Melissa Eldridge Email & Phone Number

Responsible for overall success of Clinical rules Engine (CRE) product implementations. Manages the planning and implementation of these products and services for all lines of business enterprise wide. Primary duties include analyzing complex lines of business and business partner requirements, overseeing business partner relationships with the CRE, implementation reviews to ensure business partner needs are met, coordination and prioritization of needs with multiple business partners, including Information Technology. Oversight of project plans, providing ongoing leadership and direction to Solutions Management staff. Working with Director of Operations, Director of Healthcare Quality Improvement and Vice President of Product Development to provide feedback on new and existing implementations, ensuring appropriate level of communications exist with the business partner so they are informed of progress as well as issues and their impact and to act as the first level of escalation for operational issues. Responsible for measuring and monitoring partner satisfaction. Maintaining an in-depth knowledge of all current CRE systems, products and services and understands of future system and product development plans to allow appropriate planning for production schedule and operational processes. Hire, train, coaches, counsels, and evaluates performance of my direct reports

Responsible for leading the planning and implementation of RHI products and services for a line of business enterprise wide. Serves as the single point of contact and subject matter expert on all aspects of planning, implementing and managing day to day operational, technical and business partner interactions for existing programs and works together with Product Development to consult on enhancements to existing products and development of new clinical solutions based on RHI analytics. Coordinates with the Physician Liaison regarding clinical issues related to clinical measure implementation or customization by line of business and communicates changes to Product Development for consideration in product performance and financial analyses. Schedules and coordinates implementation of contracted products and services for assigned business partners. Coordinates data requirements, production schedules and deliverables with the business partner. Oversees all business partner specifications and/or modifications for contracted RHI products and services. Provides business partners with the resources, training and services necessary to effectively utilize the products that RHI provides. Analyzes business partner data for QA and identification of opportunities for business partners to utilize RHI products and services to improve plan performance. Maintains detailed knowledge of current clinical measures and future clinical measure development plans, communicates this information to business partners, assists in the selection of clinical measures to be utilized in pilot and full rollout of RHI products and services, and guides business partners in continually reviewing and updating clinical measure sets. Maintains detailed knowledge of all current RHI systems, products and services and basic understanding of future system and product development plans to allow appropriate level of communication with business partner.

Duties: Departmental Operations Lead. Responsible for loading and analyzing Medical and Rx claims data in SQL databases, using custom SQL scripts. QA of output data located in XML files, using Xpath queries. Creating standard operating procedures, and manuals. Creating and enforcing standard QA processes. Working with clients to resolve data issues. FTP and PGP encryption of data. Creating standard file structures, and file naming conventions for a company wide initiative. Responsible for processing daily SafetyRx Alert process for national health insurance companies. Maintaining client relationships in order to complete monthly processing of medical and Rx data. Backup desktop technician to resolve standard desktop software loads and first level helpdesk. Initiating the creation of a disaster recovery policy. Responsible for establishing training opportunities for new and existing departmental employees.

Duties: Monitoring current Environment changes to ensure that all policies and procedures have been followed, and that no conflictions occur. Monitoring backups, and system processing jobs, to ensure successful completion. Updating and writing procedures. Updating processing schedules. Training of new employees.

Duties: Monitoring current Environment changes to ensure that all policies and procedures have been followed, and that no conflictions occur; Autosys Administrator, for both Windows, and UNIX; NDM administrator; Responsible for releasing software code into the QA environment, and then into the Production environment; Backup for Remedy Administrator; Active participant in disaster recover twice a year; Maintaining Tech Services Websites; Training of New Employees; Making sure that the proper risk assessments are documented per changes; Software installations and upgrades; Production Control Lead

Duties; Coordinate and communicate information system activities, and status of scheduled processes; Schedule, and Monitor business critical processes, and functions; Administration of phone services; First Level Helpdesk support for over 1500 users; Backup and Restore system file data; Storage and retrieval of magnetic data; Distribution of reports from multiple computer systems; coordinate system Tech Group Disaster Recover activities, and planning; Administrations of Account logins for multiple applications; Training of new Employees; Team Lead for Data Center Operators.

Duties: Responsible for backups, starting and stopping jobs; printing and distribution on a DEC Alpha VAX system. Ran customer reports, and Maintained Tape Library;

Duties: Ran, Printed, and distributed reports for customers on HP9000 Mainframe system; printed Medical Cards for new patients; Sent daily updated files to physicians; Rescheduled maintenance for systems; updated procedures; Researched, and resolved system complications; completed weekly and monthly backups; performed Helpdesk duties, and basic system maintenance.

Duties: Coordinated with system users; computer operators, and system programmers to ensure maximum utilization of the computer hardware, and software, by setting up software and hardware installations; coordinated system maintenance, such as IPL's, Recycles, and Weekly, as well as Monthly backups. Ensured that Field Engineers were researching, and correcting system issues in a timely manner, and to the satisfaction of the customers.

Duties: Operated Seven Mainframe system on critical mission supports; Trained New Airmen on Seven separate Mainframe Operating systems; Created system procedures

Duties: Operated Two Mainframe operating systems; Initiated Startup and shutdown procedures using JES2, as well as TSO, and ISPF/PDF utilities; Recycled, and performed IPL's of these system mainframes; Monitored all hardware, such as the Series 1 Stand Alone Processors, Crypto equipment, Line printers, cartridge, and tape drive units; Located possible batch job issues using JCL; Monitored DASD disk space and file space, as well as utilization using DFHM, and Omegamon utilities

Education record

Education record