Mark Behringer Email & Phone Number

Itasca, Il, Us

Project: APP Design is a leading developer of healthcare information technology systems. APP works closely with their clients and regularly updates and maintains several healthcare-related products. Responsibilities:• Created training content for product updates.• Created reference content for product updates.• Performed QA for product updates.• Communicated with clients about product changes.

Project: The Northern Trust Alternative Assets Services group experienced significant backlogs reconciling automated transaction exceptions, particularly at end-of-month and end-of-quarter. This program created a robust automated rules engine to better process transactions, reducing the number of exceptions that require manual intervention. The first implementation, for the Private Equity Transaction group, reduced the time required to process a typical end-of-quarter exception backlog from three days to eight hours. Responsibilities:• Gathered process information and current state information from TNT subject matter experts and technology partners. • Created current and future state process diagrams and business workflows with narratives for TNT Private Equity transaction management services using Microsoft Word and Microsoft Visio. • Created current and future state process diagrams and business workflows with narratives for TNT Syndicated Loan transaction management services using Microsoft Word and Microsoft Visio. • Created functional and nonfunctional business requirements for the new rules engine in Microsoft Excel.• Created strategic testing plans and user acceptance test (UAT) scripts using Microsoft Word, Microsoft Excel and Microsoft Visio. • Led user acceptance testing (UAT) for three projects with business partners in Chicago, IL, and Bangalore, India using Microsoft Excel. • Coached a team of ten business analysts to provide consistent deliverables across multiple projects.

Project: WNYHealtheNet RHIO is an insurance payer consortium serving upstate New York. It was the first healthcare information exchange (HIE) to seek CAQH CORE (Committee on Operating Rules for Information Exchange) Connectivity certification. The CAQH CORE process centers on rule development, testing and certification, and measuring/tracking outreach. APP Design is a leading developer of healthcare information systems. APP Design’s CORE Server is a web-based EDI clearinghouse built to meet CAQH CORE Connectivity Phase I and II compliance guidelines for HIPAA X12 270/271 eligibility and 276/277 claim status messaging transactions. Following WNY HealtheNet’s certification, my project deliverables and artifacts have been shared by CAQH with other organizations seeking the CORE certification. Responsibilities:• Created the CORE certification project Communication Plan, Risk Management Plan, Capacity Plan, Migration Plan, and Test Plan• Elicited business and functional requirements from business users and the IT teams. • Created CORE Server Functional Requirements, including SOAP and WSDL messaging, web services, transaction processing rules, and Payer server implementation. • Created CORE Server Provider Implementation Guide, including training and reference materials. • Created CORE Server System Architecture Design, including workflow diagrams and narratives for business-facing components such as clearinghouse transaction processing between Payers and Providers.• Created the CORE Server Payer Connectivity Guide including detailed technical diagrams of web traffic, network configuration and WSDL and SOAP XML messaging.

Chicago, Il, Us

Project: AIM provides preauthorization and claim management services to payer providers based on network, coverages, and other rules. Their original product was imaging benefits utilization management, which included XRAY, CAT, MRI and other methods.The radiation oncology (RAD) and sleep medicine (SLEEP) programs were new products. Radiation oncology managed payer preauths and claims through the complex cancer treatment lifecycle, including diagnosis, treatment and management. Sleep medicine managed payer preauths and claims for diagnosis and treatment, including durable medical equipment and consumable supplies.Responsibilities: • Developed business functional requirements for a RAD pilot implementation.• Developed business functional requirements for three regional customer implementations for RAD.• Gathered requirements from medical and insurance subject matter experts on current diagnosis and treatment for RAD and SLEEP.• Elicited functional and nonfunctional requirements for RAD claim support by interviews and shadowing at AIM and payer call centers. • Created a large scale mapping to effectively group claim codes to improve RAD program design• Created business process diagrams and decision charts for RAD with narratives using Microsoft Visio and Microsoft Word. • Created a SLEEP benefits business presentation and other materials for the marketing group to support client calls.• Developed business functional requirements for the SLEEP program. • Reviewed client medical policies and claims processing rules, CMS ICD9 and CPT coding, and researched relevant state and federal regulatory requirements.• Created business requirements for AIM’s ICD9 to ICD10 conversion. • Supported project managers through reporting and discussing possible issues and solutions.

