Rebeca M. Email & Phone Number

Kansas City, MO, US

Kansas City Metropolitan Area

• The Health Benefits Management Team designs, develops, and implements internal and external innovative solutions for Cerner Revenue Cycle.
• Manage product backlog for multiple scrum teams (scrum of scrums) or multiple complex products.
• Conduct backlog grooming and break down product requirements for multiple development teams.
• Leverage domain expertise to create and prioritize epics and user stories for product development.
• Plan and perform functional testing, including user acceptance and exploratory testing.
• Evaluate development risks, perform hazard analysis, and recommend mitigation.

Kansas City MO - Innovations Campus

• Analyzed quantitative and qualitative data to create functional requirements, use-case models, activity diagrams or other artifacts and acceptance criteria for complex solutions.
• Developed and supported solution vision through client interaction, market research, and interpretation of regulatory and accrediting.
• Developed and maintained holistic solution risk control documentation.
• Consulted with development team in planning, estimating, and allocating resources appropriately.
• Collaborated across solution groups on similar functionality to ensure common process and seamless integration.
• Participated in regular meetings to support development team and RFP processes, as appropriate.

Kansas City MO - Realization Campus

• Population Health State Medicaid Implementation team onboarded and drove interface testing strategies with solution teams.
• Designed complex interfaces to align to project scope.
• Managed project activities and changes onsite and remote.
• Mentored and supported associates in daily tasks and troubleshooting
• Lead complex interface design and specification review sessions with clients.
• Built an effective team that aligned with Cerner business imperatives.

• Application Managed Services (AMS) teams work to deliver world-class support, through proactive monitoring, advancing end-user workflows, and ensuring Millennium systems are on the latest code version.
• Assisted AMS clients with code implementations and solution upgrades
• Monitored system performance
• Managed Client escalations 24/7 (on-call).
• Managed weekly touch base calls with AMS Clients to review system metrics and AMS Service Requests backlog.
• Held quarterly onsite reviews.

• PowerWorks is a Cerner hosted model that provides complete ambulatory clinical and practice management solutions.
• Managed client relationship pre and post go-live.
• Lead recurring touch base sessions with Premier Clients.
• Managed issues and escalations.

• Cerner HealthPlan Services is an entity of Cerner that processes healthcare claims for Cerner Associates and other Health Systems.
• Processed medical, dental, FSA, and HRA claims.
• Initiated and completed claims adjustments.
• Managed weekly adjudication releases.
• Addressed escalated claims processing issues.
• Created and validated audit reports.

• Processed medical and FSA claims.
• Trained associates to process medical and FSA claims.
• Investigated and documented pre-existing conditions.
• Performed adjustments and refunds.