Barbara_Hanlon_resume_12.22.14
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Barbara Hanlon has over 20 years of experience in healthcare consulting, focusing on fraud, waste, and abuse prevention. She currently serves as the Central States Fraud, Waste, and Abuse Lead for UnitedHealth Group, overseeing initiatives in 7 states. Previously, she held various roles at UnitedHealth Group, including leading project testing teams and developing business rules to automate and improve claim processing. She also has experience managing multi-office budgets and transitioning systems during acquisitions. Hanlon has a Bachelor's degree in Biochemistry and has held volunteer leadership positions with the American Heart Association and various charity organizations.
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EEPAK MATHUR has over 19 years of experience in healthcare analytics and informatics. He currently serves as the Director of Healthcare Reporting and Analytics at Visiting Nurse Service of New York, where he oversees analytical teams and regulatory reporting. Prior to this role, he held several positions involving data analytics, reporting, and quality improvement at organizations like Oxford Health Plans and CIGNA Healthcare. EEPAK MATHUR has expertise in areas like SAS programming, dashboarding, data quality, and reporting to CMS and the New York Department of Health. He also has experience developing analytical strategies to increase revenue and optimize business objectives.
Denise Weston Resume Word
Denise Weston has over 20 years of experience in healthcare management, finance, and operations. She has a proven track record of reducing costs while improving revenue, including saving $763 million in one year through identifying fraud, waste, and abuse. She has expertise in organizational management, finance, operations, and data analytics. Her experience includes senior roles at Amerigroup Corporation, where she led teams and departments focused on program integrity, premium integrity, and cost containment.
Scott Rein Operations Manager Resume
The document provides contact information and a summary of Scott Rein's experience as a project and operations manager with over 25 years of experience managing various projects and business operations across multiple industries. It details his experience implementing new systems, improving processes, and managing teams and projects of varying sizes and scopes to achieve organizational goals for various organizations, including managing a portfolio of projects worth $3 million at one point. His background includes a Master's degree in Management and Bachelor's degree in Engineering Management.
Diana Macys Staley RESUME APRIL 2016
This document provides a summary of Diana Macys-Staley's qualifications and experience in project management, IT management, risk analysis, and compliance. She has over 15 years of experience leading large projects in healthcare IT, energy, and government. Her background includes implementing electronic medical record systems, developing project management offices, reducing project cost overruns, and leading teams through change. Currently she is an IT Project Manager for the implementation of an electronic health record system across three state mental health facilities in Alabama.
linked in resume
April Pappas has over 4 years of experience in customer service, project management, and supervision in healthcare claims processing. She currently works as a Health Plan Specialist for the State of Utah, where she performs data analysis, system troubleshooting, and project management. Previously she was a Supervisor for the Medicaid eligibility phone team, where she trained new employees and tracked staff performance. She also has experience as a Customer Care Claims Technician, providing customer service and claims resolution. Pappas has extensive knowledge of Medicaid programs and claims processing systems.
PamDavis Resume
Pamela Davis has over 20 years of experience in healthcare operations and revenue cycle management. She seeks a manager or leadership role where she can utilize her experience to improve business operations, streamline services, and reduce costs while eliminating unnecessary processes. Her background includes implementing revenue cycle projects, evaluating processes, developing relationships across departments, and testing electronic remittance processes. She most recently served as the Manager of Revenue Cycle Remittance/Collections and Credit Resolution, overseeing operations across three locations.
