Anne Perry Email & Phone Number

Madison, Wisconsin, Us

Tegria sprung to life in 2020, uniting the best talent, experience, technology, and solutions in healthcare, and embracing a bold promise, to humanize each healthcare experience. Our values—be real, serve intentionally, step in and step up—advance what was tried-and-true among our legacy brands and honor our roots as a company founded by Providence. As a human-first partner, we fully embrace our own values on our way to deeply understanding yours.ACCOMPLISHMENTS: Mentored Capability Managers and Senior Capability Analysts on best practice technics for business requirements elicitation, documentation, elaboration, and user acceptance testing.  Established a SharePoint solution and E2E process for Issue Reporting, Triage, Tracking and Resolution reducing turnaround times for issue resolution by 75%. Developed SharePoint solution and E2E process for User Acceptance Testing (UAT), providing full transparency and traceability for new functionality and production defect fixes currently being tested by Capability Managers and the Business Resources.  Designed and Development Power BI Dashboards providing REAL TIME STATS for User Acceptance Testing efforts and Issue Management. CONSULTATIVE AND MENTORING SERVICES: Assessment of current/future state business workflows, reaching beyond parity, ensuring best practice and maximized automation. .  Maintaining integrity of business requirements from elicitation, documentation, elaboration, design, and system solution.  Elaboration technics for presenting business problems/needs to UI/UX, Architecture and Information technology resources to ensure appropriate design, solution, and overall user experience . Business functional testing processes, documentation, tracking and dashboard, ensuring design and solutions delivered meet business needs expectations.  Issue reporting, triage, tracking processes and dashboards for Production and Non-Production Issues.

Boston, Ma, Us

MANAGER, IT PRODUCT PORTFOLIOBased in Massachusetts, Commonwealth Care Alliance® (CCA) is a not-for-profit, community-based healthcare organization dedicated to improving care for individuals who are dually eligible for MassHealth (Medicaid) and Medicare with complex medical, behavioral health and social needs, including those with disabilities. With more than 38,000 members, CCA offers two plans: Senior Care Options (HMO SNP), for individuals ages 65 and older who have Medicare and MassHealth Standard or only MassHealth Standard; and One Care, a Massachusetts demonstration program for dual eligible individuals ages 21 to 64.ACCOMPLISHMENTS: Leading IT and Business Teams for seamless upgrades for clinical applications including Care Management Platform and Electronic Health Record. Designing a HIPAA compliant Care Management Platform Downtime SharePoint Solution, allowing documentation for care management, utilization management and grievance and appeals activities to continue seamlessly in the event of an unforeseen or planned application outage.  Partnering with ARCH, IT and UI/UX on Strategic Initiatives for Provider Portal, Auth Automation, Electronic Visit Verification (EVV), Robotic Process Automation, CRM (Member 360 experience) and expansion of new Medicare LOB into partnering States (i.e. RI).  Stood up a Clinical Governance Model – Ensuring incoming business requests undergo evaluation for alignment with organizational strategic objectives, return on investment (ROI), adherence to regulatory and compliance requirements and priority order based on objective scorecard mechanism.  Standardizing Business Communication Outlook Templates – allowing for consistency with how we communicate with business partners/stakeholders. Standardizing Escalation Process – created SharePoint/Teams site Escalation Tracker, automated for notifications and assignment to Tiered resources, allowing escalations to occur in centralized location versus only in email.

Teaneck, New Jersey, Us

MANAGER, CONSULTING: CLIENT – COMMONWEALTH CARE ALLIANCE (BOSTON, MA)Cognizant (Nasdaq-100: CTSH) is one of the world's leading professional services companies, transforming clients' business, operating and technology models for the digital era.ACCOMPLISHMENTS: Led IT Team of 10+ technical resources in successful implementation of CCA’s Enhanced Model of Care (EMOC) - redefining the member care delivery model to include a multidisciplinary ‘TEAM’ of care team members, essentially providing access to all necessary services including Medical, Behavioral, Specialized (PT, OT) and Community Coordinators.  Designed and developed Care Management Platform SharePoint Landing Page– ONE STOP SHOP for Upcoming Events, Monthly Release Planning, Project Level Requirements Status (QA, UAT, PROD), Project Resource List, Quick Links (Report Issue, New Intake Request, Ready for Review Documents, Monthly Calendar), YAMMER for shout outs and HUB Planner for team collaboration/communication. SENIOR PRODUCT OWNER Defined system requirements for Robotic Process Automation (RPA) for LifePod Project, enhancing CCA’s technological reach and enabling greater continuity of care for each CCA member served, automating RN and MD clinical workflows, Created requirements for and aligned with BI to establish a Tableau dashboard to quantify outreach efforts, scheduling and successful installations of LifePod devices in over 500 + CCA Member homes.  Focused on organizing/translating/grooming extensive ‘backlog’ of 200 + requirements, narrowing down to under 50 actionable business asks with clearly defined acceptance criteria. A defined backlog enabled solutioning and estimation to proceed, ultimately allowing roadmap to be established with specific milestones and deliverables dates/timeline.  Established application patch release cadence- vendor patch fixes, configuration requests and enhancement delivery.

