Roderick Walker Email & Phone Number

Houston, Tx, Us

Katy, Tx, Us

• Project manager for finance, grants, claims, IT departments responsible for process improvement and regulatory oversight of local, state, and federal programs.• Performs risk management analysis and developed risk management plan with leaders and the compliance team.• Defined milestones and developed critical paths for each program.• Supports government initiative leadership in the implementation of regulatory compliant processes.• Manages risks and develops contingency plans based on the critical paths. Developed alternate processes in lieu of potential delays from funding securing alternative to impact the care for the homeless, substance abuse and several diversion programs.• Develops project plan, determines timelines, sets regular meeting, and designs plans including agile, waterfall and hybrid methodologies and manages resources to implement changes to services areas and process changes for operational programs.• Oversight of program implementation, business requirement creation, and workgroups for regulatory compliance and continuous process improvement• Conducts weekly meetings with executive leadership providing status updates, barriers, risk identification and program updates. Collaborates with leadership, configuration team, presidents, vice presidents and directors.• Manages projects involving claims reviews, adjudication, enrollment, implementation of clearinghouse rules, automation and best practices. Data analysis and development of KPI metrics for provider outreach, retention, and network adequacy• Prepares executive leadership debriefing on funding, audit findings, financial outlook, grant dashboard, and maintains current risk matrix and issues POA&Ms as needed to ensure compliance.• Collaborates with department leadership, Information Services, and network executives to develop strategies to influence organizational change.

• Provides consulting for system owners in assessing their systems using Special Publications (SP) 800-26 Security Self-Assessment Guide for Information Technology Systems, security controls,• Perform assessments on systems using NIST 800-53 security controls.• Support security activities not limited to but including developing or reviewing security plans, testing plans, and documentation; provide recommendations to the client to support each identified security-related activity.• Review Privacy Threshold Analysis (PTA) and Privacy Impact Assessment (PIA) policy. PTAs and PIAs are used to identify, evaluate, and mitigate privacy risks throughout the development lifecycle of a program or information system.• Coordinate and interact with the client and IT staff with a technical understanding of systems and applications to ensure security requirements are addressed during system planning, development, and operations.• Review system security plans, risk mitigation plans; contingency plans, documents findings, and reports to Information system security officer to develop Plans of Action and Milestones (POA&Ms).• and disaster recovery plans.• Participate in agency policy level discussions regarding Department IT Security standards.• Prepare activity and status reports regarding information systems’ operations.• Review plans of actions and milestones (POA&Ms) that address IT security weaknesses as part of Continuous Monitoring.• Prepares well-organized, effective reports and presentations to clearly communicate results to team management, colleagues, and clients.

Bellaire, Texas, Us

BUSINESS CONSULTANT PROCESS MANAGEMENT, OBJECT WIN, TEXAS CHILDREN’S HEALTH PLAN• Project manager for provider remediation portfolio• Supports government initiative leadership in the implementation of regulatory compliant processes• Develops project plan, and manages resources to implement changes to services areas and process changes for operational programs• Oversight of program implementation, business requirement creation, and workgroups for regulatory compliance and continuous process improvement• Data analysis and development of KPI metrics for provider outreach, retention, and network adequacy• Manages provider enrollment management system implementation• Collaborates with department leadership, Information Services, and network executives to develop strategy to influence organizational change.

• Developed, implemented, and administered the organization’s financial program, budget, and policies, and procedures to comply with all relevant laws, regulations organizational needs.• Implements policy and procedures according to FIPS-199 classifications.• Developed SSP for a system utilizing NIST 800-53 Rev.4 as the framework to meet the requirements of doing business with CMS, State, and Local agencies• Provided project management for implementation of EHR and associated billing and reporting methods• Conducted yearly self-assessments of system and provided reports, findings, recommendations for improvement and provided recommendations for new fiscal year budgeting to meet compliance requirements• Assured client records are accurate, current, and accessible ensuring CIA (confidentiality, integrity, and availability) data meets or exceeds the standard• Sets up internal audits and audits by independent auditors as mandated by regulation and need.• Provided operational oversight and manages compliance for local, state, and federal programs.• Performed system audits for HIPPA requirements and penetration testing.• Designed controls for access to critical PHI data.

Arlington, Texas, Us

• Subject matter expert (SME) for Epic EHR (Electronic Health Record) Cadence, ADT,• Managed access controls for PHI and HIPPA• Developed policies and procedures for access for THR system for all patient access related positions• Managed continuous process improvement, and total quality management through the use of six sigma lean process techniques for improvement of Access Services and change management systems to ensure all changes were reflected in SSP (system security plan).• Conducted and/or participate in departmental or multidisciplinary meetings with executives and stakeholders.• Responsible for the design and implementation of system and entity policies related to data collections corporate compliance program, legal consents, the release of information, medical staff bylaws, and JCAHO, state, and federal regulations.

Irving, Tx, Us

• Subject matter expert (SME) for Meditech EHR (Electronic Health Record)• Managed access controls for PHI and HIPPA• Developed policies and procedures for access for THR system for all patient access related positions• Managed continuous process improvement, and total quality management through the use of six sigma lean process techniques for improvement of Access Services and change management systems to ensure all changes were reflected in SSP (system security plan).• Conducted and/or participate in departmental or multidisciplinary meetings with executives and stakeholders.• Responsible for the design and implementation of system and entity policies related to data collections corporate compliance program, legal consents, the release of information, medical staff bylaws, and JCAHO, state, and federal regulations.

Kettering, Oh, Us

Managed up to 7 departments, and up to 5 facilities, and a total of 50 people. Provided several diverse services in a hospital setting that included: registration, financial counseling, bed control, insurance verification, admitting, and revenue collections. Interviewed candidates, conducted employee evaluations, developed performance improvement plans, hired and fired employees. Primary liaison with medical records and the revenue management teams to eliminate costly Medicare errors. Screened patients in need of financial assistance with Medicaid and other state level programs. Oversaw the collection of co-pays and deductibles, and developed strategies to reach the network goals. Developed strategies to meet key result area goals set by the board of directors across several service lines. Collaborated with the billing staff and the insurance companies to maximize revenue reimbursement for services. Provided continuing education and updates to the staff. Interacted with executive level management, physicians, nurses and other departments to ensure the services provided exceeded their expectations.

Masters Certificate It Information Assurance, Information Technology

Master Of Business Administration - Mba, Business Administration, Conflict And Contract Negotiation

Bs, Organizational Management

As, Business