Kim Collins's Location
Boise Metropolitan Area, United States, United States
Kim Collins's Contact Details
Kim Collins work email
- Valid
- Valid
Kim Collins personal email
n/a
About Kim Collins
As a seasoned healthcare advisory consultant with over two decades of experience in the healthcare payer industry, I specialize in spearheading large-scale implementation projects that drive innovation and efficiency. My expertise in Facets implementation, optimization and architecture has positioned me as a trusted advisor in the field.I am passionate about leveraging my strategic relationships with clients to unlock new opportunities for account growth and revenue enhancement. My reputation for delivering high-impact solutions has enabled me to foster long lasting partnerships, ensuring that my clients achieve their goals while navigating the complexities of the healthcare landscape. I thrive on challenges and am committed to helping organizations optimize their operations and maximize their potential.
Kim Collins's Current Company Details
Cognizant
View
Facets Advisory Consultant at HCSC
Boise, ID, US
- Website:
- cognizant.com
- Employees:
- 340955
Kim Collins Work Experience Details
-
Facets Advisory Consultant At HcscCognizantBoise, Id, Us
-
Facets Innovation LeaderCognizant Sep 2023 - PresentTeaneck, New Jersey, UsIn addition to my project work, I lead our Facets Innovation Team where my primary objective is to drive the adoption of new features and functionality across the TriZetto / Cognizant customer base. By collaborating closely with clients, I identify opportunities to enhance their operations and maximize the value they derive from our solutions. This initiative not only supports our customers in achieving their goals but also plays a crucial role in selling services and generating revenue for our consulting practice.
-
Delivery Lead; Bcbs TnCognizant May 2024 - PresentTeaneck, New Jersey, UsAs delivery lead, I am responsible for guiding a team of Facets configuration analysts in the implementation of UARR - UM Requirement Rules. This initiative aims to transform the client's approach to managing authorization requirements, enhancing efficiency and effectiveness in their operations. By leveraging my leadership skills and industry expertise, I ensure that our team delivers high quality results that align with the client's strategic objectives.
-
Facets Advisory Consultant At BcbsmnCognizant Jul 2022 - PresentTeaneck, New Jersey, UsFacets Advisory Consultant leading a large team on the transition of BCBSMN's Medicaid and Duals business from a vendor to an in house AWS Cloud enabled Facets (G6) environment; Creation of project plan and management of the timeline and delivery; Directed and supported elicitation of requirements; Facilitated design sessions to ensure adherence to best practices; Drafted solution architecture design & review process and deliverables to support complex Medicaid requirements.
-
Facets Advisory Consultant At HcscCognizant Mar 2021 - Jun 2022Teaneck, New Jersey, UsLead Facets product consultant supporting configuration of a preliminary proof of concept to demonstrate core Facets capabilities followed by the subsequent planning and design for implementation of TX and NM Medicaid business.
-
Facets Advisory Consultant At Elevance (Amerigroup)Cognizant Mar 2021 - Jun 2022Teaneck, New Jersey, UsFacets Advisory Consultant tasked with leading the Facets Workflow proof of concept resulting in subsequent purchase and licensing of software; Lead Facets modernization activities with an emphasis on transitioning external solutions to core Facets with an eventual retirement of custom processes; Provide guidance to leadership on strategy and implementation return on investment.
-
Facets Product Consultant At Emblem HealthCognizant Sep 2017 - Jul 2021Teaneck, New Jersey, UsLead Facets configuration team through multi-phased medical and dental implementation; Guided transformation of business & systems to support Cognizant BPaaS model; Organized, lead and managed critical projects requiring Facets configuration and technical support; Provided SQL data analysis and troubleshooting to support Cognizant associates; Work with technical team to design end to end solutions to support complex business requirements; Provide Facets expertise and data analysis for development of TranZform data warehouse; Lead SWAT team to support refinement of post go-live claims processing activities.