King Of Prussia, Pa, Us

WE'RE IN THIS TO TRANSFORM HEALTHCARE—HERE AND NOW.As industry pioneers, we have been passionate about care management since day one. With a new era unfolding, we are on a mission to apply everything we’ve learned to help transform our customers’ organizations.ACCOMPLISHMENTS: Collaborated with State of Colorado and DXC Inc. to create the Aerial Care and Case Management Solution, providing a universal solution for the assessment and management of Medicaid Long Term Care (LTC), Nursing Facilities (NF) and Home and Community Based Services (HCBS).  Provided VISION for Aerial model approach to Case Management government/social services workflow including Intake, Screening, Assessment and Support Planning for Long Term Services and Supports. Lead Business Analyst efforts for successful integration of Aerial iExchange provider portal with InterQual Connect. SENIOR PRODUCT OWNER: Established the Product Roadmap and Product Backlog for new LTSS Government business offering. Product Owner for internal and external development teams. (Product backlog grooming of Epics and User Stories, Sprint Planning to establish iterations of completed work) Led Iterative reviews with internal and external stakeholders to provide status for product progression and to elicit critical feedback. Mentored junior business analysts on Agile methodologies (User Story creation, Elaboration, Estimations, Sprint Planning, Daily stand-up) Managed contracted BA's assigned to LTSS Government project. Documentation creation - Business Requirements Documentation, Requirements Traceability Matrix, Epics, User Stories (i.e. full traceability from SOW- Product Backlog- User Story- Development Subtasks - QA Tests- Technical Help).

Plano, Texas, Us

May 2017 - Feb 2018 (10 months)NTT DATA partners with clients to navigate the modern complexities of business and technology, delivering the insights, solutions and outcomes that matter most. We’re a top 10 global IT services and consulting provider that wraps deep industry expertise around a comprehensive portfolio of infrastructure, applications, and business process services. Enterprise Business Analyst working with Blue Cross North Carolina: Federal Employee Program Migration Project (FEP Migration). ACCOMPLISHMENTS: Created Entity Data Flow Diagram for FEP: Post Adjudication demonstrating all participating entities and data management requirements. Coordination with Development teams to achieve solution design for FEP- Migration. Coordination for Traceability Matrix for all functional and technical requirements associated with the FEP- Migration. Managed administrative and project related change requests, working with Development and external vendors to assess impact to project scope, timeline and/or budget. ENTERPRISE BUSINESS ANALYST Elicited requirements for BCBSNC FEP operations migration from iSeries (PowerMHS) and Mainframe components to the CareFirst FEP Bridge. Documented Functional/Non-functional requirements for the following migration topics: - Provider and Subscriber payments issued from Workday (Financial Solution) - Generation of Provider remittance and Subscriber correspondence using Constituent Communications Management (CCM) - Levy/Garnishment of Provider payments - 1099 Reporting for OneSource (1099 vendor) - Data exchange with Banking Institution - FEP Operational Reporting

Plano, Texas, Us

Aug 2016 - Apr 2017 (9 months)Senior Business Consultant: (AxisPoint Health of Broomfield CO)Supported client adaptation to Agile methodology for Care Transformation Project for CCM to VITAL.Accomplishments: Lead Business Analyst for 5 Development Teams. Supported client with transitioning from Waterfall methodology to Agile methodology. Modeled Agile techniques for: - Gathering requirements from all key business stakeholders. - Translation of business requirements into actionable Behavior Driven Design user stories. Creating video mock-ups to convey intended user experience and system functionality. - Coordination with DEV, QA and Tech writers to assure integrity of business vision. - JIRA backlog grooming, sprint planning, JIRA sprint boards, JIRA workflows. - Development and maintenance of Confluence Wiki pages for project visibility.