Project: WNY (Western New York) HealtheNet is a health information clearinghouse that accepts web-based requests from providers and generates a standard request routed to payer system. APP Design developed Direct Connect to allow hospitals and clinics to send eligibility-related X12 requests to payers associated with WNY HealtheNet. Direct Connect includes a Real Time Individual Transaction Submission component and a Batch Transaction Submission component. Responsibilities:• Created requirements for Direct Connect payer-specific data required to submit a successful X12/270 request transaction. • Created functional and business requirements for the provider Direct Connect web portal. • Deliverables included business rules, use cases, process flows and narratives, and UML diagrams. • Created wireframes and documented technical specifications using Balsamiq Mockups.• Mapped XML messaging structure s between the portal and payer claims systems. • Created an online Wiki site to manage project communications and other artifacts.

Downers Grove, Illinois, Us

Project: Advocate Healthcare redesign of its HR onboarding process to include a web-based portal. Responsibilities:• Gathered requirements through interviews with business owners and subject matter experts.• Elicited and wrote functional and business requirements used by developers to create onboarding tools. • Designed onboarding web portal graphic user interface (GUI) for Advocate’s recruiting and hiring process. • Designed and prototyped multiple pages of the user interface layout, using HTML4 and cascading style sheets (CSS)• Designed graphic elements for onboarding pages and controls.

Project: Allstate implemented an enterprise-level data center program to update and consolidate six existing offsite disaster recovery (DR) data storage facilities into two. These six sites were used by Allstate underwriting companies in 50 states. This program would also relocate each Allstate company’s data from hardware-based server farms to more cost and energy efficient blade servers. Five of the existing DR centers were to be shut down, one would be refurbished and a new center would be built. This was a large-scale project and 26 project managers were allocated to it.Responsibilities:• Created a detailed process map of the migration program process.• Created Microsoft SharePoint pages to support the Project Office and individual subprojects.• Created orientation materials for onboarding project managers.• Created project plan templates and facilitation guides using Microsoft Word and Microsoft Project.• Elicited and wrote business and technical requirements.• Gathered requirements using individual interviews and team meetings with Allstate company senior management and the project’s business and technical stakeholders.• Created business-facing presentations about the project used for communications and as training during the program’s launch.• Gathered and tracked issues and possible trouble points with the Program office.

Overland Park, Ks, Us

Project: Mediware LifeTrak is a blood center and donor management system. LifeTrak provides tools to create, test and label blood products, manage inventory and distribution, and keep track of donors. This project created a “Train the Trainer” program to support the growth of their customer base.Responsibilities:• Developed detailed installation and configuration guides for LifeTrak blood bank, hospital and laboratory interface product. • Developed LifeTrak installation and configuration training for customers and assisted in training delivery. • Managed testing and quality assurance (QA) for LifeTrak GUI and data interfaces.

Northfield, Illinois, Us

Project: The College of American Pathologists (CAP) is an organization of approximately 18,000 board-certified pathologists. CAP inspects and accredits medical laboratories under authority from the Centers for Medicare & Medicaid Services (CMS). Certification lasts for three years. CAP staffs, schedules and executes peer reviews of healthcare facilities seeking to receive or maintain CAP certification. This project was a migration from paper-based scheduling to a web-based platform to improve planning, certification and review processes. Responsibilities:• Created the project plan using Microsoft Project.• Managed this project plan and worked with developers and business stakeholders. • Gathered business and technical requirements for provider peer review certification and program migration to web portal. • Created business and functional requirements to migrate the existing manual process to a web-based platform.• Created business requirements for CAP member healthcare provider certifications.• Managed quality assurance (QA) testing and reporting using Microsoft Excel.

Schaumburg, Il, Us

Project: Zurich NA updated its claims handling support program. Responsibilities:• Documented new claims information system• Created training and support for claims handlers, account managers and customer service representatives. • Participated in program user acceptance testing (UAT) and quality assurance (QA) reporting.

