I am a customer focused technical resource who is seeking full time employment in the greater Atlanta area. I am a problem solver with a proven record for success.
Richard M. Phillips is seeking a technical or management position in information services. He has over 20 years of experience in healthcare integration consulting, including experience designing and implementing HL7 and other interfaces between various electronic medical record systems such as Epic, Cerner, Meditech, and McKesson. His experience also includes population health management, computerized physician order entry, and revenue cycle management projects. He is proficient in languages such as Perl, Tcl, and SQL and tools such as Mirth, Cloverleaf, and Rhapsody.
Happy National Blood Donor Month! We celebrate the first month of the year as the National Blood Donor Month, and in honor of that we are highlighting a recently FDA-cleared Blood Establishment Computer Software (BECS), the SoftBank Version 25.6.1.0, also referred to as SoftBank.web.
But what exactly is Blood Establishment Computer Software? This functional software is specifically designed for managing all components and data relating to blood transfusion events. The generic BECS features include digital registration and logging of patient and blood-related data, blood compatibility testing, valid patient identification, and blood component monitoring. To put it simply, BECS is a complete package for handling, managing, and monitoring patient blood-related data which is required during blood donation or transfusion events...
Raj Singh has over 8 years of experience as a Business Analyst and Project Manager working on various healthcare applications including Medicaid claim processing systems, clinical applications, billing applications, and health information exchange systems. He has expertise in requirements gathering, documentation, testing, and system implementation. Raj seeks a challenging position where he can continue developing his management, technical, and analytical skills.
Christopher Greene is a healthcare IT consultant with over 12 years of experience advising Fortune 500 healthcare companies on projects valued at $200 million. He has expertise in EMR/EHR systems, clinical applications, and healthcare business systems. Greene has worked with over 50 healthcare organizations, including hospitals, insurance companies, and government agencies. He specializes in system integrations, data standards, regulatory compliance, and user training.
Tammi Clark is an Information Technician with 20 years of experience in healthcare. She has experience with data entry, medical records, EHR/EMR systems, auditing, and other administrative tasks. Her skills include customer service, organization, problem solving, and adhering to HIPAA compliance. She is proficient in Microsoft Office, medical terminology, and various medical record software programs. Her experience spans multiple healthcare organizations where she has performed tasks such as scanning, filing, releasing records, and assisting patients.
Mountain View Community Hospital (MVCH) is a small nonprofit hospital providing care to 60,000 people annually. MVCH aims to expand its capacity and develop an information system to efficiently manage administrative, medical, and patient data using centralized Oracle databases. The proposed three-tier architecture features a web application with a graphical user interface allowing global access to MVCH's relational database schemas, streamlining processes. Sample code snippets and screenshots demonstrate the planned application's functionality.
Richard M. Phillips is seeking a technical or management position in information services. He has over 20 years of experience in healthcare integration consulting, including experience designing and implementing HL7 and other interfaces between various electronic medical record systems such as Epic, Cerner, Meditech, and McKesson. His experience also includes population health management, computerized physician order entry, and revenue cycle management projects. He is proficient in languages such as Perl, Tcl, and SQL and tools such as Mirth, Cloverleaf, and Rhapsody.
Happy National Blood Donor Month! We celebrate the first month of the year as the National Blood Donor Month, and in honor of that we are highlighting a recently FDA-cleared Blood Establishment Computer Software (BECS), the SoftBank Version 25.6.1.0, also referred to as SoftBank.web.
But what exactly is Blood Establishment Computer Software? This functional software is specifically designed for managing all components and data relating to blood transfusion events. The generic BECS features include digital registration and logging of patient and blood-related data, blood compatibility testing, valid patient identification, and blood component monitoring. To put it simply, BECS is a complete package for handling, managing, and monitoring patient blood-related data which is required during blood donation or transfusion events...
Raj Singh has over 8 years of experience as a Business Analyst and Project Manager working on various healthcare applications including Medicaid claim processing systems, clinical applications, billing applications, and health information exchange systems. He has expertise in requirements gathering, documentation, testing, and system implementation. Raj seeks a challenging position where he can continue developing his management, technical, and analytical skills.
Christopher Greene is a healthcare IT consultant with over 12 years of experience advising Fortune 500 healthcare companies on projects valued at $200 million. He has expertise in EMR/EHR systems, clinical applications, and healthcare business systems. Greene has worked with over 50 healthcare organizations, including hospitals, insurance companies, and government agencies. He specializes in system integrations, data standards, regulatory compliance, and user training.
Tammi Clark is an Information Technician with 20 years of experience in healthcare. She has experience with data entry, medical records, EHR/EMR systems, auditing, and other administrative tasks. Her skills include customer service, organization, problem solving, and adhering to HIPAA compliance. She is proficient in Microsoft Office, medical terminology, and various medical record software programs. Her experience spans multiple healthcare organizations where she has performed tasks such as scanning, filing, releasing records, and assisting patients.
Mountain View Community Hospital (MVCH) is a small nonprofit hospital providing care to 60,000 people annually. MVCH aims to expand its capacity and develop an information system to efficiently manage administrative, medical, and patient data using centralized Oracle databases. The proposed three-tier architecture features a web application with a graphical user interface allowing global access to MVCH's relational database schemas, streamlining processes. Sample code snippets and screenshots demonstrate the planned application's functionality.
