Beth Wonji Email & Phone Number

Washington, District Of Columbia, United States

Implementation and Monitoring of PCMH Standards: Applied comprehensive knowledge to implement and monitor NCQA PCMH Standards and Guidelines.Ensured healthcare organizations complied with recognized industry standards.Portfolio Oversight and Support: Managed a diverse portfolio of healthcare organizations, offering support, clarification, and troubleshooting for system andpolicy inquiries. Served as a key point of contact for virtual evaluations and audits.Subject Matter Expertise: Acted as a Subject Matter Expert (SME) for Patient Centered Medical Home (PCMH) and Behavioral Health Distinction programs.Provided expert guidance to enhance program quality and efficacy.Virtual Reviews and Audits: Conducted virtual reviews and audits of healthcare organizations, ensuring the validation of evidence submitted. Upheld programintegrity through rigorous evaluation processes.Technical Assistance and End-User Testing: Provided technical assistance to external evaluators and customers, enhancing the overall evaluation experience.Conducted end-user testing (UAT) during system updates and new program releases.Revenue Impact and Program Promotion: Contributed to revenue retention by overseeing several healthcare organizations. Played a direct rolein promoting programs to potential customers through education, training, and consultation.Collaboration with Federally Qualified Health Centers and State Programs: Collaborated with Federally Qualified Health Centers, facilitating theirrecognition through HRSA grants. Worked with TN and NYS initiatives to evaluate and recognize practices that meets the intent of the Patient Centered MedicalHome Standards and Guidelines.

Washington D.C. Metro Area

Agreement Management and Liaison Role: Managed Business Associate Agreements (BAAs) and other agreements. Served as a liaison between the Office of General Counsel (OGC) and customers for custom agreements.End-User Testing for System Updates: Conducted end-user testing for system updates and new program releases. Ensured the seamless functionality of thesystem post-updates.Customer Training and Support: Provided trainings to customers on system functionality and the survey process. Scheduled introductory calls to facilitate acomprehensive understanding of the processes.Eligibility and Structural Changes Assistance: Assisted customers with eligibility and structural changes, such as acquisitions, mergers, and organizationalsplits. Navigated complexities to ensure a smooth transition for customers.Data Reconciliation and Salesforce Management: Reconciled PCMH data and managed extensions in Salesforce. Coordinated recognition anniversaries,contributing to data accuracy and program consistency.Recognition Programs Data Reports: Identifying and addressing system issues, bugs, and user errors from the backend.Troubleshoot effectively to maintain the integrity of data reports.Customer Inquiry Management: Managed, triaged, and responded to customer inquiries. Ensured timely and effective resolution to enhance customersatisfaction

Washington, District Of Columbia, United States

Deliverable Audit and USAID Approval: Conducted a deliverable audit to gather all missing deliverables for USAID approval. Ensured compliance withUSAID standards and requirements.Timesheet Adjustment and Billing Accuracy: Adjusted Award Managers' timesheets to ensure accurate billing to the U.S. Government. Maintained preciserecords for financial accountability.Project Tracker Development: Developed a project tracker to ensure the availability of all required documents, facilitating timely project closeout. Contributedto the efficiency of project management processes.Proposal Tracker Maintenance: Collaborated with other Award Managers to ensure the proposal tracker was up-to-date with the current project status.Enhanced coordination and communication within the team.Deliverable Formatting for DEC Submission: Formatted deliverables for DEC submission using Save the Children and USAID templates. Ensured compliancewith specified formats for Development and Emergency Response Centers.Research and Literature Review: Assisted in research and literature review activities. Contributed to the knowledge base supporting ongoing projects.Financial Analysis and Budget Management: Performed financial analysis and managed budgets to update an award pipeline. Contributed to informeddecision-making and budgetary planning.

