Catherine D. Golden has over 15 years of experience in business management, project management, healthcare administration, and information technology. She holds an MBA and graduate certifications in health services management, information systems management, and is RSA Level 3 Certified. Currently she works as a Senior Business Operations Consultant for UnitedHealth Group leading analytic projects focused on fraud/waste/abuse recovery.

1. Catherine D. Golden Cell: 520-444-2232
Phoenix, AZ
cathygolden@juno.com
SYNOPSIS:
Results oriented, well-rounded business manager. Over fifteen years of experience in business systems, I.S. Technology, Operations,
Marketing, and Finance with special emphasis in business analysis, project control, and data analysis. Major strengths are in business
management, project management and team building/leadership, process improvement (through excellent analytical and business
development techniques), and ability to drive change. Industry experience includes Healthcare Administration, Technology/Computer
Software.
CAREER PROFILE
Healthcare IT Business Systems Analyst / Healthcare Financial Analyst / Healthcare Controller
• Solid experience in managing and controlling several departmental projects. Worked with multi-disciplined, cross-
functional teams. Accomplished Project Management and Financial Analyst - skilled at tracking cost data for
comparison purposes within specific projects (BCWP verses ACWP and BCWP verses BCWS), comparing actual costs
and scheduled cost to planned costs. Skilled at ROI and Payback analysis for capital projects, NPV, strategic marketing
research, price setting, and financial analysis/modeling/budgeting/forecasting.
• Proficient in using technology to manage information and decision-making. Committed to implementing quality
improvement techniques to drive informed business decisions / business success.
• Extensive business background that enables innovative and creative ideas. Ability to provide recommendations based on
sound assumptions that can drive projects to a successful completion in a timely manner,
• Strong mentor (managed staffs from 5 to 9 subordinates). Proven track record in leadership skills.
EDUCATION / SKILLS
KELLER GRADUATE SCHOOL OF MANAGEMENT Project Management – Health Care Administration Emphasis
MBA - Masters of Business Administration 2010 with Distinction (High Honors)
Graduate Certification in Health Services Management August 2011 RSA Level 3 Certified July 2011
Graduate Certification in Information Systems Management Dec 2016
UNIVERSITY OF PHOENIX, Phoenix, AZ 3.91 GPA on 4.0 scale
BSIT -Bachelor of Science Degree in Information Technology – 2005 (High Honors) Information Technology
CALIFORNIA STATE POLYTECHNIC UNIVERSITY, Pomona, Ca 3.50 GPA on 4.0 scale
Bachelor of Arts Degree in Business Administration Business Administration /Finance
COMPUTER SKILLS:
PL SQL
MS SQL Server
SAS
Mini-Tab Statistical Software
MS Access (MS Certified – Expert)
Excel 2010 (MS Certified - Expert)
MS Word 2010 (Expert)
MS Power Point 2010 (Expert)
MS Visio 2013 (Expert)
MS Project 2007
MS SharePoint 2013
Medical Management Enterprise Systems: Perot Diamond, UHG COSMOS, C&S COSMOS, and CSP FACETS
Enterprise Databases: SAS, Oracle, SAP
Accounting Enterprise Platforms: PeopleSoft, Great Plains (including FRX Report Writer), SAP, and Oracle
EMPLOYMENT HISTORY
UNITEDHEALTH GROUP, Feb 2007 to Present:
Sr. Business Operations Consultant, Healthcare: Optum Shared Services, Payment Integrity Start Date: Feb 2012 / Present
• Advanced Analytics Lab, Payment Integrity/ Fraud, Waste, Abuse recovery/adjustment: Lead Fraud/Data Mining/Coordination
of Benefits Analytic Projects Teams. Drive projects to establish IT supported methods to determine Annual Analytic Opportunity
dollars for current/historical analytics in both United Business and External Commercial enterprise adjudication platforms.
• Develop requirements and coordinate UAT for a Business Process Management system used by over 600 people that receives
over 800 new requests each month. Manage Steering Committee to prioritize and plan work. Report out on progress, etc. to
Stakeholders and executive management.
