Nancy Smith Email & Phone Number

Tennessee, United States

Responsible for directing the team managing clinical application implementations, training, EHR support and telehealth technology within a correctional setting. Currently overseeing a staff including Clinical Account Managers, EHR Trainers, Clinical App Support Manager, Business Analysts, Clinical Solutions Analysts, Project Management, and Telehealth.

Remote

Responsible for directing the team managing clinical application implementations, training, EHR support and telehealth technology. HOCS Inc is a managed service provider (MSP), a third-party company that remotely manages a customer’s information services and technology. Currently providing management for a correctional medical vendor overseeing a staff.

Brentwood TN

Promoted to Sr. Director position as company downsized closing a 2nd corporate office. Kept all existing duties with added responsibilities for other areas of IT. Led team to define, analyze, improve, and launch efficient delivery process improvement opportunities across all functional areas within the IT Customer Solutions group. Provided direction and.

Create and maintain a comprehensive project management roadmap for implementations servicing all business functions to ensure project management execution and implementation plans are aligned with business objectives and IT strategies. Oversee project resources required to implement EHRs within correctional facilities executing aspects of complex.

Franklin Tennessee

Responsible for managing teams within the Revenue Cycle Management Department for Premise Health worksite health centers where we provided management solutions for our clients. Developed first year budget. Worked with leadership team to separate business from Sellers Shared Services department thru a transition process. Created and implemented an exit plan.

Franklin Tennessee

Responsible for managing teams within the Central Billing Office for Walgreens integrated workplace health centers where we provided management solutions for our clients. Management responsibilities included the temporary billing staff for the health centers transitioning from a paper process, managed the certified coding team who performed medical chart.

PMO was moved from IT to Corporate. Continued to lead team of project managers on all IT initiatives including application development, EHR Conversions, data extracts and imports, patient portals, intranet implementations per department. Led and participated in multiple committees and workgroup.

Built and managed the IT PMO for the Franklin Corporate office. Hired and managed all IT business analysts and project managers. Developed and implemented processes and procedures including templates for project management of small to large IT project initiatives primarily for software development. Directed the project team in the development and.

Contracted with the Commissioner of the Dept. of Commerce and Insurance in Tennessee to complete medical claim settlements for managed care companies in liquidation pursuant to the statutory liquidation process. Responded to member or provider inquiries and requests. Drafted communications to providers and members regarding liquidation process or.

Primary responsibilities included the planning, directing, and coordinating of the claims review process and resources in order to provide the expected results of liquidating a managed care company. Managed staff of 11 claims analyst. Conducted claim audits prior to releasing payments throughout the liquidation. Reviewed provider and facility contracts to.

Responsibilities for managed care organization with 125,000 TennCare (Medicaid) members, included increasing the staff from 3 to 25 employees and the continued oversight of a 25 person IS staff of project manager, systems analysts, FoxPro programmers, EDI specialists, AS400 computer operators, and HIPAA compliance specialists. Created and maintained.

Responsible for ongoing system analysis to identify and propose business solutions. Assisted with the development of companywide training programs. Major projects included the following: 1.) Management of the Y2K Project for the managed care organization resulting in a successful compliance audit by the State of Tennessee and the Bureau of TennCare. This.

Responsible for the budget development, hiring, training and development of Claims staff. Directed departmental expansion from 35 to 120 employees and extended operations to three shifts to meet demand. Enhanced the development and distribution of management reports. Reorganized the department to achieve greater efficiency and establish document control..

Managed call center and enrollment units for all lines of business. Staff included a team of 30 telephone representatives and administrative assistants. Responsible for budget development, hiring and training of staff, maintenance of enrollment data, customer retention, member education and maintenance of department policies and procedures. Successfully.

Recruited to manage the development and launch of the Commercial product including creation of all associated operating departments and creation of all initial policy and procedures. Key responsibilities included: Setup and management of the member services, claims, enrollment, data entry, and underwriting departments. Managed and trained new staff..

Network Marketing Company. Managed an office for a group of entrepreneurs during the development and implementation phase of several netowrk marketing companies. Duties included managing personnel, employee training, commission accounting, insurance agent/client services, GL, AR/AP, and Payroll.

Office Manager for Third Party Administrator. Duties included management of Billing and Commissions; Accounting functions (payroll, GL, AR/AP); MIB reporting, Underwriting assistant; production of insurance proposals; issuing of group/individual policies; managed claims entry process and maintained software updates and backups. Worked directly with the.