Rhyme connects directly with insurance companies, making it the fastest, most economical way to submit, monitor, and complete prior authorizations. We eliminate the need for lengthy phone calls, going to many different payer sites, and filling out the many different authorization forms.

• Manages and coordinates the acquisition of clinical data from external sources (including EMRs, HIEs, and other sources). • Assess the enterprise value of clinical data, and working closely with business leaders to present the usefulness of clinical data. • Establish data acquisition workflow based on analysis of actual task timelines and project deliverables• Leads the project prioritization and scheduling activities for the business unit.• Provides expertise to the business areas in culture/change management activities.• Identifies potential issues, project change, and scope data.

• Spearhead implementation of updates and changes to Medicaid encounter data submission systems; oversee day-to-day operations and continually sustain system for 16 plan partners within the state of California.• Create and maintain effective SharePoint site; store process documents, requirements, and project calendars for organized operations.• Lead conversion of EDI transactions (837P, 837I) from manual to automated delivery; handle business agreements for all contributors, Secure File Transfer Protocol (SFTP) access, transmissions processes and procedures.• Established best practices and provide accurate encounter data submissions within strict deadlines. • Created and implemented dashboard reports that track data submissions and accept rates; consistently utilize Microsoft Excel and Tableau to maintain data and enable automated services.• Provide project management that enhances operations and allows collaborative strategic planning with cross-functional team members to assist in business IT support; assists clients to outline, develop, and implement complex solutions that meet their specific needs.• Train clients, vendors, and staff, as needed, on company offered system services ensuring user development and utilization proficiency.

• Oversaw the design, development, testing, and implementation of interfaces of the Alaska MMIS.• Assisted with complex project management; identified and adhered to timelines and created and achieved milestones.• Allocated resources through various sources establishing cost-savings, best practices.• Managed internal and external stakeholder relationships; engaged with vendors, clients, cross-functional teams, and testing departments enabling success for all business partners involved.• Developed best practices and implemented improvements related to the data exchange between external vendors and internal systems. • Scheduled and facilitated weekly client meetings; communicate project status, issues, requests, and timeline expectations.

• Liaised with clients to identify, document, verify, and prioritize business, user, and functional requirements; depicted requirements utilizing prototypes such as wireframes and mockups. • Utilized collaborative planning methodologies and implementation alongside team leaders to create page mock-ups for delivery to onshore and offshore development teams.• Guaranteed all pertinent requirements were developed during JAD meetings.

Working on a Centers for Disease Control (CDC) contract, responsible for the maintenance and update of new design template, using CSS for table-less page layout. Part of team tasked with placing existing pages into new template. Suggest best practices for the development of the new site. Create and perform usability studies. Analyze data that is then used to develop information architecture and layout of new web site. Section 508 subject matter expert.

Establish and maintain user interface standards for content and coordination between departments. Responsible for design direction, creative process, research strategy for special marketing projects. Administrator for WebTrends Reporting Center. Provide website statistics for client reporting and sales presentations and proposals. Participate in site launches to ensure proper measurement tools are in place.

Successfully managed the technical design, development, testing, implementation and maintenance of all Administration on Aging web sites (aoa.gov, eldercare.gov, Alzheimers and Senior Medicare Patrol). Maintained compliance with Section 508 accessibility requirements. Conduct regular status meetings with upper management.

Lead designer on team responsible for the redesign of CapWiz site. Worked directly with Project Manager to develop the site look, navigation and usability.

Consult with designers and Project Managers, to construct web pages. Perform daily content and graphics updates to client (IAMAW, The Human Society, The Wilderness Society) web sites. Use Dreamweaver and HomeSite to convert documents from Quark, MS Word, and Word Perfect into HTML.

Document software development, system architecture, and interfaces through research and interviews with developers. Created intranet to document the company's policies, procedures, and employee information. Used Visio to create and edit site maps.

Design and author troubleshooting programs. Converted internal product troubleshooting documentation to a web format by coding in HTML (hand coding and using editors). Developed sample web pages for the home improvement section of RepairNow.com website. Performed training on knowledge management tool. Created users guide using MS Word.

Handled customer escalations. Followed up on customer inquires and complaints. Regulated the call volume in the call center to ensure adequate coverage and compliance with established standards. Successfully handled difficult customers, service negotiations and complex situations to each party's satisfaction while maintaining company objectives.

Conducted background investigations on employees and contractors for security clearances while assigned to; field offices. Utilized multiple research venues and personal interviews to accumulate and verify information.