Brian Dotts

Brian Dotts Email and Phone Number

Epic Tapestry Senior Applications System Analyst at Cook Children's Health Plan @ Cook Children's Health Care System
Brian Dotts's Location
Dallas-Fort Worth Metroplex, United States, United States
Brian Dotts's Contact Details

Brian Dotts personal email

n/a
About Brian Dotts

Brian Dotts is a Epic Tapestry Senior Applications System Analyst at Cook Children's Health Plan at Cook Children's Health Care System. He possess expertise in process improvement, managed care, medicaid, network development, provider relations and 45 more skills.

Brian Dotts's Current Company Details
Cook Children's Health Care System

Cook Children'S Health Care System

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Epic Tapestry Senior Applications System Analyst at Cook Children's Health Plan
Brian Dotts Work Experience Details
  • Cook Children'S Health Care System
    Epic Business Intelligence Analyst
    Cook Children'S Health Care System Mar 2021 - Present
    Fort Worth, Tx, Us
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  • Cook Children'S Health Care System
    Epic Tapestry Application Systems Analyst
    Cook Children'S Health Care System Nov 2018 - Aug 2021
    Fort Worth, Tx, Us
    Leads Epic Tapestry Configuration/ Build/ Implementation/ Support - in the areas of:- AP Claims- Vendor Contracts- Benefits Engine- Triplets (Provider, Vendor, Place of Service)- AP Cycle- CRM- Facilitates Epic Tapestry decisions through contractual/ regulatory compliance as a Texas Medicaid Managed Care Organization.- Leads through the administration and monitoring of multiple application areas, performing required maintenance and upgrades as appropriate. Identifies any resulting impacts on other technologies. - Mentors staff with responsibility for their development. - Ensures the transfer of knowledge through on-the-job training, presentations, and ongoing coaching. - Proposes new standards and develops new migration plans to the future application and information technology infrastructure. - Acts as a project lead/ key resource for project team. - Provides ongoing support and troubleshooting for installed solutions.
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  • Cook Children'S Health Care System
    Senior Business Intelligence Analyst
    Cook Children'S Health Care System Dec 2017 - Nov 2018
    Fort Worth, Tx, Us
    •Works with Microsoft Visual Studio, SSIS, SSRS, TIBCO Spotfire to produce static/ dynamic reporting to drive awareness, decisions and operational leadership through data analysis.•Gathers initial business requirements from clients, making recommendations based on subject matter expertise•Refines business requirements through collaboration with client and data/business process stakeholders•Works from new developed implementation plan or existing documentation, independently or in project team as needed•Collaborates with data architects to bring new data or data transformations into EDW and applications. Performs queries or collaborates with Information Services to acquire other needed data•Designs applications, reports, and processes using formats and standards•Participates in clinical process/quality/business process improvement committees and project teams, providing subject matter expertise to support departmental and initiatives•Develops and maintains systematic understanding of data•Enters and updates all work assignments and tasks in the tracking application
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  • Cook Children'S Health Care System
    Claims Manager
    Cook Children'S Health Care System Nov 2016 - Dec 2017
    Fort Worth, Tx, Us
    Claims Manager for Cook Children's Health Plan:Managed teams, including:- Front End, Claims: (Data Entry)- Claims Call Center- Back End, Claims: Claim Appeals/ Reconsiderations/ Claim Projects- Texas Medicaid Encounter Submission/ Reconciliation- Operational Reporting- Health Plan Operations: SharePoint site Design/ Administration- Performance Management- Leadership Development- SQL Server Data Analysis- Windows PowerShell Report AutomationStaff ModelingQuality Monitoring
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  • Christus Health
    Director Of Implementation Services
    Christus Health Sep 2015 - Nov 2016
    Irving, Tx, Us
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  • Christus Health
    Claims Manager
    Christus Health Sep 2014 - Sep 2015
    Irving, Tx, Us
    Claims Team ManagerTeam BuildingNew Product ImplementationOperations LeadershipVendor ManagementProject ManagementProcess ImprovementData Management and AnalysisCompliance: DoD, Tricare, CMS, Medicaid, Healthcare ExchangeInterface DevelopmentEDI: 270, 271, 276, 277, 834, 837Encounter Data ProcessingSQL, Sharepoint, Visio, Excel, Access, Power PointFinancial Reporting Call Center ManagementCOB
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  • Aetna
    Supervisor, It - Project Management
    Aetna Aug 2013 - Sep 2014
    Hartford, Connecticut, Us
    Supervisor, IT - Project Management- Manager of the Analytics Team in the Texas Medicaid Health Plans- Relationship management with various Shared Services Departments- CEO, CMO, COO, CFO, Department Heads and Compliance collaboration to use data analysis to lead change/ process improvement- Adherence with regulatory requirements based on MCO (Managed Care Organization) Agreement- Process Improvement- Process Mapping- Project Management
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  • Aetna
    Senior Business Analyst
    Aetna Dec 2012 - Sep 2014
    Hartford, Connecticut, Us
    Sr. Business Analyst- Direct association with CEO, COO, CFO, Department Heads and Compliance to ensure adherence to state requirements based on MCO (Managed Care Organization) Agreement.- Involved in Operational Analysis to lead Process Improvement initiatives- Creation, implementation and correction of multi-departmental Process Mapping and Project Planning.- Involvement in implementation of Texas Managed Care (Star and Chip programs) deliverable reporting database and improvement initiative.
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  • Aetna
    Provider Relations Supervisor
    Aetna Sep 1999 - Dec 2012
    Hartford, Connecticut, Us
    Provider Relations Supervisor - Management and improvement of Provider Relations Medicaid unit for the Aetna Texas Medicaid plans, including: Parkland Community Health Plan, Aetna Better Health, and Christus Health Plan.- Oversee Network Development, Credentialing, Contracting, Workflow creation, implementation and auditing.- Establish and maintain relations between providers (hospitals, physicians, etc…) and the Aetna Better Health Plans.- Departmental reporting and coordination (IT, Claim Review, Customer Service, Patient Management, etc…)- Direct report hiring, training, scheduling, reporting, monthly/ yearly employee evaluation, termination, etc.- Direct coordination with other department heads to increase network growth and member retention through process improvement and change control.- Managed a team of Network Representatives who navigate through various systems and coordinate with other departments to satisfy providers with issues of varying complexity.- Etablished a reportable department that managed claim correspondence and issues via incoming mail, faxes and an inbound phone queue. We met all service levels based on a subcontracted Managed Care Organization agreement with HHSC (Health and Human Services Commision).
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Brian Dotts Skills

