Michael Arca's Location
Pasadena, California, United States, United States
Michael Arca's Contact Details
Michael Arca work email
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Michael Arca personal email
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About Michael Arca
Transformational Healthcare IT Leader with 30+ Years in Project Management and Extensive Expertise in Payer, Provider, and Multi-Entity EMR Implementations• Proven PMI Certified Project Management Professional (PMP)• Skilled in Program and Portfolio Management• Expert in HealthCare Systems Development for HMO, PPO, Hybrid Organizations and government owned clinics and hospitals• Master of Revenue Cycle Optimization in Private and Government sectors• Certified in Epic Resolute Professional and Hospital Billing with application integration experience • Strategic Healthcare IT Planner for Revenue Management Portfolio and Departmental Roadmap development• Proficient in Regulatory Compliance with Federal and State Statutes
Michael Arca's Current Company Details
Kaiser Permanente
Revenue Management and Referrals Applications Leader at Kaiser Permanente
Michael Arca Work Experience Details
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Director Of It Business OperationsKaiser Permanente Oct 2017 - Present
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Assistant Director Clinical SystemsKaiser Permanente Sep 2009 - Sep 2017 Coding & Abstracting Charge Router Professional Billing Hospital Billing Home Health Billing Hospital and Professional Claim Hospice Care Epic Interfaced Systems (Radiation Oncology, MUSE, CardioVascular Information Systems, ABG, Cerner, CoPath) Tapestry External Referrals
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Principal ConsultantHigher It Feb 2009 - Sep 2009Management of Higher-IT's healthcare informatics practice. Manage consulting engagements up to $2 million. Develop and manage relationships with State and Local procurement programs. Assists in recruitment drawing upon relationships and experience to recommend qualified candidates, interviewing consulting staff candidates and preparing staffing recommendations.
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Healthcare Informatics ConsultantLos Angeles County Department Of Health Services Jun 2007 - Jan 2009Los Angeles, California, UsConsulting services to the Los Angeles County Department of Health Services Legacy System Replacement Project. Advise project team members in the research, vendor analysis, RFP/Solicitation, vendor selection, contracting and implementation project phases. -
Jcaho ConsultantBarlow Respiratory Hospital Jan 2007 - May 2007 GAP analysis of a respiratory hospital’s information systems state of compliance (regulatory) with Joint Commission standards for information management Development and implementation of the organization’s disaster recovery, business continuity and contingency plans for information systems Integration of information systems disaster, continuity and contingency plans with the organizations over all disaster plan (HEICS)
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Delivery ManagerCtg Healthcare Solutions Feb 2006 - Nov 2006 Manage engagement execution, including all financial, technical, professional, personnel and quality aspects of medium to large-scale consulting engagements from $.25 million to $4.5 million and project teams of 3 to 15 technical professionals Establish and monitor procedures to control and regulate projects, activities, scope, logistics, project issues, change issues, and communication Monitor the progress of the engagement(s) and report progress to client project management CTGHS through defined status reporting processes Manage planning, execution, and completion of the project(s) within required budget and timeframe to the customer’s complete satisfaction Manage the client relationship by clarifying and managing to customer expectations
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Project ManagerTexas Health Resources Jun 2006 - Aug 2006Arlington, Texas, Us Project Management of the Texas Health Resources (THR) implementation of Epic Systems (Inpatient, ED, Orders, ADT, Bridges) at Presbyterian Hospital of Plano. Developed THR's 13 hospital roll out plan for all Texas Health Resource hospitals and clinics. -
Management ConsultantFroedtert Hospital Mar 2006 - Jun 2006 Discovery and documentation of the organization's Epic Implementation project. GAP analysis of discovery findings against CTGHS standards and industry best practices in Project Management and Service Delivery. Developed recommendations document and presented findings to Froedtert management. -
Project ManagerSouthern California Permanente Medical Group Feb 2005 - May 2005Team Lead for the Epic Inpatient implementation for Kaiser Southern California with oversight and focus on incorporating lessons learned from each site's implementation process.
