Talented professional knowledgeable leader and dedicated problem solver. Brings 10+ years of valuable expertise to company objectives. Attentive to detail with experience in coordinating projects, programs and improvements.
Overview
13
13
years of professional experience
Work History
Senior Project Manager
Smith & Nephew, Inc
Chattanooga, TN
10.2021 - 11.2022
Led efforts in identifying, managing, developing, implementing, and planning The HCP contracting system.
Developed in-depth project plans (MS Project/PWA/Excel/OnePlan) in collaboration with senior executive team members to develop key deliverables, milestone dates, and resource requirements; engaged and informed project participants with detailed status reports of project activities; effectively managed and tracked dependencies and progression.
Liaised effectively with others to promote on-going network design, reevaluation and optimization that scaled with company growth.
Drove team success through shared vision and recognition of quality performance by assembling and managing cross-functional project teams.
Enterprise Project Manager
PA
Harrisburg, IL
11.2020 - 12.2021
Liaised effectively with others to promote on-going network design, reevaluation and optimization that scaled with company growth.
Drove company initiatives for Enterprise Licensing System (ELS) from start-to-finish to ensure project completion, final project met business needs, and established technical and quality requirements.
Implemented system to be used by several state agencies (Departments of Human Services (DHS); Drug and Alcohol Programs (DDAP); Health (DOH); and Aging (DOA)).
Increased Enterprise Licensing System efficacy by 40%.
Senior Project Manager
Visiting Nurse Service Of NY
New York, NY
10.2019 - 08.2020
Led MediTract CLM implementation, increasing contracting transparency enterprise wide by 69%.
Directed transition from nine legacy data centers into one platform within 9-months.
Played key role in improving operational efficiency with 29% drop in duplicative executed contracts with expected 1.2M annual savings.
Closely collaborated with project members to identify and quickly address problems.
Set and drove multiple project schedules, scopes, goals, roadmaps, milestones, deliverables, and status reports.
Senior Project Manager
TractManager
Chattanooga, TN
11.2017 - 10.2019
Envisioned, guided, and delivered the Contract Lifecycle Management System (CLM) within each client’s organization.
Directed transitions from multiple legacy data centers into one platform within each scheduled project timeframe.
Average client savings 200K to 1.5M, for each project.
Led all aspects of IT Program, Project and Portfolio endeavors with clients involving 20 project teams and 10 development products.
Improved clients contract negation speed by an average of 50%.
Managed 10+ project teams in Agile environment, realizing success through application of SDLC methodologies and exceptional leadership skills.
Compliance Auditor/Sr. Project Manager
Erlanger Health System
Chattanooga, TN
11.2015 - 11.2017
Implemented/Managed/Tracked compliance and governmental mandates (includes Center for Medicare and Medicaid (CMS).
Joint Commission, Stark Law and Office of Inspected General (OIG).
Performed 65 audits (2016) & 50 audits (2017) following internal/external regulations.
Led implementation of EPIC (EMR) system enterprise-wide impacting 10+ outpatient facilities and 300+ providers.
Managed quality programs to reduce overdue compliance activities.
Analytics Consultant
Blue Cross Blue Shield Of TN
Chattanooga, TN
01.2012 - 01.2015
Developed executive analytic presentations/materials, coordinated analytic requests, and supported the analytic planning process which drove corporate performance up 22%.
Provided oversight of complex analytic initiatives and achieved quantitative business objectives.
Analyzed SAP transactions to build logical business intelligence model for real-time reporting needs.
Built library of models and reusable knowledge-base assets to produce consistent and streamlined business intelligence results.
Updated organizational systems and subsystems to improve and streamline data collection.
Senior Care Division Claims Supervisor, Coding Analyst
Blue Cross Blue Shield Of TN
Chattanooga, TN
01.2010 - 01.2012
Developed, recommended, and implemented process improvements which improved efficiencies.
Managed and monitored key performance metrics and implemented cross functional improvement plans.
Supervised non-exempt direct reports workloads, monitored quality, and provided associate coaching.
Audited codes and professional fee services performed by providers from medical records according to ICD-10, CPT, ASA, and CMS guidelines.
Performed ongoing critical assessment of coding CPT and diagnosis assignment on all types of specialties which included assessments for accuracy, and compliance with coding guidelines.
Monitored team performance, enforcing compliance with corporate claims processes and procedures.
Reimbursement Implementation Specialist II
Blue Cross and Blue Shield
Chattanoooga, TN
09.2009 - 05.2010
Monitored, evaluated, and reviewed all cost reporting in support of reimbursement claims.
Monthly recoupment average $100k.
Utilized statistical and financial data for monthly stakeholder report/presentation.
Developed policy and procedures compliant with fiscal and regulatory requirements.
Guided office staff on how to effectively complete prior authorization forms and appeals documentation to achieve positive results.