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JJ E A NE A N NN ÉÉ BB R Y A N TR Y A N T -J-J O N E SO N E S
15502 T. C. Jester Blvd., Houston, TX 77068 ● H: (281) 781-8199 / C: (281) 250-3600 ● jashanti6@gmail.com ●
www.linkedin.com/in/jeannejones6
Project Management
HUMAN RESOURCES OUTSOURCING ~ CUSTOMER SERVICE ~ CLIENT REQUIREMENTS ANALYSIS ~
IMPLEMENTATION REQUIREMENT PROJECT MANAGEMENT ~ HEALTHCARE CLAIMS & BILLING ~ TEAM-BUILDING
& LEADERSHIP ~ CONSULTING ~ PROCESS IMPROVEMENTS ~ PERFORMANCE MANAGEMENT
P R O F I L E
I am passionate about my work and the impact that it has on my clients and their employees. I am an accomplished,
multi-faceted Client Requirement Manager and, Healthcare Administration management professional with extensive
experience in client consulting, analyzing requirements, project management, process/performance management,
healthcare insurance billing, customer service, medical claims payment, and team-leadership. I offer solid
implementation requirement project management experience with the ability to define requirements and
facilitate delivery within timeline, scope, and budget constraints. Advanced talents in gap/root cause
analysis, change control, risk management, and quality assurance. Adept throughout the complete
system/software development lifecycle from initiation and planning, to execution and closing. Possess polished
communication and interpersonal skills instrumental to effectively interfacing with business stakeholders ranging from
clients to senior management to team members and outside third party administrators.
Selected Achievements:
• Managed overall integration of Corporate Exchange (healthcare reform) for major clients Sears, Aon, and
Walgreens, encompassing the vendors United HealthCare, Aetna, BCBS IL, CIGNA National, Healthnet, and
Kaiser.
• Project managed and develop new eligibility carrier testing process for all Aon Hewitt clients (200+ clients).
• Implemented several new client implementations within 3 months outside of standard time line of 6 – 8
months. This influenced clients to contract with Aon on additional services and increased revenue.
• Developed Requirements Gathering and Meeting Tracker Tool utilized for all client implementations.
• Developed and managed new department Focus Improvement Team responsible for streamlining processes
in multiple department area of business.
• Recovered $500K+ for Humana Healthcare by collaboratively developing National Provider Project Database
to identify funds paid in error to hospitals and providers.
• Surpassed goal of 85% of claims finalized in 30 days by finalizing 98.9% of claims in 14 days for Humana.
• Championed dramatic improvement in quality standards at Humana from 79% to 98.9%.
P R O F E S S I O N A L E X P E R I E N C E
Aon Corporation (Hewitt Associates LLC, Houston, TX), 2005 to 2014
Lead Requirement Analyst (Implementation Requirement Project Manager) (2012 – 2014)
• Spearheaded multiple client implementations including analysis, test plans, SOPs, test execution, and
directing team in all aspects of requirements process for major clients such as Boeing, Sears, Walgreens,
DuPont, McKesson, and Aon Corporation.
• Participated in implementing new EGWP (employer group waiver plans) for 22 clients.
• Managed, trained, mentored, coached and developed new Requirement Analysts.
• Served as SME for implementation team in regards to plan provisions, best practices, service delivery model,
ongoing processing, and application of client's and Aon Hewitt's business objectives and requirements.
• Facilitated health plan acceptance testing including defining test scenarios, questionnaires, timelines, testing
environments, unique processing, and testing sign-off with health plan.
Requirements Analyst (Project Manager Consultant) (2010 to 2012)
• Steered set-up and delivery of services for annual enrollment process serving Fortune 500 and mid-market
clients from defining requirements and project scope, to coordinating implementation and adherence to best
practices.
Continued ...►
Professional Experience continued ... JeanNé Bryant-Jones – Page 2 of 2
• Facilitated compliance with Connections national delivery model for all health plans, clients and internal
partners (plan management, financial manager, customer service, premium payment team, and design
consultants).
Project Manager / Consultant (2005 to 2010)
• Orchestrated complete set-up and delivery of services for annual enrollment process serving large population
clients; defined requirements, resolved discrepancies, finalized project scope, created schedules, and led
implementation.
• Ensured alignment with Connections national delivery model for all health plans, clients and internal partners.
• As single point of contact for clients and vendors, swiftly resolved issues to achieve high-quality client service.
Mercer Human Resource Consulting, Houston, TX, 2004
Customer Service Enrollment Specialist
• Responded to inquiries from clients' employees regarding enrollment, health benefits, savings, retirement
plans, and other HR-related services.
• Directed administrative project involving benefits calculations, data management, and process improvement.
Humana Healthcare Plans, San Antonio, TX, 1997 to 2004
Supervisor II – Focus Improvement Team (2002 to 2004)
• Managed full-scope claims processing for provider projects, conducted medical provider reviews,
administered performance evaluations, and oversaw service departments.
• Analyzed existing customer service and claims processing procedures and made recommendations for
improvement and streamlining as required.
