Brandon May Email & Phone Number

Spring Hill, TN, US

Nashville Metropolitan Area

In this role I have been tasked with helping to modernize our Risk Adjustment processes and infrastructure which currently are scattered across various servers, technologies, manually updated spreadsheets, etc. This is a new team that I have been allowed to build out and we have focused on a few core principles: - Getting data to a common platform so all.

Nashville Metropolitan Area

I lead three teams within the Government Business Analytics Segment:Infrastructure TeamDesign and manage the ETL Infrastructure for the entire Government Business Segment Analytics (GBSA) team. This includes the claims, enrollment, and provider areas of the org. Application Development TeamDesign, develop, and deploy web-based applications using a.

Franklin, TN

• Created dashboards that handle all client facing reporting for the COB Smart product
• Handle adhoc reporting request for eligibility 270 & 271 transactions, COB Smart reporting, data quality, and payer request
• Produce all daily and monthly reporting for Executive leadership
• Process and system flow designs with management and development team
• Requirements gathering and documentation (usually done in conjunction with our Tech Writer)
• Data research projects as requested by clients or leadership

Brentwood, TN

• Designed, developed, deployed, and maintain the Backup Recovery Information Console (BRIC).
• Provide ad-hoc, scheduled, and on demand reporting for 12,000+ server environment.
• Oversee compliance projects for Backup and Recovery.
• Manage backup tape inventory for corporate environment including predictive use analysis and ordering.
• Process improvement and refinement for existing processes as well as creation of new processes.

Franklin, TN

• Subject Matter Expert (SME) for Enrollment, IT, and Reconciliation departments. In this capacity I am the point person for any questions or issues that arise regarding CMS rules and regulations.
• Designed, developed, deployed, and maintain the Sales Representative Database System (SRDS) which has been used to track and report credentialing, production, and compliance information for our organization’s 3,000+.
• Designed, developed, and deployed the Compliance Tracker System. This system is used to work and report all sales allegations and complaints and keep our organization within CMS compliance.
• Designed, developed, and deployed Broker Application Tracking System (BATS) which was utilized to track and report on an average of 15,000+ sales per year.
• Executive level reporting and trending of sales allegations as well as any other data requested by our CEO or Executive Committee.
• Compiling and reporting of data regarding sales allegations, scope of appointment calls, CMS rejections, sales, cancellations, etc.

Brentwood, TN

• Full managerial duties; including hiring, scheduling, termination, etc, of a department of 12 full time employees.
• On site work at various client hospital facilities as well as weekly conference calls with Business Office Directors of the facilities.
• Compiling and reporting call and result data to Executive leadership as well as hospital leadershipKey Accomplishments at Ingram and AssociatesBy creating an innovative accomplishment and reward system for my.

Franklin, TN

• Investigating non-traditional healthcare claims to determine Coordination of Benefits for over 150 hospitals. These included auto accidents, worker’s comp claims, and litigation.
• Dealt directly with patient attorneys in reaching settlements that would be satisfactory for the hospital.Key Accomplishments at Medical Reimbursements of AmericaBecame the company point person for state’s differing.

Denver, CO

• Managed full billing operations for three dermatology clinics as well as one OBGYN clinic
• Handled insurance contract negotiations for providers including acceptance of Medicare and Medicaid
• Handled required coding to be sure claims met Medicare coding standards prior to submissionKey Accomplishments at Harvard Park Medical ManagementTwo of the clinics under my direct guidance saw a significant turnaround.

Franklin, TN

• Investigating non-traditional healthcare claims to determine Coordination of Benefits for over 150 hospitals. These included auto accidents, worker’s comp claims, and litigation.
• Dealt directly with patient attorneys in reaching settlements that would be satisfactory for the hospital.Key Accomplishments at Medical Reimbursements of AmericaBecame the company point person for state’s differing.

Brentwood, TN

• Traditional medical collector role of patient balances for CHS hospitalsKey Accomplishments at Professional Account Services IncorporatedTwice won “Collector of the Month”. On the first instance I received a bonus of.