Manage team responsible for providing data and analytics for CMS Medicare, state Medicaid, and IFP audits.

Identify, develop and analyze Medicare Appeals, Grievances and Complaints to Medicare (CTM) data to improve processes and to meet regulatory requirements. Work with the management team to determine metrics and goals and create complex management reports to drive business and regulatory goals. Develop, document and implement applications, complex reports and processes to meet the changing requirements of the department and regulations. Work with managers to streamline workflows and to identify process improvements via data analysis. Manage several consultants with a focus on mentoring and developing skills.

Analyze and document current processes and procedures to identify process bottlenecks and develop new policies and procedures to improve processes. Develop and manage applications to streamline claims processes in order to reduce the number of man hours required in processing claims, including performing needs assessments, developing workflow diagrams, interviewing key personnel, document outcome results, writing programming specifications, determining platforms (Access or Excel), writing the code using VBA and SQL, developing screens and user interfaces, implementing the application, training, and maintaining the application. Manage critical complex projects. * Analyze and document processes to identify improvements* Work as change agent when introducing new processes* Develop and implement applications to streamline claims processes* Manage large complex claims, call center, and data projects* Create and manage large database files using SQL and Access* Supervise Indemnified programmers* Data analysis and consolidation* Develop and implement regulatory and management reports

Provided insurance and Risk Management technology consulting services to clients. Worked with clients from diverse industries and varied sizes, including mid-sized firms, public entities, and Fortune 1000 companies. Managed and maintained several client books of business, including managing budgets, preparing analyses of client insurance and Risk Management data, performing system needs analysis studies, managing system selection projects, and providing other technology consulting services to meet client needs.

Supervised eight Stars Client Service Leaders (CSLs) and managed the Stars book of business for the Western Region. Stars is Marsh's premier RMIS used by Fortune 1000 companies. Negotiated client contracts and expanded business fees, increasing revenue for the company.Mentored and trained CSLs, ensuring a high quality of service.Intervened and solved major client issues and problems, maintaining high renewal rates.

Managed Stars RMIS clients as a Client Service Leader. Oversaw all aspects of client service, including identifying and resolving all client issues. Led prospect client sales presentations, helping to gain new business. Developed and implemented schedules for RMIS implementation and ongoing service, delivering the system on-time and within specifications. Wrote programs in FoxPro, Visual Basic, Crystal Reports, and SQL, customizing Stars to meet client requirements. Developed and provided onsite training classes for client employees, increasing client knowledge of the system.