Direct strategic planning and analysis of medical plans to audit claims, identify inefficiencies, facilitate improvements, streamline processes and improve productivity. Manage the audit process between individual clients and their medical carriers, providing comprehensive reviews and applying subject matter expertise to maintain compliance with major medical insurance companies. Design software for tracking and analysis within each auditing process to improve overall profitability for clients in addition to executing accuracy for all collected data. Provide leadership and management in supplying quality assurance in data verification and report designs. Key Accomplishments:• Designed effective reporting software to maintain compliance with the Medicare Settlement Demand letters and CMS data compliance.• Co-Authored the development of ‘Paperless Claim Recovery’ which is auditing software used by the company for claim recovery auditing. • Organized all intake meetings, establishing objectives to address concerns upon review of audit results.• Utilize leadership qualities for assisting the IT team in developing data migration strategies.• Deliver oversight for all IT employees, managing projects to increase reimbursement and improve revenue based upon data analysis of employee benefits, conducting internal audits, and determining errors within the system to successfully resolve any issues.• Developed an efficient method for Audit Remediation Reporting that documents audit processes at each medical carrier, detailing potential process improvements, and cost avoidance strategies utilizing software to generate data reports in Excel.

Executed communications between the employees, management, insurance companies, all hospitals and subsidiaries, providing information and knowledge regarding all Human Resource related issues. Strategically designed employee benefit packages that were implemented by all medical center subsidiaries. Effectively designed employee medical benefit documentation utilized for each open enrollment class based upon successfully data analysis of state and federal regulations. Key Accomplishments:• Facilitated 5500 compliance reporting procedures for the medical center.• Organized open enrollment for all facility subsidiaries in addition to developing COBRA and FMLA procedures which were utilized by all DMC facilities.• Secured data collected from all human resource management departments within the facility to provide quarterly benefit reconciliation reports for management.

Administered medical benefit information to all employees, coordinating and implementing open enrollment and training sessions for incoming and current employees. Served to interview applicants for positions, in addition to reviewing resumes, and vetting credentials for qualified candidates.Key Accomplishments:• Executed the development of reporting procedures for life insurance premiums for management.• Facilitated the development of the weekly Corporate Training Program for all new employees.• Efficiently delivered service consulting for all HR issues associated with medical benefits for employees.• Designated to develop administrative manuals outlining benefit and job descriptions to maintain compliance with ADA regulations.