Summary
Overview
Work History
Education
Skills
Websites
Awards
Timeline
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Nicole Jannace

Mission Viejo,CA

Summary

Dynamic healthcare consultant with extensive experience at R1 – Cloudmed, recognized for exceptional project coordination and data analysis capabilities. Achieved a remarkable $1.7 million in client value while significantly reducing overdue accounts from 50% to 3%. Proficient in Epic Applications and committed to enhancing team collaboration to optimize operational efficiency.

Overview

11
11
years of professional experience

Work History

Resolution Services Senior Analyst

R1 – Cloudmed
05.2021 - Current
  • Oversaw coordination and execution of 9 projects totaling $51 million.
  • Provided insightful feedback on payer trends to assist project validation and client delivery teams in resolving accounts more efficiently.
  • Liaised with external RSG associates for assessment needs.
  • Communicated department processes and changes to sub team.
  • Deliver constructive insights to boost daily performance and metrics.
  • Performed bi-annual employee assessments for promotion consideration.
  • Delivered root cause analysis of revenue cycle discrepancies and provided suggestions for increased efficiency.
  • Generated $1.7 million in client value across 16 accounts through follow-up calls and collaboration.
  • Earned an exceeds expectations rating in annual performance review.
  • Led an open balanced project from inception to achieve top 5 project collections in 2025 for RSG department.
  • Maintained low overdue percentage in the Open Balance project, achieving a reduction from 50% to 3%.
  • Facilitate resolutions during Office Hours, addressing challenges in RSG Department.

Implementation Consultant

AdvancedMD
, South Jordan
06.2019 - 05.2021
  • Oversee, Coordinate, and manage all aspects of the implementation for new and existing clients
  • Communicate and manage internal and external implementation requirements and expectations between the client, and departments within AdavancedMD
  • Serve as a single point of customer contact during the implementation
  • Assist in the review of client processes and the development of new workflow plans
  • Provide training and direction on medical billing through the software and recording patient visits in the Electronic Health Record (EHR) system
  • Coordinate the Electronic Data Interchange (EDI) agreement process to jumpstart the electronic billing process to insurance carriers

Portfolio Resource Management, Technology Planning & Execution

Macys.com
San Francisco
09.2018 - 05.2019
  • Portfolio Resource Manager for the Macys & Bloomingdales Technology web sites
  • Provided project management utilizing Systems Administration with Clarity Tool (CA PPM)
  • Worked closely with program and project managers to present effective plans to balance their project monthly and annual budgets
  • Allocated resources to projects on the operational and capital expense side
  • Ran variance reports for resource allocation and project budgets
  • Created cost plans for operational expense by downloading data from Clarity Tool to excel and manipulated the data with excel
  • Analyzed contractor/consultant spending through well-crafted excel reports and pivot tables

Senior Associate (Healthcare Consultant)

Triage Consulting Group
San Francisco
10.2013 - 09.2018
  • Managed a minimum of four projects at the end of the revenue cycle, working to close out all open patient accounts while ensuring each remains profitable and up-to-date with monthly strategy reviews and consistent follow-up with insurance companies
  • Oversaw and mentored a team of 20+ analysts working collaboratively to provide revenue recovery and consulting services while adhering to federal, state, and company privacy regulations on patient health information (HIPPA)
  • Performed financial analyses using SQL-based relational databases/Excel/Microsoft Access tools to identify statistical trends resulting in data-driven insights and operational recommendations for four large US healthcare systems

Education

BA - International Relations, European Politics, Italian

San Francisco State Uni.
San Francisco
11.2011

European Foreign Policy

Cal State Univ. Firenze
05.2010

Skills

  • Knowledge of state-wide Medicaid/Medicare laws
  • Skilled in Epic Applications
  • Proficient in Excel
  • Proficient in Microsoft Access
  • Expertise in Data Analysis Using Pivot Tables
  • Effective Project Coordination
  • Healthcare Finance & Business Consulting
  • Hospital Medicare billing (ICD-9s, ICD-10s, HCPCS, DIAGs, Procedure codes)
  • E-commerce project financial forecasts
  • E-commerce project variances
  • E-commerce project budgets
  • Consultation in Medical Billing Systems

Awards

  • Bright Spot Award, 2019, Received for building trust with the User Experience and Product management business partners and demonstrating growth within Macys.com
  • Triage Consulting Group Guiding Principles Award, 2014-2016, Awarded for providing quality client services, and building team relationships two years in a row

Timeline

Resolution Services Senior Analyst

R1 – Cloudmed
05.2021 - Current

Implementation Consultant

AdvancedMD
06.2019 - 05.2021

Portfolio Resource Management, Technology Planning & Execution

Macys.com
09.2018 - 05.2019

Senior Associate (Healthcare Consultant)

Triage Consulting Group
10.2013 - 09.2018

BA - International Relations, European Politics, Italian

San Francisco State Uni.

European Foreign Policy

Cal State Univ. Firenze
Nicole Jannace