-
Facets Product Consultant / FepBlue Cross And Blue Shield Of North Carolina Feb 2016 - Sep 2017Durham, Nc, UsRequirements Management Practice Lead supporting the migration of FEP membership from legacy system to CareFirst Bridge; Provided expertise on the design and functionality of interfaces within the FEP Operations Center; Topaz Production Command Center lead responsible for identifying, quantifying and supporting the resolution of Utilization Management configuration and interface issues; Managed the communication between TriZetto and customer; Provided guidance and leadership to lower level requirements analysts. -
Facets Configuration SmeThe Most Group, Inc. Jun 2013 - May 2016Aurora, Illinois, Us -
Facets Solution ArchitectBlue Shield Of California Mar 2014 - Feb 2016Oakland, California, UsFacets Solution Architect supporting the transformation of individual membership on & off exchange; provide architectural remediation between EDI & payment vendor and core system; lead the migration of the Federal Employee’s Program (FEP) in state membership to Facets; interface design between core systems and FEPOC; design custom, real time process for loading out of state membership via FEMS; HIPAA gateway customization to support CARC/RARC/Sequestration and subsequent submission of MFCR file; creation of process to consume return file and apply benefits; creation of UML reference architecture across all healthcare verticals; lead design sessions for development of complex eligibility and claims reimbursement processing between the health plan and FEP operations center; lead solution circles in an effort to resolve highly complex requirements necessitating non-standard use of configuration and/or custom development. -
Facets Implementation LeadVisiting Nurse Service Of New York Oct 2013 - Mar 2014New York, UsLiaison between TMG Health and VNSNY responsible for the successful Facets implementation of the Fully Insured Duals Advantage (FIDA) product for NY. -
Facets Solution ArchitectCambia Health Solutions Mar 2013 - Oct 2013Portland, Or, UsFacets Solution Architect working with the configuration team on the CareCore vendor implementation project in an effort to outsource UM functions for physical medicine. -
Facets Solution ArchitectBlue Shield Of California Dec 2011 - Apr 2013Oakland, California, UsProvide Facets technical and functional expertise for complex Healthcare Reform implementation; lead solution circles in an effort to resolve highly complex requirements necessitating non-standard use of configuration and/or custom development.
-
Facets Solution ConsultantInvidasys, Inc. Sep 2011 - Mar 2012Mesa, Az, UsProvided Facets expertise for design/development to automate Medicare pricing between Burgess and XL Health; Worked with development team to map claims extract from client's Facets system to Burgess pricing system to obtain Medicare allowed amount; designed and tested claim keyword file for creation claims file back into client system using Facets XC00 batch job for re-adjudication; Researched and resolved keyword file and claim issues. -
Facets Configuration ConsultantCvs Caremark Corporation 2011 - Mar 2012Woonsocket, Ri, UsLead configuration consultant for a multi phase implementation of Medicare Part D business to Facets; guided client in the decision of future state configuration and use of new functionality with respect to downstream peripheral systems, extracts, interfaces and extensions; acted as liaison between client and Trizetto; provided conversion expertise and options for billing history; oversight over configuration and testing. -
Sr. It Solutions ConsultantUnitedhealth Group Apr 2010 - Jul 2011UsManage implementation, delivery and configuration for ongoing migration of Community & State business (Medicare & Medicaid) from Diamond to Facets as well as legacy River Valley Facets platform; Lead configuration manager for NHP migration from Amisys to Facets; provided overall product expertise for Facets, strategized solutions requiring custom development and devised solutions that required "out of the box", non-standard use of the Facets applications; Performed liaison role between our business constituents, development, configuration and TriZetto; Initiated auto adjudication improvement project; Provided executive level presentations and recommendations and regularly interfaced with executive level management. -
Independent ConsultantThe Trizetto Group 2002 - 2010Teaneck, Nj, UsLead and participated in Facets conversion, configuration and implementation projects for new and/or existing Trizetto customers. -
Facets Product ConsultantPremera Blue Cross Jul 2008 - Dec 2008Mountlake Terrace, Washington, UsTriZetto product consultant tasked with implementing core Facets HRA functionality to replace custom allocation code; documented business requirements; worked with testing team to identify test cases and test scenarios required to validate functionality; coordinated batch process to facilitate multiple iterations of testing; conducted training sessions for new functionality; triaged defects between customer and vendor; documented test results in Quality Center; provided assistance to other Facets issues as needed. -
Facets Product ConsultantWpmi, Llc Apr 2007 - Jun 2008Lead TriZetto product consultant for joint venture company providing TPA services to Chinese health plans; Liaison between client and TriZetto development team to facilitate delivery of new code to support localization and translation of Facets applications for release 4.41; Facets defect research and resolution; coordination of custom script development, testing and load into hosted environments to ensure integrity of core Facets system functionality; identification and testing.
-
Facets Product ConsultantUnitedhealth Group Mar 2006 - May 2007UsLead product consultant with a primary focus on implementation of a subset of dental business for a recent customer acquisition onto Facets system; worked directly with technical resources in the design, development and testing of a complex provider reimbursement extension to be integrated with Facets online and batch processes; reviewed and analyzed business requirements; creation of global design approach; supported ongoing conversion effort of PacifiCare business onto DBP’s Facets platform; Supported 4.31 upgrade of all environments; provided configuration recommendations and implementation timeline.
