Identification and presentation of a project need to a five-person group of executivesFormation of an advisory board of 10 directors and supervisors across Technical, Operational, Compliance, and Client Relations departmentsCarrying out the design and preparation of project charter, from conceptualization through strategic planningOversight of SOW preparation in Microsoft Project for monitoring project scheduleEmployment of temps to check provider ID relationships between the old and new claims processing system, as well as for cross-walking providers for historical deliberationsCreation of QC procedures to ensure the accuracy of encoded data and non-violation of major key constraints in the operational system and supporting tablesOversight of the research, drafting, and presentation of a wide range of solution options for review of executives.

DescriptionEnhancement of value plan for the diabetic member engagement chartered program project, which involve six AultCare’s functional departments to aid diabetics in managing their health and reducing insurance risk as principal data analystDirection to the following functions:– Lead developer to work with external partner CCS;– Lead programmer and main contact on Alegeus HRA for pharmacy drug costs to the involved diabetic members; and– Lead analyst for new member attribution logic developmentAccomplishment of principal analyst duties for the initiation of LexisNexis PPM, including the following:– Delivery of earlier adopter feedback to LexisNexis Development Team; and– Coordination with the Development Team in rendering solutions to support providers in attaining anticipated population; as well as obtaining additional elements to the PPM product including quality and utilization metricsHandling reports and requests using the following:– SQL for querying various audit reports across all functions of the business;– SSRS and ACMS for converting oracle codes to SQL stored procedures and developing user report generator environment, and enabling convenience with the user in running reports; and– Over five different servers and all subsequent tables that created queries for unique ad hoc daily requestsCompletion of genetic testing cost analysis from historical data to bill fee schedules for all genetic testing procedure codesDesign and implementation of a process to query and confirm fee schedule loads to the new claims processing systemPreparation of reports in reviewing the company’s financial standings and performing operational functions, future planning, department oversight, quality control, and quality assuranceManagement of new SQL-coded reports creation and capital flow or numerous payment monitoring of providers, groups, product line categories, provider specialties, and other classified groups

-Rendered expert oversight to investments and land productivity activities, including research and contract negotiation, and financial assessments-Served as the program director for various construction projects which included $120K budget for capital asset acquisition and $245K for building update and improvement project on seven outbuildings, which involved negotiation and coordination with the proper governmental agencies

Facilitated the configuration of a child’s Apple iPad app to boost communications for a nonverbal stroke victim of 30 years, while training the individual in utilizing the new program. Created a common communication tree and parameterized software to provide support to logical mapping of the communication tree. Although the user passed away before the product was finalized, he expressed great reverence for what the software was providing him; however, the biggest reward, was providing him a device, the iPad, that allowed him to be electronically connected to his family in Florida and Colorado.