Roger Macias

Roger Macias Email and Phone Number

Director Of Operations at Competitive Health, Inc. @ Competitive Health, Inc.
300 Spectrum Center Drive, Suite 400,United States
Roger Macias's Location
Orange County, California, United States, United States
Roger Macias's Contact Details

Roger Macias personal email

n/a
About Roger Macias

Roger Macias is a Director Of Operations at Competitive Health, Inc. at Competitive Health, Inc.. He possess expertise in process improvement, healthcare information technology, healthcare, leadership, project management and 32 more skills. He is proficient in English and Spanish. Colleagues describe him as "I had the pleasure of working with Roger at TC3 Health/Change Healthcare. Roger is an excellent project manager: he is able to work well with cross functional teams, actively balance multiple projects, manage risk, and be able to always be on track with deliverable. Also impressive is his self-initiative for continuous improvement, whether it is for current processes within the company, or with personal development with PM education. Because of those reasons, Roger would be a great addition to any team! " and "I had the opportunity to work with Roger on a complex upgrade project at TC3 Health, where he served as IT Project Manager. Roger maintains a firm grip on all variables of a project, keeps all parties well informed and has great problem solving skills. He collaborates well with all team members, can be counted on to give clear directions and drive a project to conclusion. Roger is a Project Manager that I want to have on my team."

Roger Macias's Current Company Details
Competitive Health, Inc.

Competitive Health, Inc.

View
Director Of Operations at Competitive Health, Inc.
300 Spectrum Center Drive, Suite 400,United States
Employees:
8
Roger Macias Work Experience Details
  • Competitive Health, Inc.
    Director Of Operations
    Competitive Health, Inc. Oct 2017 - Present
    Irvine, California
  • Hrgi
    Director Of Client Management
    Hrgi Feb 2017 - Oct 2017
    Orange County, California Area
  • Retepay
    Manager, Pmo & Operations
    Retepay Feb 2016 - Feb 2017
    Responsible for the management of day to day operations that include, Virtual Card, Electronic Check, and EFT healthcare claim payment product utilizing the HIPAA Compliant, ACA Section 1104 EFT & ERA Operating Rules Compliant NACHA CCD+ with X12 835 ERA (Electronic Remittance Advice), integrated with the largest ACH network and national healthcare clearinghouse.Oversee client and vendor specific implementations and other projects that include the scope, schedule, cost, resource allocations, and ongoing communication to upper management and key stake holders.Management of onshore and offshore client services and provider relations operations. Implemented and Manage SSAE 16 SOC 1 compliance and ongoing controls audit. Manage business priorities with Information Technology to include functional requirements, QA, and User Testing through deploymentOperational efficiency business projects that reduce cost and increase bottom line revenue
  • Tc3 Health
    Project Manager
    Tc3 Health Jul 2006 - Oct 2015
    Title: Senior IS/IT Project Manager / PMO Responsibilities: Project manager for all aspects and phases of Capital and Operational IS/IT project implementations. Served as the liaison between various operational and product owners, members of the sales team and technical experts. Supported development managers with various project management activities/tasks with an emphasis in areas where my contribution would improve the effectiveness and efficiency of the mangers. As part of the IT management team, I assisted in managing the IT organization by bringing its operational aspects under tighter control and providing clear visibility / transparency for ongoing improvements. Responsible for coordinating financial aspects of IT operations such as monthly, quarterly and yearly budgeting, vendor invoices, internal and contractor headcounts by using spreadsheets / internal tools. Worked in partnership with internal financial and regulatory compliance teams to coordinate monthly, quarterly and yearly reports, document and process reviews. Additionally, I program managed the CMS regulatory compliance projects for 5010 and ICD-10.
  • Beech Street
    Project Manager
    Beech Street 1998 - 2006
    Title: Client Implementation Manager (Project Management)Responsibilities: Managed the client implementation department with direct reporting to upper management. Primary sales engineer for account management and sales executives and point of contact for providing pre-sales technical assistance and product education. I was responsible for leading and managing projects through successful completion, including coordination of the activities of project contributors in order to achieve the desired goals in a timely and cost effective manner. I was also responsible for training new project managers on EDI processes, procedures and interpretation. Additionally, I was tasked with project managing and interpreting customer business requirements in an effort to anticipate and exceed their future needs for Commercial Healthcare, Workers Compensation and Automotive Health. This process included the implementation of Repricing Systems such as Batch EDI 837, Real Time EDI, WebMD (now Emdeon), Outbound EDI from scanning, Rate Load, Claim Export file and ongoing Data verification (Demographics, Rates, Eligibility 834 files). As well as responsible for quality assurance and verification of raw data files to comply with HIPAA requirements or approved proprietary formats. I served as a liaison between members of the sales team and other technical experts.

Roger Macias Skills

Process Improvement Healthcare Information Technology Healthcare Leadership Project Management Management Business Analysis Hipaa Health Insurance Sdlc Vendor Management Managed Care Business Process Improvement Requirements Analysis Team Building Software Documentation Program Management Software Project Management Healthcare Management Strategic Planning Business Intelligence Healthcare Information Technology Information Technology Account Management Customer Service U.s. Health Insurance Portability And Accountability Act Medicare Quality Assurance Cross Functional Team Leadership Visio It Management Training Customer Relationship Management Software Development Life Cycle Insurance Pmo Integration

Roger Macias Education Details

Frequently Asked Questions about Roger Macias

What company does Roger Macias work for?

Roger Macias works for Competitive Health, Inc.

What is Roger Macias's role at the current company?

Roger Macias's current role is Director Of Operations at Competitive Health, Inc..

What is Roger Macias's email address?

Roger Macias's email address is rm****@****lth.com

What schools did Roger Macias attend?

Roger Macias attended University Of Phoenix, Santa Ana College.

What skills is Roger Macias known for?

Roger Macias has skills like Process Improvement, Healthcare Information Technology, Healthcare, Leadership, Project Management, Management, Business Analysis, Hipaa, Health Insurance, Sdlc, Vendor Management, Managed Care.

Who are Roger Macias's colleagues?

Roger Macias's colleagues are Kathleen Schultz, Sonia Orrantia, Cameron Jackson.

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