Long Beach, Ca

Client Engagement and Requirement Gathering: Engaged with clients to gather requirements and business rules. Ensured alignment with development teamsfor effective project execution.Requirement Translation and Deliverables: Translated stakeholder requirements into tangible deliverables, including detailed business and functionalrequirements. Ensured clarity and alignment with project objectives.Stakeholder Meetings and Solution Exploration: Facilitated meetings with stakeholders and various departments to document and explore potential solutions.Fostered collaborative problem-solving and decision-making.Documentation of Visual Models and SOPs/P&Ps: Documented visual models, Standard Operating Procedures (SOPs), and Policy and Procedures (P&Ps).Maintained comprehensive documentation for process transparency and consistency.Project Status Reporting: Reported development progress and project status updates to Project Managers and the PMO Director. Contributed to effectivecommunication within the project team.SharePoint Management: Managed the SharePoint platform for the PMO department. Optimized document management and collaboration for increasedefficiency.Barrier Identification and Removal: Identified and worked to remove barriers to the successful completion of overall projects. Contributed to project efficiencyand effectiveness.Product and Service Deliverable Assessment: Assessed products and service deliverables for accuracy, quality, and timeliness. Ensured the high standards ofproject deliverables.

Long Beach, Ca

BRD Preparation and Project Alignment: Prepared Business Requirement Documents (BRDs) to outline project requirements. Defined project plans anddelivered status reports, ensuring alignment with organizational goals.Data Analysis and Reporting: Analyzed data using SQL queries and generated reports from various databases. Contributed to informed decision-making throughdata-driven insights.Supervision of Appeals and Grievance Department: Supervised the Appeals and Grievance Department staff to remove barriers and improve operationaleffectiveness. Fostered a collaborative and efficient work environment.Claims Review for Consistency: Reviewed claims within the Appeals and Grievance department to drive consistent and quality claims handling. Ensuredadherence to established standards and protocols.SOP Creation for Health Plan Operations: Created Standard Operating Procedures (SOPs) for multiple departments within the Health Plan Operationsdepartment. Promoted process consistency and efficiency.Compliance Effectiveness Survey Coordination: Coordinated and managed the annual Compliance Effectiveness Survey. Ensured compliance with regulatorystandards and contributed to continuous improvement.

Long Beach, Ca

Process Design and Evaluation: Designed and evaluated processes to improve system efficiency and enhance patient careStandards Development and Fiscal Management: Developed and implemented standards of care and practice. Demonstrated proficiency in direct fiscalmanagement and led quality improvement activities.Patient Safety Identification: Identified patient safety requirements by establishing strong personal rapport. Contributed to fostering a culture of safety within themedical center.Joint Commission Preparation: Assisted various departments and facilitated processes in preparation for Joint Commission evaluations. Ensured compliancewith accreditation standards.

San Jose, Ca

Behavioral Health Assistance: Assisted Behavioral Health staff during crisis stabilization and medication administration. Contributed to maintaining asupportive environment for patients.Hospital Codes Response and Documentation: Responded to, supervised, and documented hospital codes in a timely manner. Ensured effective and efficientresponse during critical situations.Disaster and Triage Drills Management: Participated in and managed disaster and triage drills in collaboration with The Joint Commission. Demonstratedreadiness and adherence to disaster response protocols.Quality Control and Joint Commission Reviews: Facilitated quality control during audit seasons and Joint Commission reviews. Ensured compliance withstandards and contributed to continuous improvement.Administrative Support to Account Manager: Assisted the Account Manager with scheduling and administrative tasks. Contributed to the smooth functioningof administrative processes.

San Jose, Ca

Physical Strength and Stamina: Provided range of motion and encouraged clients to stay active. Companionship: Assisted clients in daily activities by maintaining the highest level of independent living and sustaining a safe environment Patient Care and Team Collaboration: Guided and accompanied clients during doctor and therapy appointments. Provided care based on doctors and therapist recommendation. Compliance: Ensure medication and nutrition adherence by reminding clients to take their medication on time, performing home tests to manage medication dosage, and encouraging healthy eating.

Master Of Public Administration - Mpa, Public Affairs And Public Policy

Certificate In Project Managment

Bachelor Of Science - Bs, Health/Health Care Administration/Management

Activities and Societies: HCASF (Health Care Administration Student Forum)

Associate Of Arts - Aa, Liberal Arts Emphasis In Business Administration

Activities and Societies: Raise the Minimum Wage of San Jose, LEAD Participated in "Raise the Minimum Wage of Bay Area campaign" led.