Cynthia Antonelli Email and Phone Number

Create and manage reports for Medicare-Medicaid Plan (MMP) regulatory disclosures and facilitate the implementation of new department processes and documentation to support closure. Manage the implementation of a technology platform that sends electronic member referrals through a coordinated social services network. Partner with IT services to design reports to measure medical expense savings associated with new department initiatives.Lead department's data collection and response completion for the Information Systems Capabilities Assessment Tool (ISCAT) for Medicare-Medicaid Plans (MMP), which is part of the annual Performance Validation Measure.

Medical Expense Management department: Identified medical expense savings opportunities, quantified potential savings through data analysis and assessed feasibility of implementing in health plan. Developed and managed reporting measuring medical expense savings associated with new initiatives. Project Management Office: Provided project management support for the implementation of six National Committee for Quality Assurance (NCQA) standards. Led the implementation of a new complementary and alternative medicine program to support members with chronic pain.

Managed the development of three customized training presentations to educate staff in preparation for the health plan's transition from ICD-9 to ICD-10 codes. Managed four internal project teams and two vendors providing ICD-10 expertise. Created transition communications distributed to employees and providers.

Managed the implementation of an electronic patient registration and medical records application in two hospitals and 25 affiliated physician practices. Eliminated 100% of paper registration and external medical records documentation. Collaborated with system trainer on development of training materials and supported employee training sessions.

Provided project management services to the Business Development, Network Performance and Regulation and Medical Management departments. Projects included implementing a language translation technology in provider offices, analyzing provider procedure code patterns and supporting a project to reduce optical frames and lens costs for members.

Managed the implementation of a patient scheduling and provider billing application in three hospitals and 15 associated medical practices. Managed the implementation of a time and attendance application for hospital employees.

Provided client support to national pharmaceutical and managed care companies utilizing the company's proprietary SF-36 health survey measuring quality of life and functional health.

Provided project management support to the development of disease specific health surveys to add to the company's product portfolio.