Sr. IS Business Analyst: UnitedHealthcare – Community and State Start Date: Feb 2007/End Date: Feb 2012

2. • All facets of Commercial/Medicaid/Medicare Membership for a managed healthcare organization (MCO): Member enrollment
via the health plan internal system structure. All facets of Commercial/Medicaid/Medicare Claims management for a MCO.
• Plan integrations: on-boarding of numerous State Medicaid plans.
• Conducted major initiatives to uncover/prevent fraudulent provider/member activity. Through the use of existing and newly
developed software, structured a complete system process flow for Appeals, Compliance and Regulatory operations.
Conduct and manage outcomes of various studies that include analyzing, reviewing, forecasting, trending, and presenting information
for operational and business planning. Support short and long term operational/strategic business activities by developing, enhancing
and maintaining operational information and models. Develop and implement effective/strategic business solutions through research
and analysis of data and business processes.
Establish initial scope of work and define detailed business requirements for IT health care projects. Focus on Medicaid and Medicare
programs. Function as project manager, develop and maintain project requirements, project documentation, and project
communications. Work closely with business owners /operations in requirements gathering for new business plans. Accountable for
gathering, analyzing and applying critical data supporting project deliverables. Liaise with internal and external suppliers and
customers to gather and analyze relevant program related information. Performs feasibility analysis and recommend alternative
solutions, project strategy and deliverable prioritization.
Independent Contractor with HONEYWELL, Oct 2006 to Feb 2007, Sky Harbor, Phoenix: Special Projects Analyst
UNIVERSAL TECHNICAL INSTITUTE: Apr 2005 to Aug 2006 (Automotive Technology training institution)
Business Development Analyst, Phoenix Corp. Office
Managed total department project tracking system. Lead the process of forecasting future project costs – these projections were used
for “developmental stage tracking” of open projects. Controlled the capital AOP departmental dollars / utilization of funds as
departmental needs were identified and approved
• Worked with fellow department project managers in the detailed monthly forecasting process.
• Lead appropriation request process for departmental funding approvals. This included business development endeavors.
HEALTHCARE CONSULTING SERVICES: Nov 2001 through 2005
Schaller Anderson Healthcare, Inc. (third party health insurance administrator): Client for RHI Management Resources
• Project Implementation: Implemented financial/accounting system in Great Plains environment. Set up general ledger /
all financial reports. Established GL structure, corresponding account mapping to management reporting segments.
• Established systems designs through process flow-charting with corresponding written procedures.
• Managed commercial claims payment process for five major clients. Verification/analysis of adjudicated claims through
check payment process. Sub-vendor support, stoploss re-inbursement, third party recovery claims, and overseeing
related bank accounts. Knowledgeable of medical terms – CPTs/ICD-9 coding, diagnosis/prognosis, HIPPA regulations.
Chandler Regional Hospital (Catholic Healthcare West): Client for RHI Management Resources
• Reconciled capital assets physical count to GL book amount. Created database to be uploaded to Enterprise System.
Performed analytical tasks.
Arizona Mentor (Caretaker Service/Rehabilitation/Therapy Provider): Client for RHI Management Resources
• Built databases; developed management review packages. Key business indicators, displayed graphically, informed
management of critical business issues as they occurred (allowed for immediate and informed responses).
Life-flo Healthcare Products/Avilla Labs: Controller - Finance/Accounting: Client for RHI Management Resources
• Managed all financial functions for company; staff of three people.
• Lead ACCPAC – MYSIS System Improvement Project: Mapped entire inventory processing system for design
improvement purposes. Implemented recommended improvements, process changes, and modifications.
PEGASUS SOLUTIONS: Feb 2000 to Sept 2001 (Technology based company --Hospitality Industry)
Global Provider of Software and Business Solutions
Sr. Financial Analyst, Phoenix Corp. Office
Analyzed profit centers/cost centers and their relationship to financial reporting in a SAP software environment. Financial modeling
relative to needs of business unit managers and related product lines- Managed Labor Analysis function - Phoenix: (dept. of three).
• Spearheaded MIS project to convert these models to automated, system-generated reports.
• Identified key business indicators (extracted from enterprise system) for use in financial reporting/analysis.
• Developed global (2000 employees/projected annual sales $235,000,000) budgeting/forecasting process.