Rick McMahon
Bayville
Summary
Dynamic applications analyst with extensive experience in team leadership and vendor relationship management. Skilled in process optimization and problem-solving, successfully leading EPIC implementations that drive operational efficiency and improve billing accuracy.
Overview
2026
2026
years of professional experience
7
7
Certifications
Work History
Applications Analyst, Epic Revenue Cycle
Hackensack Meridian Health
Edison
2015 - Current
- Epic Certifications in Resolute Hospital Billing Administrator, Home Health and Hospice Revenue Cycle, Resolute Hospital Billing Claims and Remittance Administrator, Cogito, MyChart, and Data Courier Administrator.
- Deployed MyChart Billing in multiple service locations.
- Implemented SmartText and Plain Text Epic Statements in several service areas, achieving operational efficiency.
Managed vendor relationships to support ongoing statement processing needs. - Maintained Reporting Workbench Reports, ensuring accuracy in hospital billing data. Implemented Radar Dashboards to visualize critical metrics and trends. Developed SlicerDicer reports for detailed exploration of billing information.Produced comprehensive hospital billing reports for effective management oversight.
- Lead the implementation of HelloWorld billing notifications.
- Lead analyst for conversion from HB to Single Business Office in primary Service Area.
- Established and managed HB Security Templates, Security Classes, User Roles, and Radar Redirectors.
- Payor and Plan Integrated Area Lead – Coordinated and led the creation and maintenance of the Payor and Plan book of record for IT.
- Developed and maintain Hospital Billing workflows. This includes, but is not limited to, late charges, coverage manager, client billing, financial assistance, adjustment and refund posting, insurance follow-up, self-pay follow-up, DNB and stop bill edits, system actions, and bad debt.
- Supported various levels of pre-production testing, including Integrated and Application testing.
Manager, Application Support
Aetna
Hartford
2010 - 2015
- Led a team of around 70 professionals, including Help Desk and Support Analysts, to deliver full production support.
Oversaw both on-shore and off-shore vendor resources to enhance operational efficiency.
Directed Senior Application Support Analysts and Project Managers in achieving service excellence.
Ensured effective end-to-end application support through strategic team management. - Oversaw team for end-to-end resolution of issues in high-visibility external applications.
Managed problem-solving processes to ensure timely conclusions for constituent-facing applications.
Coordinated efforts across multiple applications to address complex issues effectively. - Aetna Strategic Desktop – Aetna’s primary customer service tool used by approximately 23,000 internal users.
- Aetna Navigator – Aetna’s online member portal which averages over 10 million web inquiries per month.
- Aetna Voice Advantage – Aetna’s voice response application which voices back claim and benefit coverage for member and provider calls.
- Incentive Management System – Aetna’s tool for maintaining programs and rewarding members who earn incentives.
- Supervise the generation of Problem/Service Request documentation and assist in the prioritization process to determine how IT resources will be utilized in fixing system defects or implementing small enhancements.
- Partner with external vendors to deliver quality solutions for Aetna members.
- Responsible for the team’s translation of business needs into Business Requirements within specified time frames.
- Ensure the successful delivery of multiple Service Requests against Aetna’s release calendar.
- Escalation point of contact for multiple business areas.
- Conduct regular performance reviews and provide coaching sessions to develop a high performing team.
- Helps to ensure Aetna maintains its CMMI L3 certification.
- Ensure that data quality issues are recognized, tracked, and addressed.
- Contribute to the communication process to impacted customers and internal management personnel.
- Effectively apply and enforce Aetna HR policies and practices, i.e., FML/EML, Attendance, Code of Conduct, Disciplinary Guidelines, Interviewing and Terminations.
Senior Application Support Analyst
Aetna
Hartford
2005 - 2010
- Executed and led specific activities to service requests for business system changes.
- Subject matter expert for multiple projects.
- Conducted interviews, fact-finding, and independent research to design creative, progressive IT solutions for the most complex customer issues.
- Provided expert consulting for both IT and Business areas on system functionality inquiries.
- Conducted business impact analysis of system defects, control/audit deficiencies, outages and enhancements.
- Contributed to the collaborative system and data design sessions with the user community, technical architecture resources, and development resources.
- Generated and/or managed the Problem/Service Request documentation build requirements, and assisted with prioritization of IT resource allocation with implementing small enhancements, and fixes.
- Ensured the management of Service Requests follow documented CMMI Level 3 procedures.
Customer Service/Claim Supervisor
Aetna
Cranbury
2000 - 2005
- Claim Rework Team Lead – Aetna Small Group, Individual Advantage Market Segment
- Develop, motivate, evaluate and coach staff on work procedures
- Developed and maintained strong collaborative relationships with constituents and internal business partners to maintain excellent lines of communication.
- Effectively applied and enforced Aetna HR polices and practices, i.e., FML/EML, Attendance, Code of Conduct, Disciplinary Guidelines, Interviewing and Terminations.
Education
Bachelor of Science - Business Studies
Stockton University
Pomona, NJSkills
- EPIC systems implementation
- Data analysis and reporting
- Vendor relationship management
- Team leadership
- Process optimization
- Problem solving
- Critical thinking
- Customer support
- Incident management
- Requirements gathering
- System documentation
- Application analysis
- Application implementation
- User training
Certification
Resolute Hospital Billing Administration
Timeline
Applications Analyst, Epic Revenue Cycle
Hackensack Meridian Health
2015 - Current
Manager, Application Support
Aetna
2010 - 2015
Senior Application Support Analyst
Aetna
2005 - 2010
Customer Service/Claim Supervisor
Aetna
2000 - 2005
Bachelor of Science - Business Studies
Stockton University