Project: Allstate Specialty Products Company (SPC) covers products beyond Allstate’s standard home and auto. These include coverages for personal umbrella policy (PUP), Boat, Motorcycle, and Manufactured Home products As Project Manager for a phased product redesign for several specialty product lines, I was responsible for several lines, including Boats, Motorcycles, and Manufactured Homes as each product was redesigned for each of the states where they were offered.Responsibilities:• Managed project plan for state-by-state introductions or redesigns of 147 products for up to 50 states.• I managed requirements and development for regulatory compliance for up to 49 states per product line using Allstate’s project management methodology. • Research included individual state insurance regulatory requirements and Allstate’s product guidelines. • I worked with local and offshore development and business resources to manage the scheduling using Allstate’s T-Minus system. Project teams consisted of Allstate management, offshore (Ireland) and US development resources, and product owners.

Chicago, Il, Us

Project: United Airlines created and implemented TED, a web portal to support ticket sales and customer service. Responsibilities:• Developed requirements and documented functional specifications for United.com online Travel Platform. • Worked on requirements and design for UI. • Maintained deliverables and other project documentation using Lotus Notes.

Created functional requirements and GUI design for law firm's online 'deal room' using Lotus QuickPlace.

Chicago, Il, Us

Project: Tripplite planned to develop and create a set of Spanish-language customer-facing sites. I was brought in to review the current project plan and provide guidance for making it more effective.Responsibilities:• Reviewed Tripplite’s existing project plan.• Consult with project participants including managers, developers, and content subject matter experts.• Revise project plan using input from stakeholders and my own experience with waterfall project lifecycle.

Dallas, Tx, Us

Project: The SBC ICE Managed Services order entry and trouble ticket management program was created to provide support for SBC’s enterprise customer phone and data communications services. Responsibilities:• Created business rule engine for Managed Services. • Created business and functional requirements for ICE Managed Services program. • Created test plan, test cases and scripts using Mercury Test Director.• Held PMO QA and Risk/Issues mitigation roles. • Facilitated regular status meetings and reporting for three development teams

Chicago , Il , Us

Project: Kemper was redesigning several products, including their Business Owners lines. Responsibilities:• Created documentation for Business Owner Policy (BOP) group products.• Created library structure for Kemper customer relationship management (policy) business.

Chicago, Illinois, Us

Project: CNA Insurance Company implemented a company-wide laptop platform redesign that would ensure consistent imaging for all users. Responsibilities:• Developed and implemented procedures and supporting tools using Lotus Notes to identify and resolve issues.• Implemented change management processes to control scope and schedule changes.

Chicago, Illinois, Us

Project: Beltone created a best practices program to collect the elements of successful Beltone hearing aid dispensers and provide resources for other Beltone dispensers to improve their practices. The three categories focused on were patient care, dispenser practice management and business development.Responsibilities:• Gathered best practices for patient care, practice management and business development. Traveled to six US cities over eight weeks to conduct onsite interviews and surveys in the areas of patient care, practice management and business development.• Created a Best Practices Toolkit for the Beltone national hearing aid dispenser network. • Supported release and implementation of the Best Practices Toolkit.

Westlake, Texas, Us

Managed a 5-person team to develop a training program for Charles Schwab's telephone marketing and support centers. The training was for the customer relationship managers and was aimed at improving CRM skills for gathering and validating customer demographics and providing consistent service responses.

Worldwide, Oo

Worked with DRT sales staff to prep them for calls; helped determine best practice standards for BA and writer positions; provided guidance to three to five team members; managed reporting and other communications on project teams.

Wrote user-facing training and reference guides and technical documentation; designed job aids including a barcode scanning tool guide; developed graphics for documents and presentations; used desktop publishing tools to create layouts; accompanied marketing reps on sales calls.

Chicago, Illinois, Us

Created user training and reference materials to support Lawson HR implementation.

Project: Co-creator of the WBBM-Tribune Business Report. I was the first writer and editor of the Chicago Tribune/WBBM business news reports, an hourly digest of business news provided by the Tribune’s Business section to the CBS AM radio affiliate in Chicago. This was a joint effort between editorial and marketing departments. It was a very successful project. It is still on the air today.Responsibilities• Writing and editing up to 13 reports daily Monday through Friday.• Working with Financial News editors and reporters to select stories for reports.• Managing delivery of reports to Newsradio 78 newsroom for broadcast.

Creative Writing, Journalism, Fine Arts (Painting, Sculpture)

Creative Writing, Journalism, Philosophy