Healthcare Data Quality & Monitoring PlaybookCitiusTech
The healthcare industry has made significant strides across the care continuum, but incomplete and poor data quality still remains a challenge. In this brief playbook, we share key challenges, important quality checks, and a 4 step approach to enhance data quality.
CMS’ New Interoperability and Patient Access Proposed Rule - Top 5 Payer ImpactsCitiusTech
The recently proposed rule by the CMS introduces new policies to expand access to healthcare information and improve the seamless exchange of data in healthcare. This increased data sharing is a critical component of healthcare transformational efforts, and this eBook highlights the rules’ possible impact on payer systems and steps they need to take to manage this change effectively.
Instrument of Change: Creating the next generation of Laboratory MiddlewareTodd Winey
These healthcare challenges create opportunities for the next generation of middleware to provide even more value to labs and the clinicians who depend on them. It requires a shift in thinking about the place and role of lab middleware, as it evolves from an operational tool to a platform that serves all of the business needs associated with running a laboratory.
Daniel Hogan is seeking a position in medical device integration and support. He has over 15 years of experience providing technical support and customer service for medical devices. His skills include successfully integrating instruments, data management solutions, and hospital information systems. He is proficient in various operating systems, software, and networking technologies. His background includes roles managing support teams and providing remote installation, troubleshooting, and training.
Direct Boot Camp 2 0 IWG Provider Directory PilotsBrian Ahier
The document discusses the EHR|HIE Interoperability Workgroup's (IWG) Provider Directory Pilots, which test querying provider directories to support exchange of health information between electronic health records and health information services providers. The IWG was initiated in 2011 to develop standards for interoperability between health information exchange software and applications. The Office of the National Coordinator awarded a grant to support the IWG's efforts to address implementation challenges of querying provider directories. Several states and vendors were selected to pilot test the standards and provide results to inform specifications.
MEASURE Evaluation Data Quality Assessment Methodology and ToolsMEASURE Evaluation
The document describes a methodology and tools for conducting data quality assessments and routine data quality assurance to evaluate HIV, TB, and malaria programs. It outlines a Data Quality Audit approach involving a qualitative assessment of data management systems and a quantitative comparison of reported versus verified data. The goal is to provide a common standardized method for assessing data quality and identifying areas for improvement across multiple partner organizations.
A presentation about the role of informatics standards in facilitating electronic data interchange, and a framework for service-oriented semantic interoperability among data systems.
mMD.net is an electronic health record and practice management software with features including health information exchange, a patient portal, mobile access, and integration with other systems. It uses a services-oriented architecture and can automatically share patient medical records between providers to facilitate referrals and consultations.
Analytics leader optimizing clinical & operational services with high integrity partnerships, frictionless processes and shared data. Tactful engineering manager (five years) delivering self service automated BI/data applications and analyses that drives service transformation towards benchmarked quality and efficiency outcomes, often across multiple delivery modes (inpatient, ASC, medical group, pharmacy, lab) and insurance contracts (providers, groups, products, ACOs). Expert (16 years) in developing data services into actionable/modifiable descriptive trends/variances, predictive, and prescriptive analytics to optimize healthcare service decision making.
The latest changes from CMS regarding Meaningful Use Stage 3 , CCDA and reporting measures. We discuss the effort required, estimates in terms of cost and timelines.
4.5+ Years of experience in SQL Development, Performance tuning and Database ...jothibasumn
This document contains the professional summary and experience details of Jothibasu.M, who has over 4.5 years of experience in SQL development, performance tuning, and database testing in the healthcare domain. They have extensive experience with SQL Server 2008/2012, creating database objects, writing complex stored procedures and triggers, and performance tuning. They are currently working as a SQL Developer and Database Tester at URC Infotec (P) Ltd since 2011.
Tammi Clark has over 20 years of experience in information technology and medical records in the healthcare industry. She has extensive experience with EHR, EMR, and other medical software systems. Her skills include data entry, medical records management, scanning and filing records, customer service, and following HIPAA compliance procedures. She is proficient in Microsoft Office applications and has worked in roles supporting productivity, streamlining processes, and multi-tasking.
The document provides an overview of SAP BusinessObjects Information Steward, a solution for data quality and collaboration. It discusses challenges around data quality and collaboration between business users and IT. The solution aims to empower business users to discover, define, monitor, and improve enterprise data quality. It features key capabilities like data profiling, validation rules, metadata management, cleansing rules, and a business term taxonomy. The presentation demonstrates the solution's dashboards and scorecards for visualizing data quality issues and their root causes.
This document discusses securing healthcare mobile applications in compliance with HIPAA regulations. It covers topics like common mobile security threats, weaknesses in mobile apps, best practices for securing apps, and HIPAA technical, administrative and physical safeguards for mobile devices. The document is intended to introduce measures to develop secure healthcare apps that protect electronic protected health information on mobile platforms.
Navigating the Commercial Market & Health Insurance ExchangesAltegra Health
Implementation of the Affordable Care Act’s Market Reform Rules is rapidly transforming the commercial exchange market. Success under reform requires an emphasis on:
- Accurate eligibility, claims and coding data
- Risk intelligence under the new Hierarchical Condition Category (HCC) risk model
- Member engagement, assessment and retention
- Provider engagement and incentives
- Precise medical management
Altegra Health’s integrated suite of services assists health plans in managing the commercial market requirements and the resulting market response through:
- Data transformation and submission, risk analytics, and payment transfer reconciliation
- Diagnosis and procedure code coding and primary data validation audit support
- Member onboarding, engagement and retention
- Provider engagement and support
- Care management and medical cost reductions
Having 2+ years of experience in Healthcare IT industry. Currently, Working as Associate Professional Product Developer in CSC Company.