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Senior Management ConsultantAcs Healthcare Solutions Dec 2004 - May 2005Dallas, Tx, Us Established and implemented change request processes Developed roll-out/deployment schedules Provided leadership and support to the local, regional and national teams Facilitated deployment activities to ensure site preparedness for implementation and provide clinicians and staff with implementation support resources as needed Resolved project team conflict and mitigate risk -
ConsultantOrange County Health Care Agency Jan 2003 - May 2004Us Provided HIPAA baseline assessment and gap analysis for WellPoint nationwide Managed gap analysis findings, recommendations, compliance documentation and project plans Provided hybrid entity analysis, preemption analysis with relevant State regulations, and propose approach using industry "best practices" Implementation project management services for HIPAA compliance in areas of Privacy, EDI, and Security Managed implementation issues, gap analysis findings and recommendations, compliance documentation and project planning for client’s covered entities Provided representation of the County HIPAA covered entity at National and State HIPAA Workgroups Application Interface Development and Implementation Specifications for Cerner Millennium. Regulatory Watch and Level 1 Analysis / Recommendation, Implementation of HIPAA Transactions and Code Sets -
Aviation Maintenance AdministrationmanUnited States Navy Reserves Sep 1996 - Feb 2004 Enlistment in the United States Naval Reserve through the Advanced Pay Grade program. Awarded the Junior Sailor of the Quarter 1998 Advancement to AZ2 at HCS-5
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Management ConsultantKaiser Permanente Mar 2002 - Aug 2002Oakland, California, Us Provided Project Management services supporting the Revenue Cycle Remediation Project. Impacted IT systems include Claims, Membership, NDC Premis/ePremis, IDX, Epic Resolute and middle ware software packages Led project teams in identifying requirements related to local and regional business processes and systems and associated interfaces Developed and implemented new capabilities to support the Health Plan Operations business and the Concurrent Review process Provided Project Management services supporting the Revenue Cycle Remediation Project. Impacted IT systems include Claims, Membership, NDC Premis/ePremis, IDX, Epic Resolute and middle ware software packages Led project teams in identifying requirements related to local and regional business processes and systems and associated interfaces Developed and implemented new capabilities to support the Health Plan Operations business and the Concurrent Review process -
Project ManagerCatholic Healthcare West Mar 2002 - Aug 2002San Francisco, Ca, Us Identified clinical requirements for Laboratory Information Systems (Sunquest/Misys) Acquired and managed resources, established timelines for project team resources, monitored progress against project plan, and directed team resources in completing project tasks, managed the project testing phase Ensured full project documentation ensuring successful compliance with laboratory regulatory agencies Coordinated with peer project managers where project co-dependencies exist Managed vendor’s project managers and worked closely with the Transition Project Office in reporting project status and tracking milestones -
ConsultantPerot Systems Mar 2002 - Aug 2002Round Rock, Texas, Us Identified clinical requirements for Laboratory Information Systems (Sunquest/Misys) Acquired and managed resources, established timelines for project team resources, monitored progress against project plan, and directed team resources in completing project tasks, managed the project testing phase Ensured full project documentation ensuring successful compliance with laboratory regulatory agencies Coordinated with peer project managers where project co-dependencies exist Managed vendor’s project managers and worked closely with the Transition Project Office in reporting project status and tracking milestones -
ConsultantKaiser Permanente It Aug 2000 - May 2001Oakland, California, Us Project Manager/Contract Consultant, HMO CIS Interface Development / HIPAA Compliance Implementation of Kaiser’s Electronic Medical Record for two regional hospitals Project matrix consisting of approximately 50 resources, development of 11 (Appointments, Pharmacy, EKG, Patient MASTERS, Order Entry, Laboratory Results Management, Common Provider Master, IDX, Patient Charting System, Immunization, Dictation/Transcription) ancillary application interfaces for SCAL to the national EMR with HIPAA compliance in as a requirement Accountable for project plan, project budget, project reporting, resource allocation, SDLC, project business case development and maintenance, CIS Maintenance Release planning, Data Migration, CMT (Common Medical Terminology) Accountable for NCSD ancillary applications nationally for HIPAA compliance