Process Improvement Managed Care Medicaid Network Development Provider Relations Training Management Customer Service Team Building Healthcare Program Management Health Insurance Business Analysis Leadership Software Documentation Hipaa Business Process Improvement Operations Management Data Analysis Health Policy Project Management Vendor Management Claim Sharepoint Medicaid Managed Care Provider Network Development Provider Networks Visio Supervisory Experience Claims Resolution Data Entry Credentialing Hmo Hedis Hospitals Healthcare Industry Inventory Management Appeals Customer Satisfaction Business Process Mapping Employee Training Peoplesoft Change Management Outlook Recruiting Healthcare Analytics Icd 10 Coaching Customer Support Report Writing

Brian Dotts Education Details

  • Tarrant County College
    Tarrant County College
  • Irving Nimitz High School
    Irving Nimitz High School
    General Diploma

Frequently Asked Questions about Brian Dotts

What company does Brian Dotts work for?

Brian Dotts works for Cook Children's Health Care System

What is Brian Dotts's role at the current company?

Brian Dotts's current role is Epic Tapestry Senior Applications System Analyst at Cook Children's Health Plan.

What is Brian Dotts's email address?

Brian Dotts's email address is br****@****lth.org

What schools did Brian Dotts attend?

Brian Dotts attended Tarrant County College, Irving Nimitz High School.

What skills is Brian Dotts known for?

Brian Dotts has skills like Process Improvement, Managed Care, Medicaid, Network Development, Provider Relations, Training, Management, Customer Service, Team Building, Healthcare, Program Management, Health Insurance.

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