• Trained new employees and developed cross-training material for multiple operational areas, enabling
employees to fulfill multiple job functions as necessary.
Supervisor – Medical Claims/Customer Service (2000 to 2002)
• Applied strong leadership talents toward training, motivating and directing 41 personnel in delivering
unparalleled customer service via claims payment processing for HMO, PPO, ASO, Medicare, and IPA Risk
providers.
• Successfully increased unit production from 10 to 16 claims per hour.
• Developed production reports for national team that boosted productivity, accelerated claim turnaround time,
and reduced necessary staff by 10%.
• Saved thousands of dollars in possible fines by strictly enforcing compliance with new federal regulations
such as HB610 and HB2600.
Supervisor – Front-End (1998 to 2000)
• Directed operations within multiple departments encompassing Front-End, Provider File Maintenance,
Eligibility and Enrollment, Data Entry, Stop Payment and Tracer Analyst.
• Considerably slashed turnaround time from >100 days to only five days.
Financial Recovery Specialist /Special Project Coordinator (1997 to 1998)
• Participated in design, testing and implementation of financial recovery system used to identify possible
overpayments; successfully recouped $500K+ in funds.
E D U C A T I O N
Bachelor’s Degree in Business Administration, Almeda University, Houston, TX
Business Management, Phoenix University, Houston, TX
Administrative Assistant / Information Processing Specialist, Chenier Business School, San Angelo, TX
Business Administration, Angelo State University, San Angelo, TX
Business Administration / Accounting, Louisiana State University, Baton Rouge, LA
Continued ...►
JeanNé Bryant-Jones – Page 3 of 3
C E R T I F I C A T I O N S
Process Reengineering Certificate
Systematic Problem Solving Certificate
Performance Management Certificate
Benchmarking Certificate
Process Variation and Control Charts Certificate
Train the Trainer Certificate
Medical Billing and Coding Certification
Customer Service Representative Certification
A D D I T I O N A L T R A I N I N G
Think Like a Client Communicating Across Cultures
Leading Through Change Impressions of Excellence
High Performance Work Teams Leader Built to Last
Managing Conflict Project/Process Management
Implementation Requirement Analyst Leading for Success
Interviewing for Selection Coaching and Development
C O M P U T E R / S K I L L S
Microsoft Office (Word, Excel, PowerPoint), Microsoft Project 2010, SDLC, SharePoint, Outlook, Imaging IBM,
NetMeeting, Live Meeting, Citrix, SQL, Mainframe DB2, Lotus Notes 8.5, Meridian, Office Communicator

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JeanNe_Jones Resume 5.19.15

  • 1. JJ E A NE A N NN ÉÉ BB R Y A N TR Y A N T -J-J O N E SO N E S 15502 T. C. Jester Blvd., Houston, TX 77068 ● H: (281) 781-8199 / C: (281) 250-3600 ● jashanti6@gmail.com ● www.linkedin.com/in/jeannejones6 Project Management HUMAN RESOURCES OUTSOURCING ~ CUSTOMER SERVICE ~ CLIENT REQUIREMENTS ANALYSIS ~ IMPLEMENTATION REQUIREMENT PROJECT MANAGEMENT ~ HEALTHCARE CLAIMS & BILLING ~ TEAM-BUILDING & LEADERSHIP ~ CONSULTING ~ PROCESS IMPROVEMENTS ~ PERFORMANCE MANAGEMENT P R O F I L E I am passionate about my work and the impact that it has on my clients and their employees. I am an accomplished, multi-faceted Client Requirement Manager and, Healthcare Administration management professional with extensive experience in client consulting, analyzing requirements, project management, process/performance management, healthcare insurance billing, customer service, medical claims payment, and team-leadership. I offer solid implementation requirement project management experience with the ability to define requirements and facilitate delivery within timeline, scope, and budget constraints. Advanced talents in gap/root cause analysis, change control, risk management, and quality assurance. Adept throughout the complete system/software development lifecycle from initiation and planning, to execution and closing. Possess polished communication and interpersonal skills instrumental to effectively interfacing with business stakeholders ranging from clients to senior management to team members and outside third party administrators. Selected Achievements: • Managed overall integration of Corporate Exchange (healthcare reform) for major clients Sears, Aon, and Walgreens, encompassing the vendors United HealthCare, Aetna, BCBS IL, CIGNA National, Healthnet, and Kaiser. • Project managed and develop new eligibility carrier testing process for all Aon Hewitt clients (200+ clients). • Implemented several new client implementations within 3 months outside of standard time line of 6 – 8 months. This influenced clients to contract with Aon on additional services and increased revenue. • Developed Requirements Gathering and Meeting Tracker Tool utilized for all client implementations. • Developed and managed new department Focus Improvement Team responsible for streamlining processes in multiple department area of business. • Recovered $500K+ for Humana Healthcare by collaboratively developing National Provider Project Database to identify funds paid in error to hospitals and providers. • Surpassed goal of 85% of claims finalized in 30 days by finalizing 98.9% of claims in 14 days for Humana. • Championed dramatic improvement in quality standards at Humana from 79% to 98.9%. P R O F E S S I O N A L E X P E R I E N C E Aon Corporation (Hewitt Associates LLC, Houston, TX), 2005 to 2014 Lead Requirement Analyst (Implementation Requirement Project Manager) (2012 – 2014) • Spearheaded multiple client implementations including analysis, test plans, SOPs, test execution, and directing team in all aspects of requirements process for major clients such as Boeing, Sears, Walgreens, DuPont, McKesson, and Aon Corporation. • Participated in implementing new EGWP (employer group waiver plans) for 22 clients. • Managed, trained, mentored, coached and developed new Requirement Analysts. • Served as SME for implementation team in regards to plan provisions, best practices, service delivery model, ongoing processing, and application of client's and Aon Hewitt's business objectives and requirements. • Facilitated health plan acceptance testing including defining test scenarios, questionnaires, timelines, testing environments, unique processing, and testing sign-off with health plan. Requirements Analyst (Project Manager Consultant) (2010 to 2012)
  • 2. • Steered set-up and delivery of services for annual enrollment process serving Fortune 500 and mid-market clients from defining requirements and project scope, to coordinating implementation and adherence to best practices. Continued ...► Professional Experience continued ... JeanNé Bryant-Jones – Page 2 of 2 • Facilitated compliance with Connections national delivery model for all health plans, clients and internal partners (plan management, financial manager, customer service, premium payment team, and design consultants). Project Manager / Consultant (2005 to 2010) • Orchestrated complete set-up and delivery of services for annual enrollment process serving large population clients; defined requirements, resolved discrepancies, finalized project scope, created schedules, and led implementation. • Ensured alignment with Connections national delivery model for all health plans, clients and internal partners. • As single point of contact for clients and vendors, swiftly resolved issues to achieve high-quality client service. Mercer Human Resource Consulting, Houston, TX, 2004 Customer Service Enrollment Specialist • Responded to inquiries from clients' employees regarding enrollment, health benefits, savings, retirement plans, and other HR-related services. • Directed administrative project involving benefits calculations, data management, and process improvement. Humana Healthcare Plans, San Antonio, TX, 1997 to 2004 Supervisor II – Focus Improvement Team (2002 to 2004) • Managed full-scope claims processing for provider projects, conducted medical provider reviews, administered performance evaluations, and oversaw service departments. • Analyzed existing customer service and claims processing procedures and made recommendations for improvement and streamlining as required. • Trained new employees and developed cross-training material for multiple operational areas, enabling employees to fulfill multiple job functions as necessary. Supervisor – Medical Claims/Customer Service (2000 to 2002) • Applied strong leadership talents toward training, motivating and directing 41 personnel in delivering unparalleled customer service via claims payment processing for HMO, PPO, ASO, Medicare, and IPA Risk providers. • Successfully increased unit production from 10 to 16 claims per hour. • Developed production reports for national team that boosted productivity, accelerated claim turnaround time, and reduced necessary staff by 10%. • Saved thousands of dollars in possible fines by strictly enforcing compliance with new federal regulations such as HB610 and HB2600. Supervisor – Front-End (1998 to 2000) • Directed operations within multiple departments encompassing Front-End, Provider File Maintenance, Eligibility and Enrollment, Data Entry, Stop Payment and Tracer Analyst. • Considerably slashed turnaround time from >100 days to only five days. Financial Recovery Specialist /Special Project Coordinator (1997 to 1998) • Participated in design, testing and implementation of financial recovery system used to identify possible overpayments; successfully recouped $500K+ in funds. E D U C A T I O N
  • 3. Bachelor’s Degree in Business Administration, Almeda University, Houston, TX Business Management, Phoenix University, Houston, TX Administrative Assistant / Information Processing Specialist, Chenier Business School, San Angelo, TX Business Administration, Angelo State University, San Angelo, TX Business Administration / Accounting, Louisiana State University, Baton Rouge, LA Continued ...► JeanNé Bryant-Jones – Page 3 of 3 C E R T I F I C A T I O N S Process Reengineering Certificate Systematic Problem Solving Certificate Performance Management Certificate Benchmarking Certificate Process Variation and Control Charts Certificate Train the Trainer Certificate Medical Billing and Coding Certification Customer Service Representative Certification A D D I T I O N A L T R A I N I N G Think Like a Client Communicating Across Cultures Leading Through Change Impressions of Excellence High Performance Work Teams Leader Built to Last Managing Conflict Project/Process Management Implementation Requirement Analyst Leading for Success Interviewing for Selection Coaching and Development C O M P U T E R / S K I L L S Microsoft Office (Word, Excel, PowerPoint), Microsoft Project 2010, SDLC, SharePoint, Outlook, Imaging IBM, NetMeeting, Live Meeting, Citrix, SQL, Mainframe DB2, Lotus Notes 8.5, Meridian, Office Communicator