PROFESSIONAL SUMMARY Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.
Overview
16
16
years of professional experience
Work History
Manager Health Analytic /Managed Care
Eau Claire Cooperative Health Center
Columbia, SC
07.2016 - Current
Collect and analyze data to identify populations’ needs before implementing outreach programs
Develop and improve continuing education programs and new employee training on specific health issues
Teach health education classes
Onboard new employees with training and new hire documentation
Resolve staff member conflicts, actively listening to concerns and finding appropriate middle ground
Maximize performance by monitoring daily activities and mentoring team members
Leverage data and analytics to make informed decisions and drive business improvements
Define clear targets and objectives and communicate to other team members
Monitor and analyzed business performance to identify areas of improvement and make necessary adjustments
Tracks and ensures Procedure codes are standardized
Develop and update policies and procedures, maintaining compliance with statutory, regulatory, and local, state and federal guidelines relating to HIPAA, benefits administration and general liability
Create and develop clinicians’ workflows
Develop and implement quality & performance improvement strategies
Build and run clinical /billing data
Collaborates with over 7 vendors to provide health outreach for patients
Analyze outcome data, develop case studies and projects for quality improvement in various departments
Provides HEDIS trainings to over 30 employees to include physicians, clinical and non-clinical staff
Compile and analyze data trending and benchmarking of clinical services to prepare reports and presentation of findings for correcting deficiency
Provides Quality Assessment Reports to payers
Organizes meetings with payers/third parties.
Participate in team projects, demonstrating ability to work collaboratively and effectively
Demonstrate creativity and resourcefulness through development of innovative solutions
Complete paperwork, recognizing discrepancies and promptly addressing for resolution
Identify issues, analyze information and provide solutions to problems
Health Administrator
Palmetto Aids Life Support Services, PALSS
Columbia, SC
08.2015 - 12.2015
Analyzed facility activities and data to properly assess risk management and improve services
Reviewed over 100 medical records for completeness and filed records in alphabetic and numeric order
Prepared patient charts, pre-admissions, and consent forms as necessary
Entered orders into EMR system efficiently and without errors
Meticulously identified and rectified inconsistencies, deficiencies, and discrepancies in medical documentation
Outlined appropriate process and procedures necessary to fulfill and complete inquiries
Produced monthly reports using advanced Excel spreadsheet functions.
Contributed to strategic development of clinical programs and study reports.
Coordinated with other healthcare providers concerning treatment plans for patients.
Laboratory Assistant
Allen University
Columbia, SC
08.2010 - 11.2012
Carried out quality control assessments for DNA analysis software
Facilitated research into genetic causes of disease
Interpreted research findings and summarized data into reports
Isolated, identified, and prepared specimens for examination
Prepared, embedded, cut, stained, mounted, labeled and catalogued tissue sections
Maintained documentation on tests performed in lab
Analyzed test data and presented findings using charts and graphs
Clinical Manager
Christy Clinic
Columbia City, IN
06.2007 - 07.2009
Provided ongoing case management to patients to implement appropriate treatment plan, adhere to quality models and maximize utilization of services needed to achieve optimal outcomes
Reviewed financial resources and prepared reports showing resource allocations
Identified opportunities to improve clinical practices, devised strategies and implemented plans to increase patient care standards and enhance operational procedures
Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills
Developed and adjusted work schedules for 10 staff
Maintained clinic's records and files, utilizing proper techniques to keep patient data confidential
Education
Master’s - Health Information Technology
University of South Carolina - Columbia
Columbia, SC
12.2015
Bachelor of Science - Biology
Allen University
Columbia, SC
05.2013
Skills
Clinical Data Analysis and Extraction
Proficient in CPT II codes, ICD 10 codes, Microsoft Office Suite, and System design
Profit improvements
Project Oversight
Sales and Marketing
Strategic planning
Policies and procedures
Staff Management
Managed Care Regulations and Hospital Information Systems
Strong Organizational and Communication Skills
Conversant with Medicaid, Medicare, Commercial and Contract Insurances
Hiring and recruitment
Team Building
Patient education and counseling
Additional Information
ORGANISATIONS
, Golden Key International Honor’s Society April 2015-Present
Deeper Life Young Adult Secretary May 2018-May 2019