-
Facets Product ConsultantThe Regence Group Mar 2005 - Jul 2006Portland, Oregon, UsFacets product consultant for 4.31 implementation; responsible for leading configuration of the Medical and Dental Plan/Product functional areas, Dental Pricing including MDR (Ingenix), Capitation (Primary & Global including batch), Utilization Management / Case Management; 4.X Customer Service configuration; lead and oversight of Coordination of Benefits workgroup; Other Party Liability; involvement in accumulator conversion and data mapping activities; participated in development of functional specification for benefit extension; emphasis on batch output analysis and resolution; data extraction and analysis; coordination and triage of software defects between Regence and TriZetto. -
Facets Product ConsultantGreat West Life & Health Dec 2005 - Dec 2005Bloomfield, Ct, UsPrepared and presented global design for implementation of dental business on Facets software; worked with subject matter experts to understand business requirements in an effort to guide them to a configuration solution. -
Facets Product ConsultantUnitedhealth Group Aug 2004 - Feb 2005UsProduct consultant for optimization / upgrade to Facets 4.11 with focus on operational efficiencies and increased auto-adjudication through revised business requirements and configuration enhancements; provided written assessment of departmental structure and processes, current configuration methodologies and proposed short term and long term solutions.
-
Facets Product ConsultantMvp Health Care Oct 2003 - Mar 2004Schenectady, New York, UsLead product consultant for a dental implementation focusing on transferring business operations from a third party payer to MVP Healthcare; educated and directed conversion team on the implementation and configuration of the Facets product ensuring HIPAA compliance; worked closely with project management and IT resources to ensure accurate communication of conversion activities; facilitated communication of system issues and enhancements between the client and TriZetto; provided training and assistance on medical applications and operations already live in Facets including troubleshooting the billing and claims error logs as well as discussing the Coordination Of Benefits calculation methods available in Facets; performed data analysis to develop the most efficient course of action to successfully complete the integration within a three month time period; provided recommendations and documentation of all project related activities. -
Facets Product ConsultantUnitedhealthcare Dental (Pdv) Oct 2002 - Oct 2003UsFacets product consultant leading the Dental Plan, Provider Pricing & Capitation, Customer Service and Claims Processing functional areas; Educated and directed conversion team on the implementation and configuration of the Facets product pursuant to business and HIPAA requirements; Facilitated communication of system issues and enhancements between the client and TriZetto; Assisted IT in the development of operational reporting from Facets; Educated and directed team in data extraction methodology from Facets to validate conversion and configuration activities; developed high level workflow processes for claims, customer service and appeals functional areas; Provided post go-live support to operational areas.
Kim Collins Skills
Integration
Business Analysis
Sdlc
Software Documentation
Business Requirements
Testing
Requirements Analysis
Sql
Vendor Management
Hipaa
Healthcare Information Technology
Visio
Healthcare
Requirements Gathering
Technical Analysis
Software Project Management
Data Mining
Data Analysis
Business Process Improvement
Batch Processing
Pmp
Edi
Business Intelligence
Systems Analysis
Databases
Configurations
Microsoft Sql Server
Data Warehousing
Pmo
Access
Sharepoint
Facets Configuration
Keyword File Creation
Kim Collins Education Details
-
University Of WashingtonCommunications -
Uppsala University
Frequently Asked Questions about Kim Collins
What company does Kim Collins work for?
Kim Collins works for Cognizant
What is Kim Collins's role at the current company?
Kim Collins's current role is Facets Advisory Consultant at HCSC.
What is Kim Collins's email address?
Kim Collins's email address is ki****@****ing.net
What schools did Kim Collins attend?
Kim Collins attended University Of Washington, Uppsala University.
What skills is Kim Collins known for?
Kim Collins has skills like Integration, Business Analysis, Sdlc, Software Documentation, Business Requirements, Testing, Requirements Analysis, Sql, Vendor Management, Hipaa, Healthcare Information Technology, Visio.
Who are Kim Collins's colleagues?
Kim Collins's colleagues are Sasilaya Kancharla, Nithila Velusamy, Suchitra K, Ranjini Arunprasath, Jitesh Lal, Rajiv Ranjan, Sridevi S.
Free Chrome Extension
Find emails, phones & company data instantly
Find verified emails from LinkedIn profiles
Get direct phone numbers & mobile contacts
Access company data & employee information
Works directly on LinkedIn - no copy/paste needed
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial