Michael Arca Email & Phone Number

 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

Management 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.

Los Angeles, California, Us

Consulting 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.

 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)

 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

Arlington, 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.

 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.

Team Lead for the Epic Inpatient implementation for Kaiser Southern California with oversight and focus on incorporating lessons learned from each site's implementation process.

Dallas, 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

Us

 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

 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

Oakland, 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

San 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

Round 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

Oakland, 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

San 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

Oakland, 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

Product 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.

Orange, 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

 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

Pmp, Project Management Professional

Pm Certificate, Project Management