I have a rich experience in Visual basic 6, C# .NET 4.0, SQL Server, Oracle queries, product development and providing third line support to the customers in Health care, Billing.
Interoperability in health care information systemsAlexander Ask
A slide show from our bachelor thesis presentation. Its main focus is interoperability in health care and how interoperability issues can be addressed by open standardization.
Tammi Clark has over 20 years of experience in healthcare information technology roles. She has a strong background in medical records and data management, including expertise in EHR, EMR, auditing, and data entry. Her resume highlights skills like customer service, accuracy, organization, problem solving, and adhering to HIPAA compliance. She seeks a role where she can apply her administrative abilities, technology experience, and customer service skills.
Cheryl Monnell is a dynamic healthcare executive with over 30 years of experience in quality improvement, project management, and leadership. She has a proven track record of achieving accreditation and increasing health plan quality scores. Her experience includes developing case management programs, managing HEDIS and CAHPS projects, and overseeing utilization management and pharmacy benefits. She currently serves as the Director of Quality Improvement at WellCare, where she helped the plan achieve NCQA accreditation and increase its star rating.
Annabella Roig H Planning Resume 12 2011annabella721
Annabella Roig has 15 years of experience in health planning, community development, and non-profit management. She currently serves as Vice President of National Programs at Esperanza, Inc., where she oversees $3.25 million in funding and programs across six states. Previously she has held roles with the City of Philadelphia managing social services initiatives and the Philadelphia Housing Authority. Roig brings experience facilitating collaboration across sectors to develop and implement strategies and programs serving underserved communities. She holds an MPH in Health Administration and is a Certified Associate Project Manager.
Stacy Estes has over 15 years of experience in healthcare reporting and analytics. She has extensive experience working with SQL, EPIC, and other data systems to develop reports on trends, quality metrics, financial performance, and patient satisfaction for various healthcare organizations. Her background includes roles analyzing clinical and financial data, developing dashboards and reports, and presenting findings to management. She is proficient in Microsoft Office, SQL Server, and other software.
Healthcare Data Quality & Monitoring PlaybookCitiusTech
The healthcare industry has made significant strides across the care continuum, but incomplete and poor data quality still remains a challenge. In this brief playbook, we share key challenges, important quality checks, and a 4 step approach to enhance data quality.
CMS’ New Interoperability and Patient Access Proposed Rule - Top 5 Payer ImpactsCitiusTech
The recently proposed rule by the CMS introduces new policies to expand access to healthcare information and improve the seamless exchange of data in healthcare. This increased data sharing is a critical component of healthcare transformational efforts, and this eBook highlights the rules’ possible impact on payer systems and steps they need to take to manage this change effectively.
Instrument of Change: Creating the next generation of Laboratory MiddlewareTodd Winey
These healthcare challenges create opportunities for the next generation of middleware to provide even more value to labs and the clinicians who depend on them. It requires a shift in thinking about the place and role of lab middleware, as it evolves from an operational tool to a platform that serves all of the business needs associated with running a laboratory.
Daniel Hogan is seeking a position in medical device integration and support. He has over 15 years of experience providing technical support and customer service for medical devices. His skills include successfully integrating instruments, data management solutions, and hospital information systems. He is proficient in various operating systems, software, and networking technologies. His background includes roles managing support teams and providing remote installation, troubleshooting, and training.
Direct Boot Camp 2 0 IWG Provider Directory PilotsBrian Ahier
The document discusses the EHR|HIE Interoperability Workgroup's (IWG) Provider Directory Pilots, which test querying provider directories to support exchange of health information between electronic health records and health information services providers. The IWG was initiated in 2011 to develop standards for interoperability between health information exchange software and applications. The Office of the National Coordinator awarded a grant to support the IWG's efforts to address implementation challenges of querying provider directories. Several states and vendors were selected to pilot test the standards and provide results to inform specifications.
MEASURE Evaluation Data Quality Assessment Methodology and ToolsMEASURE Evaluation
The document describes a methodology and tools for conducting data quality assessments and routine data quality assurance to evaluate HIV, TB, and malaria programs. It outlines a Data Quality Audit approach involving a qualitative assessment of data management systems and a quantitative comparison of reported versus verified data. The goal is to provide a common standardized method for assessing data quality and identifying areas for improvement across multiple partner organizations.
A presentation about the role of informatics standards in facilitating electronic data interchange, and a framework for service-oriented semantic interoperability among data systems.
mMD.net is an electronic health record and practice management software with features including health information exchange, a patient portal, mobile access, and integration with other systems. It uses a services-oriented architecture and can automatically share patient medical records between providers to facilitate referrals and consultations.
Analytics leader optimizing clinical & operational services with high integrity partnerships, frictionless processes and shared data. Tactful engineering manager (five years) delivering self service automated BI/data applications and analyses that drives service transformation towards benchmarked quality and efficiency outcomes, often across multiple delivery modes (inpatient, ASC, medical group, pharmacy, lab) and insurance contracts (providers, groups, products, ACOs). Expert (16 years) in developing data services into actionable/modifiable descriptive trends/variances, predictive, and prescriptive analytics to optimize healthcare service decision making.
The latest changes from CMS regarding Meaningful Use Stage 3 , CCDA and reporting measures. We discuss the effort required, estimates in terms of cost and timelines.
