Karla G.

Karla G. Email and Phone Number

Project Manager/Healthcare @ Kaiser Permanente
oakland, california, united states
Karla G.'s Location
Irvine, California, United States, United States
About Karla G.

Experienced Project Manager with a demonstrated history of working in the hospital & health care industry. Skilled in Market Research, Marketing Support, Data Analytics, Healthcare Management, and Healthcare Policy.

Karla G.'s Current Company Details
Kaiser Permanente

Kaiser Permanente

View
Project Manager/Healthcare
oakland, california, united states
Employees:
120876
Karla G. Work Experience Details
  • Kaiser Permanente
    Business Consultant Iii
    Kaiser Permanente Oct 2023 - Present
  • Optum
    Sr. Project Manager/Technical Consultant
    Optum Oct 2022 - Jun 2023
    Irvine, California, United States
    • Implemented the release for automation 70+ medical letter templates three weeks before deadline.• Facilitate daily collaborative touch point meetings to monitor execution, identify risks and implement mitigation plans related to the success of the program/project with key stakeholders and executives.• Established within first three months of hire the a functional Change Control process using a hybrid project management approach across 5 different teams to reach one ultimate solution.• Reduced risk of compliance findings by facilitating biweekly Quality Assessment meeting and collaborating with stakeholders to remediate errors.
  • Caloptima
    Sr. Project Manager
    Caloptima Mar 2021 - Oct 2022
    Orange County, California, United States
    • Managed the relationship between my organization and an external consulting firm to complete an enterprise wide operational assessment. Together we were able to identify opportunities for improvement in the areas of communication of regulatory updates, contract language, vendor management and general process improvement within the span of a 12 months. • Partnered with my organization’s executives to provide operational feedback following completion of an enterprise wide operational assessment and ensured improvements were followed through to completion. • Developed three (3) management tools that assist in tracking productivity and quantifying our department output using PowerPivot in an Excel dashboard. • Created and updated home-grown audit tools used during file reviews for multiple departments audits using the Project Management Institute – Agile method.• Supervised the implementation of updated policies and procedures impacting my department. • Lead a project workgroup to provide and receive updates of ongoing department projects and identify opportunities for collaboration. • Coached project coordinators and project managers to improve project management skills as well as public speaking skills.• Provided guidance and support to management during state and federal audits determining the appropriate documents for submission and context to the regulator's requirements.
  • Caloptima
    Project Manager
    Caloptima Sep 2017 - Mar 2021
    • Executed work plans, tracked progress, and provided project summary updates to project team, stakeholders and management on departmental functions, operational issues, process changes and activity status to ensure expectations are met and new ones communicated. • Lead cross functional work groups/projects that included: Risk assessments, readiness assessments, policy updates, regulatory research for tool development, auditor training and development, delegation agreement updates and process and workflow implementation.• Lead efforts to complete the annual external risk assessment project. Created the template and questionnaire that assist functional areas (e.g., FWA) in obtaining information from delegated health networks and approximately fifty First Tier Entities (FTE) that is used to develop workplans and for other compliance activities.• Conduct readiness assessment for incoming entities and analyze the entity’s potential to perform to regulatory and the organizations standards by collaborating with auditors, their management and the entity’s executive leadership team.• Coordinate, draft, and manage revisions on all department policies and procedures annually. Review applicable regulatory and contractual obligations to ensure policies adhere to current requirements and assist other departments with policies which reference A&O External processes. • Manage department CMS-Compliance Program Effectiveness (CPE) audit universe and update the 800 or more lines of data to eliminate discrepancies and errors by working closely with auditors and managers and conducting monthly reviews of data validation. Error percentage has been reduced by 20% over the last twelve months.
  • Molina Healthcare
    Implementation Analyst For Policy And Government Advocacy
    Molina Healthcare Sep 2016 - Sep 2017
    - I work directly with health plan CEO's/Senior Management and/or Corporate Executives to understand their business needs, strategies, priorities and key issues. Assimilate and document this information into requirements, liaison to IT to ensure technical solutions meet business needs. - Provide analytical, problem solving expertise, including: definition and documentation, business workflow analysis, specifications, requirements definition and documentation. Recognize, identify and document changes to existing business processes and identify new opportunities for process developments and improvements.- Establish effective customer relationship with assigned resources such as project director, project managers, health plan leadership, and corporate leaders. -Work with project team to develop and enhance the business requirement and user acceptance testing processes to ensure compliance with contractual and regulatory requirements.- Present to project team the status of assigned work to include: functional area accomplishments, performance measurements, project status, and status of key issues.- Develop and maintain work plans and other deliverables for assigned areas utilizing approved templates and practices to ensure consistent content and format is maintained across department.
  • Molina Healthcare
    Data Analyst
    Molina Healthcare Aug 2015 - Sep 2016
    Long Beach, California
    Generate and distribute standard reports weekly/monthly/quarterly/annually.• Create comprehensive workflows for the production and distribution of assigned reports; document reporting processes and procedures. • Establish and maintain timelines for reports and projects.• Identify and complete report enhancements/fixes.• Assist with completion of special projects as requested by various internal departments, or in support of requests from regulatory agencies, contracting agencies, or other external organizations.• Develop ad-hoc reports as requested• Evaluate non-standard requests from consultants, customers, and internal business areas, and provides summary documentation to support analysis reports.• Generates and reviews the GEO access and disruption analysis.• Provides support to Corporate Development in interpreting network data and providing recommendations.• Provide recommendations regarding data integrity for proper database maintenance.• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)• Develop and continue to maintain department reporting operating procedure to ensure all requests are produced and distributed in timely manner.
  • Molina Healthcare
    Community Outreach Coordinator/Advocate
    Molina Healthcare Jan 2014 - Aug 2015
    L.A County
    Outreach to community organizations to develop mutually beneficial partnerships to provide additional support and resources to Molina members.Monitored and examined event documentation to ensure alignment with marketing goals and target audiences.Coordinate independently and with DSAS team logistics for events of 300 to 10,000 participants.Developed outreach and sponsorship tracking process to manage department budget. Co-developed process for audit and analysis of ombudsman call volume and intake process.Disability & other Ad-hoc presentations as needed for employee training and community organizations.Scheduled travel and itemized expense log to develop monthly and quarterly reports to upper management.-Successfully fostered relationships with key leadership in non-profit organizations within the L.A county area and furthering the exposure of the company brand, services and the DSAS department.-
  • Asset Planning, Inc.
    Junior Investment Analyst
    Asset Planning, Inc. Jan 2013 - Jan 2014
    -Research potential Mutual Funds, Stocks, Bonds, REITS, ETFs of interest to the firm.-Provide acurate data reports concerning gains and losses, fund and stock comparisons, cash flows, bond updates. -Develop intricate reports regarding client portoflios-Manage data through TD Ameritrade Institutional, Morning Star, Schwab, Portfolio, Excel.-Manage minor marketing activities for the firm.

Frequently Asked Questions about Karla G.

What company does Karla G. work for?

Karla G. works for Kaiser Permanente

What is Karla G.'s role at the current company?

Karla G.'s current role is Project Manager/Healthcare.

What schools did Karla G. attend?

Karla G. attended University Of California, Irvine Division Of Continuing Education, California State University-Long Beach - College Of Business Administration.

Who are Karla G.'s colleagues?

Karla G.'s colleagues are Meg Sindt, Clay Van Batenburg, Dr. Shayla Dawson-Gill, Dnp, Whnp-Bc, Msn, Anna Yau, Noe Perez, Rrt, Rcp, Jessie Barber, Alexis Mcnitt.

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