Workflow Continuity—Moving Beyond Business Continuityin a Mu.docx
Workflow Continuity—Moving Beyond Business Continuity
in a Multisite 24–7 Healthcare Organization
Brian J. Kolowitz & Gonzalo Romero Lauro &
Charles Barkey & Harry Black & Karen Light &
Christopher Deible
Published online: 6 July 2012
# Society for Imaging Informatics in Medicine 2012
Abstract As hospitals move towards providing in-house
24×7 services, there is an increasing need for information
systems to be available around the clock. This study inves-
tigates one organization’s need for a workflow continuity
solution that provides around the clock availability for in-
formation systems that do not provide highly available
services. The organization investigated is a large multifacil-
ity healthcare organization that consists of 20 hospitals and
more than 30 imaging centers. A case analysis approach was
used to investigate the organization’s efforts. The results
show an overall reduction in downtimes where radiologists
could not continue their normal workflow on the integrated
Picture Archiving and Communications System (PACS)
solution by 94 % from 2008 to 2011. The impact of un-
planned downtimes was reduced by 72 % while the impact
of planned downtimes was reduced by 99.66 % over the
same period. Additionally more than 98 h of radiologist
impact due to a PACS upgrade in 2008 was entirely elimi-
nated in 2011 utilizing the system created by the workflow
continuity approach. Workflow continuity differs from high
availability and business continuity in its design process and
available services. Workflow continuity only ensures that
critical workflows are available when the production system
is unavailable due to scheduled or unscheduled downtimes.
Workflow continuity works in conjunction with business
continuity and highly available system designs. The results
of this investigation revealed that this approach can add
significant value to organizations because impact on users
is minimized if not eliminated entirely.
Keywords Workflow continuity . Business continuity .
PACS planning . PACS integration . PACS downtime
procedures . PACS administration . PACS . PACS service .
Software design . Systems integration . Workflow .
Productivity . Management information systems .
Information system . Image retrieval . Health level 7 (HL7) .
Efficiency
Background
Recently, the US government mandated the use of health
information technology for healthcare providers [1]. The
legislation outlines financial penalties for providers that
choose not to adopt technologies as well as benefits for
those that do adopt the technologies. As the adoption of
health information technology increases, so will the need for
information systems that allow critical organizational work-
flows to continue when those systems are unavailable due to
either scheduled or unscheduled system downtimes.
This paper is a case analysis of one organization’s solu-
tion to a need for a system that provides workflow continu-
ity around the clock. Workflow continuity moves beyond.
resume_cl
Cheryl Link is an IT integration specialist with over 20 years of experience leading integration projects between electronic medical record systems, ancillary systems, and disparate health systems. She currently manages an integration team at The Ohio State University Wexner Medical Center, where she has overseen the integration of their Epic EMR with over 60 ancillary systems across 4 health systems. Her experience also includes managing clinical research applications, revenue cycle systems, and serving as the director of IS for a community hospital.
Goodwin Resume Jan_2017
Amanda Yerkes-Goodwin has over 20 years of experience in various medical fields including as a program/project manager, clinical/pharmacy analyst, and healthcare IT specialist. She has extensive experience implementing and supporting various electronic medical record applications including McKesson, Cerner, and Epic. Most recently, she has worked as an independent consultant providing activations, implementations, and Meaningful Use compliance support requiring weekly travel.
Avoid PRM failures
Avoid PRM failures by avoiding ensuring it's not simply a repository for documenting simple tasks. PRM failures occur when the IT solutions only serves to document activities instead of serving to streamline the physician experience.
KarenKracht 2016
Karen Kracht has over 15 years of experience in advanced research, analysis, and project management in both medical insurance and sales fields. She currently works as a Benefit Plan Systems Analyst for Covenant Management Systems, where her responsibilities include maintaining health plan benefits, monitoring regulatory changes, analyzing medical network use, and negotiating provider contracts. Previously, she held various administrative and analyst roles with other organizations, developing reports, analyzing trends, and assisting with management projects. Kracht has extensive skills in claims processing, coding, contracting, data analysis, and customer service.