New York, Ny, Us

Mar 2015 - Aug 2016 (1 year 6 months)FJA, DENVER CO MARCH 1ST, 2015- PRESENTFJA helps insurance companies build a unified product platform that fuels new product development, drives operational performance, reduces costs, and accelerates time to market. Measurable cost reductions are achieved through streamlined product development/configuration, increased automation, and system integration. Agility in the marketplace and a definitive competitive advantage are achieved. FJA delivers results through a unique blend of technology and process. BUSINESS ANALYST Gathering Client requirements for product enhancements and creating Business Requirements and Functional Specifications documents for technological development. Collaborate with Product Engineers and developers thru Agile methodology to implement fixes and enhancements (Scrum and Kanban) o Front End Testing in applications following development efforts and Product Modeling.

Denver, Co, Us

Business Analyst: (Altruista and QNXT Implementations)  Liaison among stakeholders to elicit, analyze, communicate, and validate requirements for changes to business processes, policies and information systems. Understood problems and opportunities in the context of the requirements and recommends solutions that enable the organization to achieve its goals. Evaluated user requests to determine feasibility and cost & time required to protect the integrity of business vision from requirements gathering, design, development, integration/ testing, to installation and user acceptance. Systems/Application Analyst: (Altruista and QNXT Implementations) (EDI-837 submissions) Developed technical and application implementation strategies; design guidance to product developers; provided guidance on unit test criteria and data preparation to support unit testing.  Devised and/or modified procedures to solve complex problems considering software application limitations, operating time, and form of desired results o Identify and resolve system and procedural problems quickly and communicates to management and/ or affected users Application Administrator: (EDM- Claims Database- 837’s, 277’s, and 425’s)  Familiar with relational databases and client-server concepts o Implemented change and executed releases on database as deemed necessary  Perform analysis and institute quality checks and measures for areas/ applications of responsibility o Designed requirement documents for updating scrubs/extract logic, worked side by side with developers to implement and test.

Aurora, Colorado, Us

Jan 2008 - Jan 2012 (4 years 1 month)Colorado Access is a local, nonprofit health care company focused on finding new ways to add value with technology, ideas, programs, services, and tools. Colorado Access is forward-thinking, seeking ways to transform health care with innovative approaches and proven solutions.ACCOMPLISHMENTS: Altruista- Guiding Care: Utilization Management Module – provided requirements and designs for first implementation of Guiding Care UM Module. Designed and implemented Transition Access Program (TAP)- Hospital Discharge Program (Adult/ Child, Medical/Psychiatric) resulting in significant decrease in readmission rate for both Medical and Psychiatric hospitalizations. Resolution of claims adjudication issues, resulting improved compliancy with turnaround timeframes and significant reduction in penalties and interest. PROJECT MANAGER:  Altruista- Guiding Care: Utilization Management Module.  Transition Access Program- Hospital Discharge Program.  Ensured successful execution of project team activities (Transition Access Program, Altruista, QNXT). Identified & monitored issues, risks, decisions, progress, and reports to Program Manager for Coordinated Clinical Services. Managed assigned team and coordinated cross-functional/team activities and deliverables.BUSINESS ANALYST/SYSTEMS ANALYST:  Provided guidance on unit test criteria and data preparation to support unit testing. o Documented and tracked defects through to resolution. Ensured appropriate maintenance and necessary upgrades to ensure systems meet the current needs of end users.INTENSIVE CARE MANAGER Provided education and guidance towards member self-sufficiency with navigating and accessing both medical and behavioral health services. Coordinated with community agencies, including Behavioral Health Organizations (BHO’s), Mental Health Organizations (MHO’s), Medical Providers, Law Enforcement/Judicial Agencies, as well as County Social Service Departments.

OWNER/OPERATOR 2006 – 2008 Independent Mental Health Case Manager Contracted with BHI, PINON, and Colorado Cross-Disability Coalition Medicaid/MI Waiver Benefit Acquisition Assistance

Brighton, Co, Us

SOCIAL CASEWORKER III- INTAKE AND RESPONSE 2005-2006 Child Welfare Intake Investigation and Assessment Services Emergency Placement Court Ordered Treatment Plans  Specialized Interviewing Skills, Forensic Interviewing Skills

Englewood, Colorado, Us

SUPERVISOR/PROGRAM COORDINATOR/ CLINICAL FORENSIC CASE MANAGER 2003-2005 Supervisor/Program Coordinator Forensic Case Manager

Denver, Colorado, Us

ASSISTANT PROGRAM MANAGER/CLINICAL CASE MANAGER 2000-2002 Program Management (Community Treatment Team) Case Management

LEAD NEUROBEHAVIORAL SPECIALIST/SUPERVISOR NEUROLOGICAL TECHNICIANS 1998-2000 Hospital Non-Violent Skills Instruction Neurobehavioral Assessment and Program Implementation Milieu and Crisis Management