Dynamic EDI Specialist known for driving operational efficiency and managing complex vendor relationships. Expertise in EDI standards and Agile methodologies supports successful project implementations and compliance adherence.
Overview
9
9
years of professional experience
Work History
Sr EDI Specialist Interoperability
Florida Blue
01.2023 - Current
Company Overview: Provider Interoperability, Provider Connectivity Solutions
Applied specialized knowledge in EDI, X12 & HL7 standards, CCDA’s, ADT’s and CMS/ONC Regulatory Compliance to support departmental activities.
Managed and analyzed Provider, Trading Partner Electronic Transactions, 3rd Party Application Developer, and EMR vendor/Integrator encounter data for business decisions.
Manage Vendor relationship and Vendor onboarding, Agile Product Management SOW, SLA, SDLC and MSA overseeing business processes for new projects tracked in rally systems.
Utilized advanced technical tools such as Ai Prompt, Guide well Chat IBM Data Studio, Toad for Oracle, JIVA, and Edifecs Transaction Manager.
Engaged business stakeholders to enhance existing products and launch new ones, ensuring successful branding and customer communication.
Monitored, maintained, and tested systems managing business and work processes.
Developed tools and systems to manage and interpret data for business decision-making.
Assisted clients in understanding and complying with internal and external standards.
Identified risks, evaluated controls, and implemented compliance programs to prevent unethical practices.
Managed the implementation lifecycle of EMR/PM systems, including eClinicalWorks and Athena, ensuring seamless planning, training, execution, and maintenance.
Oversaw Shared Business Services including Clinical Programs and Human Resources, managing vendor relationships and IT/Business Enablement projects.
Utilized Agile Project Management methodologies to lead IT applications and clinical systems implementations, enhancing operational efficiency.
Vendor Relationship Management for all IT vendors meeting bi-weekly.
Developed and executed onboarding and ad-hoc training plans for EHR users, building a robust change management process for system enhancements and upgrades.
Streamlined business processes, reducing costs and improving quality through innovative solution development and process automation.
Supervised a team of IT Service Desk Engineers, managing Jira tickets and leading weekly change management meetings to ensure continuous improvement.
Project leadership and management of national quality and cost efficiency programs.
Clinical Programs
IT Project Coordinator
Healthix
New York, USA
01.2019 - 01.2020
Company Overview: Innovation Project Management Team
Oversaw all phases of project planning and execution, including Agile Project Management, SOW, SLA, SDLC, data migrations, and risk management.
Led a diverse team of stakeholders from multiple organizations, including NYeC, members/sites, and EMR software vendors, ensuring effective project delivery.
Managed new implementations for Healthix Portal and data elements for Ambulatory facilities, working with FHIR, CCDA, and HL7 V2 Standards.
Conducted user acceptance testing (UAT) with clients to ensure project alignment with strategic commitments.
Promoted and supported the corporate mission by collaborating with the Innovation Team to achieve established objectives.
Tracking all projects in Salesforce CRM system.
Working with software engineers to build out data elements.
Innovation Project Management Team
Delivery Solutions EMR/PM Consultant -Contract
Health IT Leaders Consultants
Alpharetta, USA
01.2019 - 12.2019
Company Overview: Ambulatory Services
Streamlined the implementation of eClinicalWorks and Cerner EMR/EHR systems for Westchester Medical Center, ensuring alignment with client specifications and workflow analysis.
Created user accounts for providers and clinical staff, configuring the venue system to meet operational needs.
Managed the full system build from concept to deployment, overseeing testing and training for eClinicalWorks v11.
Provided prompt troubleshooting and helpdesk support for EMR issues, utilizing the Remedy ticketing system to manage requests.
Conducted training programs to enhance the knowledge of providers, clinical, and front desk staff on eClinicalWorks EMR functionalities.
Ambulatory Services
IT Clinical Applications Training Manager
Saint Barnabas Health Systems
Bronx, USA
01.2017 - 01.2019
Company Overview: IT Delivery Systems
Developed and introduced strategic training programs to enhance new hires' and active employees' knowledge and competence in utilizing various hospital applications, such as SCM AllScripts and eClinicalWorks.
Manage 2 IT EMR trainers to achieve peak performance.
Customer Service Representative at Florida Blue - Blue Cross Blue Shield Of FloridaCustomer Service Representative at Florida Blue - Blue Cross Blue Shield Of Florida
Medicare Appeals & Grievances Coordinator at Florida Blue - Blue Cross Blue Shield Of FloridaMedicare Appeals & Grievances Coordinator at Florida Blue - Blue Cross Blue Shield Of Florida
Customer Service Advocate at Blue Cross Blue Shield of Florida, Florida BlueCustomer Service Advocate at Blue Cross Blue Shield of Florida, Florida Blue
Business Support Analyst II at Florida Blue - Blue Cross Blue Shield Of FloridaBusiness Support Analyst II at Florida Blue - Blue Cross Blue Shield Of Florida