Pam Moss work email
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Pam Moss personal email
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Health care professional with extensive IT background and a current Massachusetts RN license. Detailed knowledge of MassHealth Public Plans Community Partner Program and Accountable Care Organizations. Extensive experience in health care systems, project management, data analysis, health insurance payer operations and ICD-10 coding. Results oriented and attention to detail with proven track record of leading technical and business teams in all phases of system development life cycle. Specialties: healthcare systems and processes, care management operations, project management, technical and business analysis, SDLC, managing vendor relationships, integration of business workflows and technology, ICD-10
Armstrong Moss Llc
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Senior Healthcare ConsultantArmstrong Moss Llc Dec 2022 - Present
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Rn Program Manager – Masshealth Community Partners ProgramPoint32Health Oct 2017 - May 2022Watertown, MaManaged and coordinated all components of the MassHealth Community Partners (CP) Program for Tufts Health Public Plans including reporting, managing file interfaces and provided oversight of clinical operations for member assessments, CP referrals and reporting. Liaison to 27 external MassHealth contracted Behavioral Health and LTSS Community Partner organizations and MassHealth clinical/reporting teams. Subject matter expert in CP Program for all teams supporting the Tufts Health Public Plans line of business. -
Business Systems Analyst Lead - Public PlansTufts Health Plan Jul 2014 - Sep 2017Facilitated and implemented new systems and business processes supporting the new MassHealth Community Partners program effective July 1, 2018. Provided extensive support to clinical staff and senior leaders for the Unify (OneCare) program including numerous system and process enhancements to improve efficiency and ensure care management contract requirements are met. -
Icd-10 Analyst - Commercial And Senior ProductsTufts Health Plan Jun 2010 - Jun 2014Watertown, MaSystem configuration lead for identifying ICD code impact and preparing systems for ICD-10 implementation. Extensive data analysis to determine coding and financial impacts of ICD-10 on DRG assignment and payment. Assisted with translation of ICD-9 to ICD-10 codes for various system components and end-user documentation. Participated in all phases of functionality and end to end system testing to test readiness of systems to accept and process ICD-10 claims and clinical transactions. Provided coding and clinical expertise to other work threads including Business Readiness and Deployment. -
Rn IiBeth Israel Deaconess Medical Center Mar 2008 - Dec 2011BostonMed/Surg RN II - Adult inpatient medical/surgical patient care Reisman 12 (GYN, GYN/ONC, GU, Plastics, Ortho, ENT, Colorectal surgical post-op care) -
It Project Manager & Analyst LeadTufts Health Plan May 1995 - Sep 2007Watertown, MaLed technical and business teams in all phases of implementing new clinical systems for in-house medical directors, case managers and mental health clinicians. Provided ongoing systems support to Clinical Services and Provider Credentialing departments. Managed technical teams supporting day to day operations of systems used by these departments; Led technical and analyst teams in all phases of migrating existing HIPAA transaction applications used by external trading partners to new technology platforms. -
It Systems Development/Analyst, Manager/Project Manager - HealthcareElectronic Data Systems Jun 1977 - May 1995VariousCompleted systems engineer development program including all phases of the systems development life cycle. Developed and implemented numerous reporting and system enhancements for healthcare insurer end users. Coordinated implementation efforts for several large claims and clinical system enhancements. Functioned as liaison between off-site technical team and business users. IT testing coordinator for all activities associated with the conversion to HCPCS procedure and ICD9 diagnosis coding structures throughout the claims and related systems.
Pam Moss Skills
Pam Moss Education Details
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Summa Cum Laude -
Summa Cum Laude
Frequently Asked Questions about Pam Moss
What company does Pam Moss work for?
Pam Moss works for Armstrong Moss Llc
What is Pam Moss's role at the current company?
Pam Moss's current role is Healthcare Consultant.
What is Pam Moss's email address?
Pam Moss's email address is mo****@****ail.com
What schools did Pam Moss attend?
Pam Moss attended Simmons College, Boston College.
What skills is Pam Moss known for?
Pam Moss has skills like Healthcare, Icd 10, Project Management, Data Analysis, Sdlc, Process Improvement, Hospitals, Healthcare Management, Hipaa, Health Insurance, Healthcare Information Technology, Business Analysis.
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