•Collaborate with regional stakeholders, benefits and provider configuration, system load and other IT constituents to establish, document, and implement the User Acceptance Testing plan •Develop test scenarios and test cases for the Tapestry AP claims adjudication and system•Review regional requirements and test case data with SOX, Compliance, Business Process Operational Readiness (BPOR), Solution Dessign (App Builld), and regional subject matter experts•Coordinate uploading Test Requirements and Test Cases into HP ALM for test case management•Assigning work, and managing work assigned to testers•Schedule and perform result reviews with the regional stakeholders•Report on UAT status weekly, daily, and as needed with Leadership, Management, and regional subject matter experts

Working with DC DMV to manage their Department of Motor Vehicle Administration. Like healthcare, there is massive data and varied processes. I get to learn the rules of traffic administration, while using the education, skills, and tools acquired via healthcare.

Thank you for visiting my profile & learning more about IBCS-The Healthcare Advocacy Firm. We closed the doors to this business, and have referred all clients, and subsequent requests for support to the capable hands of some of industry peers in the area.Infinity Business and Concierge Services was in business to help families with caregiving challenges, primarily supporting the "Sandwich Generation" with challenges that arise dealing with family members as they go through health difficulties, and some through the end of life processes. This work was a labor of love, but due to economic concerns, we had to let it go.

As a contractor, I - Work with the Pediatric Home Health team to validate and document adherence to clinical and regulatory protocol for clinical practitioners providing services in patients' homes. - Help the department and the organization prepare for The Joint Commission accreditation and for state and federal regulatory audits - Track and investigate patient safety concerns related to pediatric patients

Collaborated with national claims configuration business management and leadership to establish national configuration standards for the new health insurance claims system. To achieve this, seven multi-day work sessions and ongoing bi-weekly meetings, in addition to sub group facilitation were required, with the objective to gain consensus on national configuration standards from 6 regions, CA, CO, HI, Mid-Atlantic States (MAS), NW, and OH. Performed analysis, compiled required data, and managed related documentation via MicroSoft SharePoint.Documented the current state claims configuration process, for 3 regions, the MAS, OH, and the NW. For each region, Authorization and Benefit configuration, and Code Set Management processes were documented using MicroSoft Word, Excel, PowerPoint, and Visio.Documented the current state Provider configuration process for the NW and OH regions, using Visio.

Jones Consultation provides consultation support for information technology system upgrades, process and system replacements, and process improvements.I work with you and your team to use your business pain points to shape more effective and efficient processes. Many improvements do not require additional technology, but optimizing what you have.

Project Managagement using Six Sigma methodology – redesigned the Utilization Review Division, from the Call Unit, Scripted Review, and Clinical ReviewRedesigned and implemented new processes for the departmentMonitored and communicated business performance using scorecards, metrics and trendsLed project teams through two Kaizens, including project task completionMaintained strong business relationships ranging from staff through senior leadershipDocumented current processes, future processes, identified gaps

Managed three teams: Group Database Administration; Quality Improvement; and Administrative Support Business Project Lead for departmental technology implementations Coordinated and collaborated internally and with external departments regarding planning, system design, and redesign Liason and point of contact for the department with interfacing departments within the region and externallyEstablished the Quality Improvement teamDesigned and re-engineered process flows for the department, starting with Administrative Support, and then to the entire department

• Analyzed, verified, and prepared the monthly Performance Variance and Metric reports for operating expenses, which compared the actual expenses to the budget • Investigated and reported on variances to the operating expense budget• Assisted with the creation and final submission of the 2000 and 2001 budget forecasts for operating expenses in the Mid Atlantic, Georgia, and Ohio regions• Participated in projects requiring financial and square footage results within the department• Prepared adhoc reports as needed• Developed and edited the Facilities Services Handbook for Colorado and Kansas • Maintained contra and recharge accounts for the Central East Hub• Managed Accounts Payable for the Administration and Design & Construction units of the Mid Atlantic facilities dept.• Maintained day to day operations in the absence of the Administration Manager• Administered the Gold Star Gift Awards Program for the Central East Hub• Coordinated the Y2K Remediation and assessment for Rockville departments reporting to the program office in California (475 users)