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Interim Director Of Information SystemsCatholic Healthcare West Mar 1999 - Aug 2000San Francisco, Ca, Us Sites: Long Beach Community Medical Center/Saint Mary’s Medical Center Accountable for the Y2K remediation for 820 servers, project matrix consisting of 15 contract resources and seven direct reports, and Business process redesign and campus operations consolidation Retirement of 187 devices and deployment of 800 desktop devices Y2K Remediation of the following major hospital information systems: Kronos Timekeeping, Security Solutions Badge System, HRIS, GE Financials, SunQuest, IMPAC, ADAC, Co-Path, Edu-Tracker, ANSOS, Apollo Cardiology db, Lextel Dictation, MedStaff, Sunquest, Varian, Xiox, Xtend, MedSeries4, Infinium, Quadramed, STC Datagate, HCM (Cost Accounting) Y2K Remediation included the use of HIPAA NPRM’s as criteria for security, privacy and transaction code sets Accountable for annual maintenance budget of $725K, Departmental budget of $2M. JCAHO preparation for IM Department. Application migration from RADMAN to ROCS. LAN/WAN Maintenance/Upgrade
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ConsultantKaiser Permanente It Feb 1997 - Feb 1999Oakland, California, Us Financial Applications Systems Development Accountable for the successful remediation of 198 critical applications Developed and maintained application database, management reports and develop and maintain comprehensive regional project plan Managed contract programmer resources and Y2K remediation vendor resources, Y2K Application testing and certification Maintained data interchange between vendors (IBM, SAIC, Data Dimensions, STA America) Led design team in Data Dimension’s component tracking system Coordinated cross organizational initiatives related to Y2K testing, upgrade, remediation and certification
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Senior Managed Care Systems And Integration AnalystUnihealth Information Services Feb 1994 - Jun 1997Product development and management of the enterprise managed care information system for Unihealth's medical groups & hospitals, VertiHealth Administrative Services (TPA) and CareAmerica health plan. Successfully planned and coordinated Unihealth Information Services and CareAmerica's first annual employee Thanksgiving food drive benefiting the Los Angeles Misssion, a nonprofit organization serving the homeless living on the streets of downtown Los Angeles’ Hope Central, also known as Skid Row.
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ConsultantCaloptima Jul 1996 - Jan 1997Orange, California, Us Responsible for the maintenance of GTE QCARE system. Audit system deficiencies (Provider Master File, Claims and Pre Authorizations Processing, Membership and Eligibility), RFI in acquisition of Data Warehouse vendor (Red Brick). EDI (DHS to CalOPTIMA – Eligibility, Provider Master, Encounters, Claims) Development of MS Access database for required reports for audit Provided training for basic systems analysis, MVS Operating Systems and TSO, Basic JCL/CL, SAS Reporting Member of IS Steering Committee -
Information Technology ConsultantAps Management Services, Inc. Feb 1990 - Jun 1996 Installed, trained and managed in house practice management software for small physician offices: QBX (Clipper Based System), MediCare, MediCal, HMO, and Private Insurance Electronic Billing Created and implemented software development projects Implementation & management of a clinical laboratory medical claims reimbursement system and LIS interfaces for Executive Laboratory (San Marino) Implement new EDI formats for claims and encounters, Membership & Eligibility downloads for government fiscal intermediaries and commercial payers & clearinghouses Develop project proposals and deliver executive level presentation
Michael Arca Skills
Software Documentation
Sdlc
Hipaa
Emr
Healthcare
Project Management
Integration
Program Management
Ms Project
Leadership
Consulting
Healthcare Information Technology
Ehr
Process Improvement
Training
Cpoe
Visio
Access
Analysis
Pmp
Business Process
Epic Systems
Management
Business Analysis
Hospitals
Informatics
Healthcare Consulting
Information Technology
Healthcare Management
Software Implementation
Michael Arca Education Details
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Project Management InstituteProject Management Professional -
LtuniversityProject Management
Frequently Asked Questions about Michael Arca
What company does Michael Arca work for?
Michael Arca works for Kaiser Permanente
What is Michael Arca's role at the current company?
Michael Arca's current role is Revenue Management and Referrals Applications Leader at Kaiser Permanente.
What is Michael Arca's email address?
Michael Arca's email address is ja****@****nte.org
What schools did Michael Arca attend?
Michael Arca attended Project Management Institute, Ltuniversity.
What skills is Michael Arca known for?
Michael Arca has skills like Software Documentation, Sdlc, Hipaa, Emr, Healthcare, Project Management, Integration, Program Management, Ms Project, Leadership, Consulting, Healthcare Information Technology.
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