4.5+ Years of experience in SQL Development, Performance tuning and Database ...jothibasumn
This document contains the professional summary and experience details of Jothibasu.M, who has over 4.5 years of experience in SQL development, performance tuning, and database testing in the healthcare domain. They have extensive experience with SQL Server 2008/2012, creating database objects, writing complex stored procedures and triggers, and performance tuning. They are currently working as a SQL Developer and Database Tester at URC Infotec (P) Ltd since 2011.
Tammi Clark has over 20 years of experience in information technology and medical records in the healthcare industry. She has extensive experience with EHR, EMR, and other medical software systems. Her skills include data entry, medical records management, scanning and filing records, customer service, and following HIPAA compliance procedures. She is proficient in Microsoft Office applications and has worked in roles supporting productivity, streamlining processes, and multi-tasking.
The document provides an overview of SAP BusinessObjects Information Steward, a solution for data quality and collaboration. It discusses challenges around data quality and collaboration between business users and IT. The solution aims to empower business users to discover, define, monitor, and improve enterprise data quality. It features key capabilities like data profiling, validation rules, metadata management, cleansing rules, and a business term taxonomy. The presentation demonstrates the solution's dashboards and scorecards for visualizing data quality issues and their root causes.
This document discusses securing healthcare mobile applications in compliance with HIPAA regulations. It covers topics like common mobile security threats, weaknesses in mobile apps, best practices for securing apps, and HIPAA technical, administrative and physical safeguards for mobile devices. The document is intended to introduce measures to develop secure healthcare apps that protect electronic protected health information on mobile platforms.
Navigating the Commercial Market & Health Insurance ExchangesAltegra Health
Implementation of the Affordable Care Act’s Market Reform Rules is rapidly transforming the commercial exchange market. Success under reform requires an emphasis on:
- Accurate eligibility, claims and coding data
- Risk intelligence under the new Hierarchical Condition Category (HCC) risk model
- Member engagement, assessment and retention
- Provider engagement and incentives
- Precise medical management
Altegra Health’s integrated suite of services assists health plans in managing the commercial market requirements and the resulting market response through:
- Data transformation and submission, risk analytics, and payment transfer reconciliation
- Diagnosis and procedure code coding and primary data validation audit support
- Member onboarding, engagement and retention
- Provider engagement and support
- Care management and medical cost reductions
Having 2+ years of experience in Healthcare IT industry. Currently, Working as Associate Professional Product Developer in CSC Company.
I have a rich experience in Visual basic 6, C# .NET 4.0, SQL Server, Oracle queries, product development and providing third line support to the customers in Health care, Billing.
Interoperability in health care information systemsAlexander Ask
A slide show from our bachelor thesis presentation. Its main focus is interoperability in health care and how interoperability issues can be addressed by open standardization.
Tammi Clark has over 20 years of experience in healthcare information technology roles. She has a strong background in medical records and data management, including expertise in EHR, EMR, auditing, and data entry. Her resume highlights skills like customer service, accuracy, organization, problem solving, and adhering to HIPAA compliance. She seeks a role where she can apply her administrative abilities, technology experience, and customer service skills.
Cheryl Monnell is a dynamic healthcare executive with over 30 years of experience in quality improvement, project management, and leadership. She has a proven track record of achieving accreditation and increasing health plan quality scores. Her experience includes developing case management programs, managing HEDIS and CAHPS projects, and overseeing utilization management and pharmacy benefits. She currently serves as the Director of Quality Improvement at WellCare, where she helped the plan achieve NCQA accreditation and increase its star rating.
Annabella Roig H Planning Resume 12 2011annabella721
Annabella Roig has 15 years of experience in health planning, community development, and non-profit management. She currently serves as Vice President of National Programs at Esperanza, Inc., where she oversees $3.25 million in funding and programs across six states. Previously she has held roles with the City of Philadelphia managing social services initiatives and the Philadelphia Housing Authority. Roig brings experience facilitating collaboration across sectors to develop and implement strategies and programs serving underserved communities. She holds an MPH in Health Administration and is a Certified Associate Project Manager.
Stacy Estes has over 15 years of experience in healthcare reporting and analytics. She has extensive experience working with SQL, EPIC, and other data systems to develop reports on trends, quality metrics, financial performance, and patient satisfaction for various healthcare organizations. Her background includes roles analyzing clinical and financial data, developing dashboards and reports, and presenting findings to management. She is proficient in Microsoft Office, SQL Server, and other software.
Martha J. Hott has over 15 years of experience as an administrative assistant and executive assistant. She has excellent computer skills and experience with MS Office applications. Her background includes roles providing administrative support to CEOs, executives, managers, and professionals in various industries such as education, healthcare, advertising, and accounting. She is proficient at tasks like calendar management, correspondence, record keeping, and client services.
This document contains the resume of Veronica McDowell, an RN with over 26 years of nursing experience in Florida, including hospital, skilled nursing facility, and home health roles. Her experience includes clinical nursing, nursing management, case management, director of nursing, and independent contractor work. She has an Associate's Degree in Nursing and is working toward her BSN. She also has numerous certifications in areas such as risk management, ICD-10, HEDIS/STARS quality audits, and nursing home administration.
Jeanette Ray has over 13 years of experience as a Business Analyst on GE Power's Supplier Master Data. She has strong project management, analytical thinking, and problem solving skills. Most recently, she worked with Alstom to migrate GE Power suppliers to their new Master Data Management system. She has a proven track record of driving accuracy and efficiency through process improvements.