Similar to Barbara_Hanlon_resume_12.22.14 (20)
Workflow Continuity—Moving Beyond Business Continuityin a Mu.docx
Workflow Continuity—Moving Beyond Business Continuityin a Mu.docx
Barbara_Hanlon_resume_12.22.14
- 1. Barbara A. Hanlon 15 Clarion Drive 315-734-5399 Whitesboro, New York 13492 BVSHanlon@aol.com HEALTHCARE SYSTEM CONSULTANT • Senior Business and IT Analyst who uses subject matter expert knowledge of claims, systems and operations to develop deliver exceptional quality operational solutions. • Fraud, Waste, Abuse Lead leveraging engagement with State and Plan leadership for seven states. • Strong leadership, project management and communications skills. • Builds strong relationships with all impacted teams including: IT, business, application development teams, medical and vendor systems, legal and fraud. PROFESSIONAL EXPERIENCE UnitedHealth Group Senior Business Analyst (2013 – present) • Community and State Fraud, Waste, Abuse/Error Lead for the seven Central States – Iowa, Kansas, Michigan, Nebraska, Ohio, Texas, and Wisconsin. • Oversee the end to end engagement to support the aggressive FWA/E activities and initiatives for the plans. • Provide FWA/E liaison support to the State and the Plan’s Leadership Senior IT Quality Consultant (2007 – 2012) • Project Testing Team Lead for system enhancement deliverables. • Built strong relationships with all impacted project groups to ensure delivery of superior system enhancements. • Developed business requirements during JAD sessions (joint administrative design) attended by Senior management, system analysts, project managers, QCA testers, and developers to build a claim testing tool (CTT) that enabled IT to more quickly build test plan data. • Documented interfacing systems for cross-application team to better understand the detailed interfaces between systems. This also entailed detailed program and system knowledge of sunset legacy systems and the functionality of the interface between systems. Documentation and detailed test plans were utilized for regression testing. • Uses Subject Matter Expertise (SME) of medical physiology, medical terminology, medical coding (ICD-9, ICD-10, 835/837, Facility (UB-92), Physician (HCFA)), Reimbursement Policy, Claim Systems (UNet), Interfacing Systems, SDLC process, DMAIC methodology, and Coordination of Benefit (COB) guidelines including Medicare, Medicaid and other insurance carriers. Senior Business Rules Process Analyst (2003- 2007) • Designed system enhancements to automate and improve claim processing quality, reducing manual processing FTE’s and time. • Business Rules Testing Team Lead for AION Business Rules and auto-adjudication system enhancements. • Worked closely with programmers to develop and enhance auto-adjudication systems. • Reduced costs by at least 80% by examining claims that failed auto process; and came up with common reasons to enhance auto-adjudication. • Designed business rules to quickly access needs for auto-adjudication affecting over 1MM claims a year through extensive data analysis. • Developed business requirements during JAD sessions; which included Senior IT and Business management, systems analysts, QCA testers and developers. • Uses Subject Matter Expertise (SME) of medical physiology, medical terminology, medical coding (ICD-9, ICD-10, 835/837, Facility (UB-92), Physician (HCFA)), Reimbursement Policy, Claims Systems, Interfacing Systems, SDLC process, DMAIC methodology, and Coordination of Benefit (COB) guidelines including Medicare, Medicaid and other insurance carriers. Procedural Analyst (1996 – 2003) Reported to MetLife/MetraHealth/UnitedHealth Group Site Director 1
- 2. Barbara A. Hanlon 15 Clarion Drive 315-734-5399 Whitesboro, New York 13492 BVSHanlon@aol.com • Developed and managed budgets for five offices (up to a total of 760 staff) • Extrapolated chargebacks for 13 offices for expenses incurred for OCR scanning and FDE keyed claims handled by the Utica claim office. • Transitioned systems during acquisition by MetLife and Travelers to MetraHealth. Same tasks for transition from MetraHealth to UnitedHealth Group. • Reduced budget by $850K in costs by clarifying telecommunication expenses being charged back to MetraHealth by MetLife. EDUCATION/TRAINING State University of New York at Albany B.S. Biochemistry Dean’s List 7 semesters VOLUNTEER LEADERSHIP/RECOGNITION Secretary Higby Point Association – Big Moose, NY 2010 - present Director Corporate Team Recruitment for the American Heart Association’s Heart Run/Walk 1998 – 2004 Corporate Team Leader for the American Heart Association’s Heart Run and Walk for the MetLife, MetraHealth, and UnitedHealthcare Teams encompassing 5 offices 1992 – 2004 Utica Boilermaker 8K Corporate Committee member 1994 – 1999 Big Moose Charity Golf Classic Co-Chair – 3 Tournaments to benefit the Big Moose Ambulance Company in Big Moose, NY, and the Siegenthaler Center- Hospice and Palliative Care in New Hartford, NY 2