Daniel McBride is seeking a new position and provides his contact information and objective. He has over 10 years of experience in document imaging and management. His most recent role was at Amerigroup Corporation in their Quality Management department, where he was fully trained in HEDIS administration and medical records requests. He also worked on grievances, appeals, and quality of care issues. References are provided who can speak to his problem-solving skills and abilities in resolving member issues.

1. DANIEL MCBRIDE
4223 W Grace St, Tampa FL 33607
813-872-2750
Cell 813-503-1807
Arrys44@gmail.com
OBJECfIVE
To obtain a position with a reputable company that will stimulate professional and personal
growth by further development of new and challenging skills sets.
Summary
Became an Employee of Amerigroup Corporation which is the leader in Florida Medicaid in the
Quality Management department. I adapted to the environment of the Medicaid community.
Became fully trained in HEDIS administration as at temporary employee on January 31'120ll.
Fully trained in HEDIS administration, such as medical record request for the HEDI Nursing
Review staff. Also fully trained medical record request and HIPP A. Subsequently trained all future
administration temp employees during my full stay at Amerigroup. I came into full employment
after nearly a year. Worked as an Outreach Associate, calling people regarding HEDIS measure to
maximize HEDIS scores. Then was transferred to the Grievance and appeals team in March 2012.
Worked on grievances file from the Call Center to the complaints filed to government officials,
such as the Agency of Health Care Administration to calls to the Governor. These complaints
were worked hand in hand with the Regulatory Department. Also, worked extremely closely with
the IRU Claims department. I also input Quality of Care issues for the nurses in the Quality
Management as well as inputting appeal requests and medical records requests for these issues.
Fully trained in the applications of Facets, Compass, Pega, CareCompass, Macess, Sharepoint,
Aim
Personal Achievements
Solved the issues with Compass not sending mouth guards to children due to a failure in an Ad-
hoc issuer task.
Aided many people in solving issues with balance billing, authorization issues, obtaining
medication, getting necessary medical equipment. Helping these people was always a huge
accomplishment
References
Lenora Fisher
LPNj Case Manager 813-898~3992
Alice Scott
IRUjClaim Specialist Retired 727-365-8U9
Sylvia Yanis
Grievance and Appeals Coordinator 813-465-8919
Tracy Parks
QM Appeals Manager 727-687-8931

2. Employer: AmerigroupjAnthem Corporation
4200 W Cypress St
Tampa FI 33607
HR Representative Maritza 813-830-6946
Previous Experience
Previous Employment as Document and Imaging Specialist with over 10 years of experience
both at the clerical and supervisory levels. I have eleven years experience maintaining and
controlling an Electronic Document Maintenance System application. Major strengths in people
skills, organization, attention to detail, and exceptional judgment while working independently or
as a team member.
PROFESSIONAL EXPERIENCE
Suncoast Schools Federal Credit Union) Tampa FL 1800-999-5887 Feb. 1999 - July 2010
Imaging Specialist - Controlled all asped of the EDMS OnBase. Handled and created all
processes, such as DIP, COF,
COLD, TIP, and XMLdata transfer from the Data Center mainframe and the Item Processing
software of Metavante, Visa, and Fidelity. Maintained all five servers connected to the EDMS daily
for complications and to correct the problems encountered In charge of all user group set ups
and permissions and monitored the changes to all personnel changes, for example, terminations
and promotions. Responsible for resolving all technical issues for the system end user when issues
arose. Also created back-ups of all data to DVD and maintained the I pace on the file server.
Accomplishments:
• Successfully completed many major system upgrades with little or no complications
• Reduced the number of reports that we no longer required by manually viewing all histories to
find defunct reports
to save time and reduce the strain of monthly and month end reports to the mainframe
• Handled over 200 workflows I
• Created many new statement files and reports that were not generated within house but from
outside sources I
• Fixed all user issues and reported any bugs to Hyland software byl gather all information from
the application
• Met with Departments and designed the needs they had for the work flow creations to speed up
and create a more
organized department
• Developed OCR and scanning for the many documents in addition to creating all documents
that need to be scanned
EDUCATION
Graduated in 1988 from Swartz Creek High School. Various training courses at Suncoast through
CUNA as well as the
EDMS websites to keep current with the application's changes and needs for the work force.
SKILLS IASSETS
• Proficient in all Windows platforms

3. Fax Server2/1/2016 4:14:59 PM PAGE
February 1, 2016
To Whom It May Concern:
I am pleased to write a letter of recommendation for Daniel McBride.
I've known Daniel for many years and am grateful to him for our friendship. He has
many years of experience in the insurance industry and has represented his position in a
professional manner. I'm a nurse case manager and have worked closely with Daniel in
resolving member grievances; it was very rewarding to assist Daniel with his efforts.
I highly recommend Daniel for any endeavor he pursues. I do believe with Daniel's
knowledge of the health care industry, his interpersonal skills, abilities, and his pursuit of
excellence, he will surpass your expectations and give the results you are looking for with
integrity.
Feel free to contact me using the information below if more information is needed.
Sincerely,
Lenora Fisher, RN/CM
813-315-9055
Lenfish2282@yahoo.com