Joshua Logan Smith

Regulatory & Compliance:

• Performed continuous gap analyses against new regulatory releases to keep client domains compliant with evolving healthcare mandates (HIPAA, CMS, ONC).
• Developed comprehensive functional specifications and SOPs from legal and regulatory requirements to facilitate effective development and QA processes.
• Produced executive-ready KPI and compliance reports from Business Objects to support reimbursement eligibility and audit readiness.

Integration & Technical Analysis:

• Defined business rules and secure data exchange patterns for APIs, EDI, and data pipelines to ensure interoperability with FHIR/HL7 standards.
• Collaborated with engineers to design validated integration approaches, reducing defects during UAT and accelerating deployment.
• Documented data mappings, transformation rules, and exception handling to maintain data integrity across B2B networks.

Project Delivery & Stakeholder Management:

• Led business analysis and requirements activities across HTI-1 and CEHRT projects—facilitated workshops, prioritized backlogs, and supported end-to-end SDLC through UAT and production rollout.
• Developed and delivered tailored training and change-management materials for non-technical stakeholders to increase adoption and reduce post-release support.
• Presented program status and compliance impact to senior leadership to inform decision-making and secure necessary approvals.

Vendor & Risk Assessment:

• Assessed vendor API maturity and integration readiness; recommended risk-based validation strategies for upgrades and third-party components.
• Established controls and acceptance criteria to ensure vendor solutions met defined security and regulatory requirements.

Business Process Optimization & Strategy

• Analyzed client portfolio KPIs to identify financial trends, facilitating data-driven recommendations for enhancing revenue cycle management efficiency.
• Conduct current-state vs. future-state gap analyses using the Stop-Start-Continue methodology; redesign workflows to remove bottlenecks and increase revenue capture.
• Analyzed financial data and communicated actionable insights to CFOs and CIOs, enhancing executive decision-making processes for clinically driven revenue cycle (CDRC) initiatives.
• Analyzed trends using Power BI to implement updates on over 25% of audit workflows, significantly improving issue resolution and ensuring data accuracy.

Functional Requirements & Systems Analysis

• Led integration of revenue cycle modules by translating business requirements into comprehensive technical specifications for patient accounting and scheduling systems.
• Author comprehensive functional and technical documentation, including HL7 interface mappings and data flow diagrams to ensure seamless interoperability.
• Directed end-to-end configuration and UAT processes for Cerner Millennium modules to ensure alignment with cross-functional requirements.

Data Governance & Quality Assurance

• Establish a centralized audit repository on GitHub to version-control system-build documentation and increase transparency.
• Designed and implemented Power BI audit displays to enhance monitoring capabilities and improve audit methodology.
• Use SQL to interpret and migrate complex database audits; document business intent for 350+ data elements to improve reporting accuracy.
• Coordinate 300+ pre- and post-go-live audits for 200 clients, identifying and resolving build discrepancies to reduce post-production support tickets.

Requirements Gathering & Solution Design

• Consulted with 100+ clients to elicit and document business requirements; translated complex needs into customized system configurations and optimized workflows.
• Conducted comprehensive "as-is" vs. "to-be" analyses to map legacy data and processes into upgraded Oracle applications, ensuring feature parity and continuity.
• Acted as SME to define technical architecture requirements and infrastructure standards, aligning system performance with business goals.

Project Governance & Stakeholder Management

• Spearheaded client work groups through the full SDLC; managed project scope, build quality, and executive-level follow-ups to deliver projects on schedule.
• Identified integration risks across multi-venue environments and authored mitigation plans, facilitating high-stakes resolution with executive leadership.
• Managed change control for Oracle implementations to minimize disruption and ensure stable rollouts.

Quality Assurance & Training

• Developed and executed UAT plans and test scripts for 20+ software releases; tracked and resolved defects to ensure high-quality deployments.
• Designed and delivered training programs to upskill associates on compliance and system functionality, improving team readiness for project delivery.

Requirements Elicitation & Process Design

• Partnered with clinical and operational stakeholders to gather requirements and configure Cerner HIM applications, aligning system updates with complex workflows.
• Conducted gap analyses and mapped legacy systems into upgraded Oracle applications to ensure functional alignment.
• Acted as SME to define architecture requirements and implementation standards.

Delivery, Automation & Change Management

• Managed end-to-end SDLC for system upgrades and deployments, proactively troubleshooting to minimize downtime.
• Built Excel VBA tools to automate data validation and reporting, increasing team capacity and accuracy during upgrade cycles.
• Led stakeholder training and change initiatives that increased enhancement adoption by 35% and reduced support tickets by 20%, maintaining a 95% client satisfaction rating.