Teresa Mclaughlin Email and Phone Number
Teresa Mclaughlin work email
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Teresa Mclaughlin personal email
Experienced Manager, Business Analyst and Agile Product Owner with healthcare experience. Management experience includes employee development, advocating for employees and supporting them in their desired career paths. Business Analyst and Product Owner skills include illiciting requirements, system implementations, building strong client relationships, and navigating the Agile development process.My primary experience is in the Healthcare arena, managing and working with business analysts and health data analysts. I am comfortable in management roles and also in the role of individual contributor. In both situations I believe it is important to be a strong advocate for those you manage as well as your co-workers. In addition to healthcare experience, I have experience with the software development lifecycle, and working with data related to all HR functions including payroll, benefits, time and attendance, employee stock purchase plans, incentive stock purchase plans, 401k contributions, and annual employee benefit statements.Prior career roles include:-- Software developer with experience in the Software Development Life Cycle. Also have experience with SQL, SAS, Microsoft databases, and Postgres databases.-- PeopleSoft Payroll, Time & Labor, HCM and Finance module experience. Majority of experience is supporting the Payroll/Time & Labor modules.Specialties: COBOL, SQL, Facets, HIPAA eligibility files, CMS Compliance, NCQA Reporting, HPMS Reporting, Agile Product Manager and Product Owner, project management, Healthcare including eligibility, plan configuration, claims, provider management and provider negotiation underwriting.
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Product OwnerFja-Us, Inc. Sep 2024 - Present -
Provider Contracting Senior ManagerCigna Sep 2022 - Present -
Business Analytics Senior ManagerCigna Sep 2022 - Sep 2024
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Business Analytics Senior ManagerEvernorth Jul 2021 - Sep 2022Boise, Idaho, United StatesProduct Owner for Opportunity Detection and Healthcare Trend Analysis applications. -
Business Analytics Senior ManagerCigna Dec 2019 - Jun 2021Manage analytics team that supports network contracting in the Pacific Northwest. Our focus is to gather data, and identify areas that lead to improvements in Total Medical Cost for the organization, then share these insights with the contacting team.
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Manager Provider AnalyticsBlue Cross Of Idaho Oct 2017 - Dec 2019Boise, Idaho AreaLead a team of Business Analysts and Health Data Analysts responsible for developing reports and analytics to support internal provider contracting team and external provider partners. Interface with IT team to build data infrastructure, automated reports, and analytical reports to enhance the provider contracting work and effectiveness of value based payment arrangements. Develop controls and monitor processes to ensure source systems, reporting, and analysis from IT automated solutions… Show more Lead a team of Business Analysts and Health Data Analysts responsible for developing reports and analytics to support internal provider contracting team and external provider partners. Interface with IT team to build data infrastructure, automated reports, and analytical reports to enhance the provider contracting work and effectiveness of value based payment arrangements. Develop controls and monitor processes to ensure source systems, reporting, and analysis from IT automated solutions, Business Analysts and Health Data Analysts have a high degree of accuracy and validity. Show less
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Associate Director Of Business AnalysisUnitedhealth Group Apr 2016 - Oct 2017Sr Business Analyst and Product Owner for UHN Network Management Services team. Performed in a lead role on the initial analysis and subsequent development for a new value based company initiative. Worked on several value based payment models for the UHN area. Responsible for the development and maintenance of a SharePoint application used to forecast and estimate project demand for a team of 25 members. -
Network Program ManagerUnitedhealth Group, Unitedhealth Networks Jun 2014 - Apr 2016Boise, Idaho AreaBusinsess Analyst for UHN Network Analytics & Affordability supporting the Premium Designation program. Responsible for business analysis activities including requirements gathering, business process flow documentation, and system testing for projects related to the applications that identified member gaps in care for providers and measured/evaluated provider performance in their peer group.
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Business Analyst Consultant, Enterprise Clinical ServicesUnitedhealth Group Aug 2013 - Jun 2014Boise, Idaho Area
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Sr Business Analyst, Optumhealth Behavioral SolutionsUnitedhealth Group Dec 2011 - Aug 2013Boise, Idaho AreaCollect and document business requirements. Schedule and lead collaborative discussions to obtain necessary information to document "As Is / To Be" workflows. Participate in solution analysis and design meetings for system enhancements and migrations. Support development of criteria for User Acceptance Testing and apply quality assurance measures to obtain desired results.RSA Level 3 certified.
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Hpsx Provisioning TeamHp Mar 2011 - Dec 2011Migrate clients from existing system to new SRA architecture for case exchange. Mapping and coding using XML, Visual Studio, and Biztalk. Project management for local exchange team. -
Business AnalystBoise State University Oct 2009 - Mar 2011Business Analyst for the Payroll and Time & Labor modules of PeopleSoft. Responsible for daily support as well as regular updates delivered by Oracle. Worked with payroll manager to identify and implement areas for process improvement. -
Business AnalystWorkscape Sep 2006 - Oct 2009Defined insurance enrollment and eligibility requirements and worked with development staff to implement these in the Workscape web application. Performed internal testing and worked with client on user acceptance testing. Created requirement specifications for provider HIPAA 834 eligibility files. -
ItCri Advantage, Inc Feb 1998 - Sep 2006Responsible for software applications used internally by the company. Applications included Sage MAS500, Niku, and Abra HRMS. -
Programmer/AnalystMicron Technology May 1992 - Feb 1998Software development for benefit and stock departments. Developed online open enrollment system for insurance benefits that was used at the time. Developed interfaces between payroll and accounting departments. Worked with the following in house developed applications: insurance/benefits, 401k company contribution, employee stock purchase plan, incentive stock option plan, and annual employee benefit statements.
Teresa Mclaughlin Skills
Teresa Mclaughlin Education Details
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Computer Information Systems
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Finance
Frequently Asked Questions about Teresa Mclaughlin
What company does Teresa Mclaughlin work for?
Teresa Mclaughlin works for Fja-Us, Inc.
What is Teresa Mclaughlin's role at the current company?
Teresa Mclaughlin's current role is Healthcare.
What is Teresa Mclaughlin's email address?
Teresa Mclaughlin's email address is te****@****rth.com
What schools did Teresa Mclaughlin attend?
Teresa Mclaughlin attended Boise State University, Boise State University.
What skills is Teresa Mclaughlin known for?
Teresa Mclaughlin has skills like Integration, Sql, Business Analysis, Xml, Project Management, Testing, Xslt, Crystal Reports, Analysis, Oracle, Business Requirements, Quality Assurance.
Who are Teresa Mclaughlin's colleagues?
Teresa Mclaughlin's colleagues are Eric Dowling, Jessica Avilez, Xiaoming Liang, Joseph Leonardi, Peter Feuerverger, Ashley Zabenco, Mba, Monte Seibel.
Not the Teresa Mclaughlin you were looking for?
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1 +136040XXXXX
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Teresa McLaughlin
Passionate, Hard-Working And Strategic Employee Focused On Creating A Rewarding Customer Experience.Des Moines Metropolitan Area5cooportunityhealth.com, wellmark.com, bankers-ins.com, emcins.com, iwd.iowa.gov4 +151527XXXXX
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Teresa McLaughlin
Detroit Metropolitan Area1gmail.com
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