Robert "Conor" E Smith has over 30 years of experience in various roles in the pharmacy industry including managed care, PBMs, retail pharmacy, and pharmaceutical sales. He is currently seeking a position as a medical science liaison or in specialty pharmacy, health economics, or outcomes research. His most recent role was as Director of Pharmacy at Magnolia Health Plan where he oversaw pharmacy programs and specialty, behavioral health, and retail pharmacy spend of $150M annually.
Annabella Roig has over 20 years of experience in health and social services administration, program development and evaluation. She has managed budgets up to $3.2 million and staffs of up to 9 people. Currently she is seeking opportunities to coordinate health services that address health disparities. She has extensive experience developing and managing public health programs and initiatives across multiple organizations.
Malek Harb is a 31-year-old Financial Manager from Amman, Jordan currently working at Copart - AGA Company. He has over 9 years of experience in accounting and financial management roles. Harb holds a Bachelor's degree in Financial and Banking Science from Philadelphia University. He is seeking a new position as an Account Manager or Financial Manager, preferably in the GCC countries or Jordan. Harb has expertise in accounting programs like QuickBooks, auditing, budgeting, and financial reporting.
Kathleen Archibald is seeking an administrative, logistics, customer service, or distribution position. She was previously a logistics manager and customer service representative for several companies. She has over 15 years of experience in logistics management, order processing, shipping, collections, and customer service. Currently, she is only able to work in Philadelphia or Center City due to not having a car after a recent accident.
Veronica McDowell is a registered nurse with over 27 years of experience in skilled nursing facilities, hospitals, and home health in Florida. She has extensive experience in nursing management, clinical oversight, and regulatory compliance. She is seeking a position as a clinical manager or in regional nursing oversight. McDowell has various nursing certifications and a background in quality improvement, case management, and electronic medical records. She provides contact information and a detailed resume of her professional experience and training.
Jennifer M. Vogel is a senior business leader with over 25 years of experience in healthcare, data analytics, and corporate reporting. She has extensive leadership experience developing and managing teams, implementing new processes and products, and collaborating across departments. Currently she is the Senior Director of Product Implementation at Geneia LLC where she oversees product development, quality assurance testing, and client implementations.
Kellie Rivera has over 15 years of experience in client advocacy and healthcare coordination. She has excelled in roles managing large caseloads and ensuring compliance with regulations. Most recently, she has worked on annual HEDIS projects for UnitedHealthcare abstracting medical records and creating reports to measure health plan performance.
Tonya Snyr is a registered nurse seeking full-time employment. She has over 20 years of nursing experience in various clinical settings including home health, mental health, case management, and clinical communications. Her experience includes performing assessments, medication management, care coordination, and utilizing various computer programs for documentation and patient care. She is licensed in Michigan and Ohio and maintains all necessary certifications.
Jack Mulcahy is an experienced professional resume writer who owns his own resume writing business and has worked as a resume coach for Pennsylvania CareerLink, helping over 1,700 job seekers improve their resumes and increase their interview rates. He has over 40 years of experience in writing, editing, marketing, and communications roles across various industries. The document provides details on his resume writing experience and qualifications, as well as his educational and employment backgrounds.
Cathy Kauffman has over 30 years of experience in nursing and healthcare management. She has held several director level positions managing utilization review, quality improvement, and case management programs. Her experience includes managing Medicare, Medicaid, and commercial health plans. She is skilled in accreditation, regulatory compliance, and leading organizational change.
Chaka Bell is an analytical and results-driven consultant with over 10 years of experience in claims systems and clinical applications implementations, with a focus on compliance and clinical reporting. She has experience as a project manager, business analyst, and operations manager supporting various health insurance clients. Her expertise includes configuration of claims, membership, provider, and medical management systems, as well as NCQA HEDIS and AHCA Florida Medicaid reporting.
DJ Elmore is a veteran data analytics professional who has worked for over 15 years providing data-related services including managing risk and compliance, auditing internal controls, and investigating fraud. Some of Elmore's accomplishments include creating systems to efficiently retrieve millions of records from mortgage loan data and visualizing expense report data. Elmore has extensive experience developing repeatable analytics and data profiling programs for auditing processes, and currently works as an independent consultant focusing on regulatory compliance and internal audit analytics.
This document provides a summary of Cathy White's experience and qualifications. She has over 15 years of experience leading business analysis and project management for healthcare IT projects. Some of her past roles and responsibilities include serving as project lead for Medicaid expansion projects in New Hampshire and Alaska, implementing new Medicaid Management Information Systems, and heading requirements gathering and testing for various software development projects. She has expertise in areas such as ANSI X12 standards, Medicaid claims processing, and Agile methodologies.
Somnath Kundu is an Informatica Developer Consultant with over 6 years of experience in IT and software development using technologies like Informatica PowerCenter, SQL, and Unix shell scripting. He has worked on multiple projects for clients like Kaiser Permanente, Experian, and Eli Lilly developing ETL solutions and resolving defects. His experience includes requirement gathering, design, development, testing and production support of applications involving data warehousing, ETL, and BI. He is looking for an opportunity to enhance his skills and help organizations achieve their goals.
Jayamoorthy Arulmani is seeking a role as a Business Analyst. He has a Master's degree in Business Administration and a Bachelor's degree in Computer Application. He has over 5 years of experience in roles such as Business System Analyst, working on projects in the healthcare industry involving systems development, testing, and implementation. He is proficient in various technologies, methodologies, and processes related to business analysis and systems development.
