QA testing for adjudication system updates
Experience with x12 EDI transactions (834 enrollment, 835 claim payment, 820 premium payment, 270/271 eligibility/response, 837I and 837P institutional and professional claims, 277CA Claims Acknowledgement, 999)
Experience with EDI standards (ASC X12, NSF, HL7, HIPPA standards) Developed and maintained EDI process documentation
Familiar with communication protocol in HTTP, HTTPS, FTP SF Utilized Fresh point
QA Skills - testing methodology, test case preparation, test planning, Test recording; performed pre-production testing of EDI solutions for internal personnel
Proficiency in communicating with business users, vendors, and technical staff
SQL, Data analysis skills
Proficient in Excel, Chrystal, Microsoft Access, Monarch, SQL, FileZilla, Gentran, IPS switch WS_FTP pro
Knowledgeable about data mapping and EDI software, and integrating EDI software into application solutions
Responded to EDI inquiries and issues from internal and external sources
Communicated with designated clearing house (EMDEON)
Experience with Managed Health Care (MHC), and Foxtrot data automation
EDI Support Healthcare Division
Sage Software
03.2008 - 02.2012
Responsible for resolving live technical issues while maintaining personal queue; I maintained top closure ratings on my team for 3 years as well as top percentages on call reviews
Provided in-depth technical support for Practice Management software and EDI transactions, operating systems and integrated 3rd party products to End-Users and Resellers via telephone and remote connectivity
Format editing, amending, and creating templates
Worked closely with our clearing house (Emdeon) using knowledge in NSF and ANSI specs
Resolve medical claim rejections/denials, application errors, and assisting users with manipulating and maneuvering through the software applications
Work closely with implementation, R&D departments to resolve extensive application issues
Providing UAT (User Acceptance Testing) on new releases and software fixes before release to customers
Documented call activity and results promptly in Siebel application
Contributed, to knowledge database for assigned products
Unix, Linux, and SBS 2003/2008, Windows Vista/Business /XP
Provided technical support to clients via telephone and email, resolving complex issues.
Answered questions regarding software functionality, troubleshooting hardware and software problems, and configuring system settings.
Investigated root cause of various technical issues by conducting research using available resources such as manuals or websites.
Worksite Wellness Administrative Assistant at Manatee County Government Employee Health BenefitsWorksite Wellness Administrative Assistant at Manatee County Government Employee Health Benefits