Based in Portland Oregon, Cambia Health Solutions includes Regence (BlueCross BlueShield) of Washington, Oregon, Idaho, and Utah, with major office locations in - Seattle, Tacoma, Burlington, Portland, Salem, Boise, Lewiston, and Salt Lake City. Cambia’s portfolio of companies also spans health care information technology and software development; retail health care; health insurance plans; pharmacy benefit management; life, disability, dental, vision and other lines of protection; alternative solutions to health care access; and free-standing health and wellness solutions.Accountable Health Strategies is a new initiative within the Health Care Services Division to transform health care by creating a person-focused and economically sustainable system incorporating quality measures and financial risk sharing with providers while providing enhanced analytics to measure performance. The goal is to move from a "open" PPO system with Fee For Service payment toward Accountable Care Organizations and Medical Homes where provider payment is driven by reducing claim costs and improving quality indicators of their attributed members, and where members are actively engaged in their health.

Location: Anacortes, WA14+ years Information Technology, Software Design, and Project Management of software solutions for healthcare providers of post-acute skilled nursing and rehabilitation services.Key Job Functions for product/project positions include:-Formulate the product feature roadmap based on the product plan, market demands, government regulatory requirements, and the product’s technical platform.- Gather and analyze requirements through site visits, surveys, competitor analysis, support incidents, sales feedback, and research of regulations.- Create written specifications and visual designs, and then work with the Development team on technical implementation and usability acceptance.- Assist with project management by defining priorities, project scope, and managing team output over the planned schedule. Project methods range from the traditional waterfall structure using Microsoft Project to the current Agile/Scrum method using sprints with burn down velocity measures in Axosoft OnTime.- Manage feature and defect tracking systems used to support project management, and manage source control systems that contain source code, specifications, and user documentation.- Coordinate two teams both the local Development and Testing team and the offshore contract Development and Testing team, which are often working on separate projects.- Manage product update release cycle and create knowledge base material for in-house purposes, and user documentation for customers.

Location: Anacortes, WAAccu-Med acquired the software products from Shared Healthcare Systems (Nov. 2003) and retained the local office, so my tenure with healthcare software is continuous since January 1998.Refer to Rehab Software Product Director position.

Opened the new Northwest Division office that included staffing all the financial positions, implementing systems for newly acquired facilities, training new staff, and transferring facility accounting for sites that were moved from the Denver office. Managed five financial accounting staff and one field accounting supervisor covering 30 sites. Performed financial analysis and variance investigations. Determined financial projections and budgeting. Generated cash-flow statements and coordinated loans with Treasury Department.Key Job Functions include:- Financial analysis and variance investigation- Financial projections and budgeting- Business analysis and performance trending- Cost Accounting and Reimbursement Strategies- Cash flow management and coordination with treasury department- General accounting, journal entries, and financial statement review- Manage internal controls and compliance- Supervision and Coaching

Managed financial analysis and operational reporting associated with programs for Specialty Services Division spanning over 300 sites nationally. Worked with programs in rehabilitation, Medicare, sub-acute managed care, Alzheimer’s, and Hospice. Performed costing and business analysis to determine reimbursement strategies and performance trending. Implemented database tracking to automate the management reporting of all specialty programs to show cost of service, margin analysis, and key indicator performance trends. Attained increasing levels of responsibility by focusing on continuous improvement in staff skills and automation of accounting and billing systems, beginning as a Field Accountant, Staff Accountant, Senior Staff Accountant, and Accounting Manager before being appointed Assistant Director of Finance.Key Job Functions include:- Financial analysis and variance investigation- Financial projections and budgeting- Business analysis and performance trending- Cost Accounting and Reimbursement Strategies- Cash flow management and coordination with treasury department- Financial and operational systems improvement, automation, and integration- Custom management reporting- A/R Billing system enhancements- General accounting, journal entries, and financial statement review- Manage internal controls and compliance- Supervision and Coaching