This document provides a summary of Zain Siddiqui's work experience and qualifications. It outlines over 7 years of experience in business analysis, quality assurance, and testing in the healthcare and IT sectors. Recent experience includes roles as a Business Analyst and EDI Analyst at Children's Health in Dallas, where responsibilities involved requirements gathering, documentation, and coordinating with development and testing teams on an application for managing health plans.
Angela Groves has over 15 years of experience in IT healthcare and systems analysis roles. She brings skills in databases, data analysis, project management, and technical documentation. Her experience includes roles at Eli Lilly, MDwise, and The Health Care Group developing metrics systems and reports to track quality, costs, and utilization.
Peter Barnam has over 25 years of experience in information technology with a focus on data architecture, software development, and business intelligence projects. He has worked on projects involving data integration, data warehousing, reporting, and analytics for clients in various industries including healthcare, insurance, utilities, and financial services. His experience includes roles as a data architect, data modeler, solution architect, project manager, and technical analyst.
This document summarizes the experience and skills of a business analyst with over 7 years of experience in information technology and business analysis. They have extensive experience in areas such as business intelligence, database administration, SQL, healthcare EDI transactions, data warehousing technologies, and healthcare domains. They have a comprehensive knowledge of software development methodologies, requirements gathering techniques, and technical skills including databases, programming languages, healthcare standards, ETL tools, reporting tools, and more. Their work experience includes roles as a senior healthcare business analyst and senior business analyst for large healthcare companies where they were involved in various projects related to data analysis, reporting, EDI transactions, compliance, and system testing and implementation.
Independent consultant since 1996 with over 30 years of experience with Healthcare Information Systems; Expertise in healthcare industry, project management, business analysis, business administration/operations, Electronic Data Interchange (EDI), Electronic Medical Record (EMR), Physician Practice Management (PM), Health Information Exchange (HIE), testing, training, support and consulting; Experience working directly with providers, payers, software manufacturers, electronic data interchange organizations, billing services, clearinghouses and government agencies; Excellent skills for communication, technical research and problem-solving. Efficient and effective leadership for cost effective solutions.
Tina Hauman is an IT professional with over 17 years of experience as a Systems Analyst. She has experience in waterfall and agile methodologies and has strong communication, problem solving, and team leadership skills. Her experience includes roles as a Project Coordinator, Systems Analyst, Business Process Analyst, and various other roles supporting EDI, claims processing, and software implementation at several healthcare companies.
Ronald Sommer is a Business Intelligence professional with over 12 years of experience in healthcare IT and managed healthcare. He has extensive experience in database administration, SQL development, and business intelligence project management. Sommer is proficient in Microsoft BI tools including SQL Server, SSIS, SSAS, and SSRS. He holds a Bachelor's degree in Information Technology and is pursuing additional education.
This document provides a summary of Joseph Warren's qualifications and experience as a seasoned business and data requirements analyst. He has over 20 years of experience in roles such as systems analyst, business analyst, data analyst, and quality assurance analyst for Fortune 50 companies, government agencies, and healthcare organizations. His areas of expertise include client relationship management, systems analysis, data validation, problem resolution, and executive-level presentations.
Tim Mills-Groninger has over 25 years of experience in business intelligence, data warehousing, and analytics. He has implemented SQL Server Integration Services, Analysis Services, and Reporting Services at AXA-Assistance to consolidate data and create reports and dashboards. Mills-Groninger also has experience consulting for non-profits on software selection, database design and maintenance, and operational support using Microsoft tools.
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.
Linda Ruiz has over 25 years of experience in healthcare finance and information services, including 9 years of supervisory experience. She has worked as an expert business analyst and clinical informaticist for Allscripts and UCI Medical Center, where she supported electronic medical record systems, developed interfaces, and provided technical support. The document outlines her technical skills and experience in clinical documentation, interface development, database management, and customer service.
Philippe Thomas is an experienced computer science and IT professional seeking contract work. He has diverse experience implementing systems like PeopleSoft, Solomon IV, and radiology information systems. He provides project management, business analysis, systems analysis, and technical support skills. His experience includes managing multimillion dollar projects, and he has certifications in several systems.
Professional Profile And Project Summary Of Bernadette TaylorBernadette Taylor
Bernadette Taylor has over 20 years of experience as a technical business analyst and educator. She has designed over 25 applications across various industries including finance, manufacturing, human resources, and professional services. Currently, she is studying for business intelligence certification and teaching social media courses while volunteering for a political campaign.
The document is a resume for John V. Stires highlighting his experience in business intelligence using SQL Server and Microsoft technologies, with over 30 years of experience in programming, analysis, and consulting roles working with various databases and platforms. He is looking for a new opportunity to design and build applications using business intelligence to solve business problems. The resume provides details of his technical skills and work history.
This document is a resume for John Long listing his experience in managed care information systems. It summarizes his roles as a data analyst contractor for Fresh & Easy Neighborhood Market, MemorialCare Health Foundation, and Inland Empire Health Plan where he provided analytical support, developed procedures to automate processes, administered databases, and designed dashboards and reports. It also lists his experience as a business analyst at Southern California Edison and as a database and reporting analyst at Inter Valley Health Plan where he created customized reports and helped with system conversions.
The Ipsos - AI - Monitor 2024 Report.pdfSocial Samosa
According to Ipsos AI Monitor's 2024 report, 65% Indians said that products and services using AI have profoundly changed their daily life in the past 3-5 years.
