Andrea M. Email & Phone Number

Arizona, United States

As a Business Service Representative, I represent and market business services at organizations, associations, partnering agencies, and other organizations. I collaborate with employers and colleagues to conduct job fairs and on-site recruitments to promote ARIZONA@WORK Maricopa County services to job seekers; I partner with American Job Centers to provide employment trends and other workforce/ Labor Market Information to business partners across healthcare, finance and insurance, and technology sectors.

Greater Phoenix Area

Led and collaborated with Compliance, Risk, and Quality Manager(s) to identify and create deliverables to ensure the successful execution of projects and initiatives that perform to established metrics, and align with the business strategy, and the corporate mission.Organized renewal and maintenance of State regulatory licensing certificates for 21 separate locations.Developed Excel-based tools for tracking, management, and reporting of quality of care and service events resulting in a reporting increase of 10 -15% over the prior year for employee and patient populations.Planned, drafted, executed, and delivered training and job aid materials/recordings to over 150 employees as required to support business and/or project objectives.Wrote, coordinated, and communicated multilevel communications for projects and initiatives, including clinical chart review performance of over 95% across 120 clinicians. Demonstrated ability to learn new technologies and standard practices, including the incorporation of new processes and procedures in policy and procedure documentation and communication/distribution to impacted teams.Led and participated in cross-functional projects that supported strategic organizational initiatives; designed training plan to meet vendor target of 100% training completion in advance of electronic health record go-live.Utilized knowledge of licensing and regulatory mandates, accreditation standards, audit compliance, clinician credentialing, and LexisNexis, to meet contract requirements from 3 external vendors and current licensing for over 200 clinicians.Drafted, reviewed, and presented policies to support business and regulatory requirements and functions; maintained tracking and oversight of policy directory for over 175 policies.Developed and maintained business policies and procedures knowledge, and assessed their impact on workflows and applications.Served as Interim Compliance and Privacy Officer (six-month term) for the medical group.

Greater Phoenix Area

Planned, organized, and managed small and large-scale projects and efforts to execute business strategy.Researched, facilitated, and created documentation and training material, including delivery of training to staff to meet required compliance metrics.Collaborated with internal and external customers to deliver value and facilitate patient care across behavioral and cardiology networks.Participated in cross-functional teams to plan and execute action plans to support data archiving of legacy patient medical records.Utilized process management/continuing quality improvement and change management methodologiesLed quality efforts to organize and establish policy review and tracking documentation to comply with State requirements; reduced out-of-date policies by 25% in the first quarter post-project launch.

Greater Phoenix Area

Acted as a change leader by recommending, driving, implementing, and communicating changes in business processes and best practices across cross-functional teams to meet organizational needs.Led work estimation efforts to ensure accurate project funding and managed resource/capacity planning throughout several projects.Developed and maintained comprehensive project plans for multiple projects. Ensured all tasks, issues & deliverables were tracked against the plan, provided timely project status updates, and effectively escalated and addressed issues.Implemented and supported Continuous Quality Improvement (CQI) efforts across 10+ teams.Engaged with internal and external stakeholders to launch behavioral health services from external vendor in internal patient care setting.

Greater Phoenix Area

Managed Physician Incentive Compensation Plan (PICP) project for over ninety Cigna Medical Group physicians and partnered with medical leadership to create programs and resources to meet State and organizational goals for reduction of opiate prescribing and use.Prepared project documentation and delivered project presentations to Cigna Medical Group Executive and senior leadership teams.Incorporated Project Management Institute (PMI) accepted tools and methodologies to initiate, monitor, and control projects.Project Manager for opioid reduction project; opioid prescribing reduction of over 20% met one year ahead of project target.

Greater Phoenix Area

Directed efforts to meet contract KPIs for contracted Medicaid plans. Facilitated JOCs with plans to review contract performance and patient gap closure.

Master Of Business Administration - Mba, Business Administration, Management And Operations

Bachelor Of Science - Bs, International Business And Information Systems Management

Master Of Business Administration - Mba, Business Administration And Management, General