Diane Riggs Email & Phone Number

Facilitated workshop sessions building consensus around plans for process improvement Consulted with subject matter experts to document processes and identify best practicesDefined post implementation strategies for continuous process improvementPartnered with stakeholders to follow documented change management and governance processes for purposes of.

Defined project requirements and performed business analysisDocumented business processes and identification of best practicesDeveloped and documented organizational business policies to comply with HIPAA regulations

Provided subject matter expertise on company systems and the businessCollaborated with Business and IT stakeholders and subject matter experts to enable business solutions and realize the desired business outcomes Documented, analyzed, and developed repeatable standardized processesFacilitated, documented, and validated process maps and business requirements

Identified business requirements and solutionsIdentified and document problems to ensure accuracy of all system processing

Experience in auditing the following health plans: Comprehensive Major Medical, HMO's, Aware Gold and Traditional ContractsVerified claim audit accuracy based on benefit administration and provider agreementsResearched and communicated discrepancies with other departments and providersExercised tact and professionalism when discussing audit.

Ba, Biology

Ba, Medical Technology