STATATHON: Unleashing the Power of Statistics in a 48-Hour Knowledge Extravag...sameer shah
"Join us for STATATHON, a dynamic 2-day event dedicated to exploring statistical knowledge and its real-world applications. From theory to practice, participants engage in intensive learning sessions, workshops, and challenges, fostering a deeper understanding of statistical methodologies and their significance in various fields."
"Financial Odyssey: Navigating Past Performance Through Diverse Analytical Lens"sameer shah
Embark on a captivating financial journey with 'Financial Odyssey,' our hackathon project. Delve deep into the past performance of two companies as we employ an array of financial statement analysis techniques. From ratio analysis to trend analysis, uncover insights crucial for informed decision-making in the dynamic world of finance."
Predictably Improve Your B2B Tech Company's Performance by Leveraging DataKiwi Creative
Harness the power of AI-backed reports, benchmarking and data analysis to predict trends and detect anomalies in your marketing efforts.
Peter Caputa, CEO at Databox, reveals how you can discover the strategies and tools to increase your growth rate (and margins!).
From metrics to track to data habits to pick up, enhance your reporting for powerful insights to improve your B2B tech company's marketing.
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This is the webinar recording from the June 2024 HubSpot User Group (HUG) for B2B Technology USA.
Watch the video recording at https://youtu.be/5vjwGfPN9lw
Sign up for future HUG events at https://events.hubspot.com/b2b-technology-usa/
ViewShift: Hassle-free Dynamic Policy Enforcement for Every Data LakeWalaa Eldin Moustafa
Dynamic policy enforcement is becoming an increasingly important topic in today’s world where data privacy and compliance is a top priority for companies, individuals, and regulators alike. In these slides, we discuss how LinkedIn implements a powerful dynamic policy enforcement engine, called ViewShift, and integrates it within its data lake. We show the query engine architecture and how catalog implementations can automatically route table resolutions to compliance-enforcing SQL views. Such views have a set of very interesting properties: (1) They are auto-generated from declarative data annotations. (2) They respect user-level consent and preferences (3) They are context-aware, encoding a different set of transformations for different use cases (4) They are portable; while the SQL logic is only implemented in one SQL dialect, it is accessible in all engines.
#SQL #Views #Privacy #Compliance #DataLake
Open Source Contributions to Postgres: The Basics POSETTE 2024ElizabethGarrettChri
Postgres is the most advanced open-source database in the world and it's supported by a community, not a single company. So how does this work? How does code actually get into Postgres? I recently had a patch submitted and committed and I want to share what I learned in that process. I’ll give you an overview of Postgres versions and how the underlying project codebase functions. I’ll also show you the process for submitting a patch and getting that tested and committed.
End-to-end pipeline agility - Berlin Buzzwords 2024Lars Albertsson
We describe how we achieve high change agility in data engineering by eliminating the fear of breaking downstream data pipelines through end-to-end pipeline testing, and by using schema metaprogramming to safely eliminate boilerplate involved in changes that affect whole pipelines.
A quick poll on agility in changing pipelines from end to end indicated a huge span in capabilities. For the question "How long time does it take for all downstream pipelines to be adapted to an upstream change," the median response was 6 months, but some respondents could do it in less than a day. When quantitative data engineering differences between the best and worst are measured, the span is often 100x-1000x, sometimes even more.
A long time ago, we suffered at Spotify from fear of changing pipelines due to not knowing what the impact might be downstream. We made plans for a technical solution to test pipelines end-to-end to mitigate that fear, but the effort failed for cultural reasons. We eventually solved this challenge, but in a different context. In this presentation we will describe how we test full pipelines effectively by manipulating workflow orchestration, which enables us to make changes in pipelines without fear of breaking downstream.
Making schema changes that affect many jobs also involves a lot of toil and boilerplate. Using schema-on-read mitigates some of it, but has drawbacks since it makes it more difficult to detect errors early. We will describe how we have rejected this tradeoff by applying schema metaprogramming, eliminating boilerplate but keeping the protection of static typing, thereby further improving agility to quickly modify data pipelines without fear.
1. Laurie D. Maxwell
Email: LaurieMaxwell@yahoo.com 404-285-6586 (cell)
Skills
Experienced in SQL Oracle and T-SQL SQL queries and table driven databases. (SQL Developer and SQL
Server Management Studio programs)
Maintained and monitored daily data receipt tracking and processing for timeliness and Service Level Agreements
Numerous Data Investigations regarding clinical suites and measures and placement for HEDIS scoring
Experienced in Electronic Data Warehousing (EDW) and Cognos Impromptu software for EDW (SQL) Inquiry.
Extensive experience with CPT, ICD9, HCPCS and facility revenue medical coding terminology.
Expert in HL7 formats and data transmissions.
Current and informed regarding Blue Cross Association’s Attribution reporting due mid 2015.
Expert in Business Objects for data analysis, reports and mapping of universes
Experienced in FoxPro and Crystal Reports report writing applications.
Expert in all Microsoft Windows programs including Access, Excel, Word and Word Perfect, Power Point, Outlook,
MS Project, Publisher, Visio, Adobe Acrobat and Web applications
Experience with regulatory compliance for HIPAA, SOX, HEDIS and ISO17799
Extensive experience in Geo Access programs including Geo Referral and Geo Directory
Skilled in ASA Caps, Erisco, NASCO and Amisys claims systems and HBOC Credentialing system.
