Beth Medina Email and Phone Number
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At Humana, my leadership centers on spearheading compliance projects. Our focus on developing self-service capabilities and workflow redesigns culminated in the implementation of an analytics solution, enhancing risk stratification for NCQA Accreditation. I also led the Clinical Engineering team through a successful acquisition and agile transformation. With a robust background in technical project management and software systems engineering, I have directed the onboarding of consultants and managed the CMS Interoperability and Patient Access implementation. These initiatives underscore my commitment to operational excellence and my ability to foster a culture of innovation and collaboration.
Modivcare
View- Website:
- modivcare.com
- Employees:
- 1995
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Modivcare -
Manager, Technology LeadershipHumana Jul 2022 - PresentLouisville, Kentucky, UsLed the Clinical Engineering team through a successful acquisition, guiding major compliance projects and an agile transformation.Directed contracting and onboarding of consultants, developing compliance universes and enabling self-service capabilities for business units.Oversaw workflow redesigns and implemented an analytics solution to support risk stratification for National Committee for Quality Assurance (NCQA) Accreditation.Managed Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access implementation. -
Director Of Information SystemsIndependent Care Health Plan Sep 2016 - Jun 2022Milwaukee, Wi, UsBuilt a high-performing Clinical Engineering team focused on collaboration and innovation.Recruited a data scientist and initiated an analytics program supporting compliance and performance metrics.Established partnerships with business units, introducing improved IT processes for more predictable delivery aligned with business needs.Developed a three-year roadmap to enhance operational efficiency and compliance, gaining executive support for execution.Optimized Utilization Management workflows, achieving a 400% decrease in authorization intake time and improving employee satisfaction and CMS compliance.Redesigned Waiver Services workflows, enhancing efficiencies by up to 50% through TruCare Population Health capabilities.Collaborated with clinicians to rapidly develop Covid-19 tracking tools and analytics, supporting outreach and decision-making for at-risk members.Created solutions to drive Medication Adherence, HEDIS, and Pay-for-Performance measures using APIs and analytics.Addressed Wisconsin Department of Health Services contract requirements, streamlining workflows and increasing billing accuracy. -
Director Of ItDart Chart Systems Aug 2015 - Sep 2016Milwaukee, Wi, UsOversaw the development of SaaS solutions for post-acute long-term care facilities and government agencies.Implemented coding standards that increased developer productivity by 20% and improved product quality.Managed all IT functions, introducing process improvements that enhanced system stability and operational efficiency.Established prioritization and planning processes, ensuring alignment with business goals and smoother project execution.Enhanced collaboration between Development, Sales, and Implementation teams, improving product delivery.Migrated to SSRS Reporting Services, reducing report turnaround by 75%.Led development and reengineering of products, boosting quality and performance. -
Business Solutions ManagerGoodwill Industries Of Southeastern Wisconsin, Inc. May 2012 - Aug 2015Milwaukee, Wisconsin, UsDelivered key projects supporting Retail, Social Services, Staffing Agency, Marketing, Sales, HR, and Finance.Identified gaps in IT processes, introduced new processes and built engagement within the team, driving increased productivity, quality, and improved customer satisfaction. Evaluated IT alignment with organizational needs. Restructured the team to better align with organizational needs, introducing Business Analysts for effective portfolio management.Introduced use of a Kanban board, to provide visibility and manage of work in process. Spearheaded the development of a Business Intelligence/EDW program, delivering the Retail Sales Cube within six months.Rescued a high-risk Retail and CRM implementation, successfully rolling out Aptos (Epicor) to over 50 stores.Led implementation of a new Retail Loyalty program in new CRM system.Collaborated with business partners in development of enterprise project management processes, to improve organizational effectiveness. -
Manager / Business Analyst / Sr. Project Manager / Solution Development Team LeadChildren'S Hospital And Health System, Inc Jun 1999 - Apr 2012Milwaukee, Wi, UsOversaw EPIC projects, including the New Data Center and the implementation of the Epic Solid Organ Transplant module.Built and led a development team to create an integrated specialty portal (C# .Net) for various clinical areas (e.g., Cardiology, Gastroenterology, HIV, Neurosurgery), enhancing application integration and providing single sign-on access to core systems.Established and led a Business Intelligence/Analytics program, delivering the first major solution within six months to support revenue cycle, clinical operations, and managed care.Partnered with key physicians to develop analytics aimed at improving patient outcomes.Developed Medicaid HMO solutions, managing data modeling for provider data and overseeing application and data transfer processes with third parties, ensuring timely state claims submissions. Led the annual IT Capital budget planning and approval process, redesigning the Capital Budget application to significantly reduce management review time.Managed development of an automated forms solution, resulting in annual cost savings of $175,000.Led the implementation of Business Objects for the ORMIS GE surgery system, enhancing the accuracy of Business Objects Universes through vendor collaboration.Collaborated with project management experts to develop a Project Management Methodology, training staff and implementing Microsoft Project Server to improve collaboration and resource management.
Beth Medina Skills
Beth Medina Education Details
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Ottawa UniversityManagement
Frequently Asked Questions about Beth Medina
What company does Beth Medina work for?
Beth Medina works for Modivcare
What is Beth Medina's role at the current company?
Beth Medina's current role is IT Leader | Strategic Planning | Software Engineering | Driving Innovation & High-Performance Teams.
What is Beth Medina's email address?
Beth Medina's email address is bm****@****art.com
What is Beth Medina's direct phone number?
Beth Medina's direct phone number is +126232*****
What schools did Beth Medina attend?
Beth Medina attended Ottawa University.
What skills is Beth Medina known for?
Beth Medina has skills like Business Analysis, Process Improvement, Project Management, Business Intelligence, Change Management, Strategy, Team Building, Team Leadership, Healthcare, Program Management, Software Development, Software Project Management.
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