Experience with McKesson Claim Check software including “Clear Claim Connection”
Strengths
Excellent PC knowledge and customer service skills with extensive experience in written and verbal communications.
Excellent analytical and organizational skills. Creative approaches to teaching technical processing techniques and
analytical logic. Creative problem solving skills. Highly motivated and goal oriented, accurate, thorough and precise in
attention to details. Excellent communication skills to and from programmers to end-users. Completed Project
Management Methodology training and AMA Time Management Training. Extensive experience in technical support
and statistical reporting. Extensive knowledge of Medical Terminology and Procedures including coding and billing
processes.
Professional Experience
SENIOR DATA ANALYST / QA ENGINEER III 04/14 to 06/16
Symphony Performance Health Analytics Alpharetta, Georgia
MDdatacor was purchased by SPH Analytics. Researched structured clinical data files and created queries for data
validation for statistical reporting. Reviewed medical traits for data integrity and clinical accuracy. Extensive use of
SQL Developer in an Oracle based database. Reviewed query outputs for data integrity and quality assurance.
Created monthly management dashboards that showed membership trends and clinical suite trends for each of our
sponsor clients. When moved into the I.T. department, I began Wiki documentation for T-SQL Stored procedures and
functions. Performed User Acceptance Testing (UAT) on newly coded functions for accuracy. Verified conversion of
tables from Oracle to SQL Database functionality.
DATA ANALYST TEAM LEAD 09/04 to 04/14
MDdatacor Alpharetta, Georgia
Reviewed large amounts of unstructured data to determine best processing practices on the proprietary MDdatacor
“Splitting and Parsing” software. Reviewed thousands of text files while maintaining accuracy and efficiency under the
HIPAA guidelines concerning personal medical information and the parsing of this information. Trained new Data
Analysts in use of the MDdatacor proprietary software and analytical principles. Created training documentation for
statistical sampling and analyzing clinical data. Researched clinical unstructured text and created rules for data
validation to create scenarios for statistical reporting. Reviewed medical traits for data integrity and clinical accuracy.
Extensive use of Access and Business Objects for customer reports and clinical trial rosters. Reviewed report output
for data integrity and quality assurance. Assisted with development of the “MDdatacor Data Care Center” for the
Health Insurance Industry payer community.
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2. SR. USER APPLICATIONS ANALYST II 02/01 to 06/04
Blue Cross Blue Shield of Georgia Atlanta, Georgia
Ran extensive Cognos reports for claims data from the Electronic Data Warehouse (EDW) systems. Developed
functional business requirements and translated them into system requirement specifications. Analyzed claims data
for patterns and trends to formulate recommendations for process improvement and automation. Created user
acceptance testing (UAT) scenarios for logic and benefit changes. Served as Project Lead and successfully
implemented over 80 accounts onto the main frame system. Maintained all project documentation including project
plans, issue logs and test scenario scripts. Developed financial processes documentation in accordance with the
Sarbanes-Oxley federal mandate. Integral part of raising the Claims First Pass Rate from 63.41% to 71.94%. Assisted
auditing department with mapping and identification of critical fields within EDW historical claims data. Automated a
full benefit library for all accounts within the NASCO system. Administered security and maintenance of the online
benefit inquiry and online help applications for the entire NASCO division of BCBSGA.
PROJECT COORDINATOR 03/99 to 01/01
National Account Service Company (NASCO) Atlanta, Georgia
Served as Implementation Project Lead for over 90 new accounts for the BC/BS Plans. Coordinated with Blue Cross
and Blue Shield Plans across the nation on negotiating and implementing system changes. Created user acceptance
testing (UAT) scenarios for all implementations. Completed user acceptance testing and maintained project issue logs
and test scenario scripts. Worked extensively with Project Management Methodology (PMM) phases and
documentation including problem analysis, business need, and cost and feasibility studies to determine the most
effective solutions. Calculated Return on Investment (ROI) and documented full life cycle of small to medium projects.
Served as liaison between the technical vendors (EDS and IBM) and the customer.
NETWORK SERVICES REPRESENTATIVE 11/97 to 03/99
Medicare Secure Choice Atlanta, Georgia
Managed a FoxPro database for over 2500 providers. Also, managed a Microsoft Access database for over 1000 out
of area providers for possible expansion. Coordinated provider information for credentialing, marketing, enrollment,
member services and administration. Administered all reports and tables for HCFA, HEDIS and NCQA guidelines and
audits. Produced all reports for all business needs in the company. Reviewed report output for integrity of data.
Developed, maintained and published the network provider directory.
CUSTOMER SERVICE REPRESENTATIVE 03/94 to 11/97
Connecticut General Life Insurance Co. Atlanta, Georgia
Handled in excess of 70 calls per day regarding the processing of HMO health claims. Educated members on all
guidelines and protocols of managed care programs including Medicare and coordination of benefits. Extensive
communications with members and providers. Creative problem solving regarding provider contract issues and
electronic claims submission issues. Handled all appeals and grievances for the Florida healthplans.
Training & Education
Regulatory Compliance Security Training MDdatacor March 2006 to June 2016
Business Objects 6.5 “Intermediate Reporting” Business Objects SA July 2005
Diversity in Business WellPoint August 2003
HIPAA Policies & Security WellPoint June 2003
MS Project 98 ExecuTrain April 2000
Total Time Management Padgett Thompson AMA January 2000
Project Management Methodology NASCO November 1999
Dekalb Community College/Dekalb Technical School
Certificate in Accounting
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