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Work Background
Director, Professional Services & Operations
EdifecsDirector, Professional Services & Operations
Mar. 2025- Directed EDI and FHIR-based interoperability projects for large payer and provider clients, aligning technical delivery with Cotiviti's broader strategic goals. - Spearheaded modernization of legacy EDI infrastructure into scalable FHIR APIs, improving integration efficiency by 35% and ensuring CMS compliance. - Managed cross-functional delivery teams across the U.S. and India, enhancing resource utilization and reducing time-to-value for strategic accounts. - Partnered with Cotiviti and Edifecs leadership to unify service delivery frameworks and operational KPIs, boosting margin contribution and project delivery velocity. - Acted as a liaison between Professional Services, Product, and Go-To-Market Teams to influence roadmap decisions based on real-world client feedback. - Developed and deployed operational playbooks post-merger to harmonize client onboarding, delivery methodology, and executive reporting.
Director, Strategic Operations
EpisourceDirector, Strategic Operations
Nov. 2021Vero Beach, FL, United States• Contributed to operational readiness, organizational change management and solution capability for coding programs moved from offshore resources to onshore resources. • Developed and implemented new business models around interoperability connections assisting in an increased level of chart retrieval while reducing overall cost. • Implemented Risk Management programs across several departments within the organization. Focused on implementing improvements and changes to enhance workflows and security. • Identified strengths and weaknesses of current personnel management strategies, recommended changes and validated proposed solutions against operational capacities and organizational goals. • Supported management through integration periods focused on improving organizational communication, business performance and operational concerns.
Senior Manager, Client Services
EpisourceSenior Manager, Client Services
May. 2021 - Oct. 2021• Oversaw daily client activity to monitor service delivery and implement improvement initiatives. • 99% retention of existing accounts with a 33% increase in revenue year over year through organic growth initiatives • Coordinates project teams, both in the US and India, developing metrics detailing project requirements, identifying key deliverables, and implementing effective solutions • Managed overall risk adjustment program execution, logistics, budgets, timelines, client communications, and reporting responsibilities. • Created workflows for Medicaid and ACA risk adjustment SaaS platforms for major insurance organizations. • Met customer demands by tracking market changes and revising strategies accordingly.
Manager, Client Services
EpisourceManager, Client Services
Aug. 2018 - May. 2021
Account Manager
EpisourceAccount Manager
Feb. 2016 - Aug. 2018Responsible for working closely with the accounts team to ensure a positive customer experience & a maximization of revenue. In charge of increasing & maintaining customer satisfaction & ensuring that the individual needs of the customer are met. - Manage client expectations related to project timeline, project success, and project completion - Work with team members both onshore and offshore to ensure successful project completion - Manage all stages of project life-cycle which includes preparation of SOW, resource allocation, data analysis, and reporting - Forecast and track key account metrics related to record retrieval, coding production, and reporting solutions - Facilitate weekly project status meetings with key project decision makers.
Consultant
Object HealthConsultant
Aug. 2015 - Dec. 2015- HCCN Project. Supported LA County FQHC to achieve Meaningful Use, PCMH and quality improvement. Provided technical support and educational resources focused on fostering the development of patient engagement strategies and supporting initial adoption of health information exchange in the framework off Meaningful Use measures. - Tranquada V Initiative. Worked with seven community based clinics who participate in the L.A. Care Health Plan’s provider network, to improve health outcomes for selected HEDIS measures. Provided education resources and technical support focused on improving the overall HEDIS scores at each clinic. Worked closely with each health centers Quality Improvement and billing departments.
Regional Account Manager
Medical Scribe SysytemsRegional Account Manager
Oct. 2014 - Jul. 2015El Segundo, CaliforniaManage client contracts and agreements, ensuring all expectations are established, effectively communicated, and met. Oversee scheduling, compliance, and physician satisfaction throughout the duration of the scribe program. Key Achievements: -Provide oversight and management to 200+ employees at 17 hospitals nationally. -Achieve success with operational objectives as determined by senior management through maintenance of existing accounts as well as strategic growth of new accounts. -Identify and resolve opportunities consistently, improving overall quality of service and expanding sales channels. Currently managing accounts in: Houston, Tx (1) Livingston, Tx (1) Lufkin, Tx (1) Nacogdoches, Tx (1) Dallas, Tx (2) Paris, Tx (1) Abilene, Tx (1) Muskogee, Ok (1) Kansas City, Ks (1)
Implementation Coordinator
Medical Scribe SysytemsImplementation Coordinator
Apr. 2013 - Oct. 2014el segundo, californiaEffectively implemented EMR and trained physicians and new scribes. Consistently met KPI’s as established by hospital administration teams. Key Achievements: -Coordinated with Implementation Manager in client and physician-facing role. -Earned position as Project Leader in implementation of scribe programs for new sites nationally. -Successfully integrated scribes into clinical workflow at all sites through close collaboration with emergency room staff, hospital administration, and physicians. Implemented Scribe programs in: Calabasas, Ca- Urgent Care Eau Claire, WI- Emergency Department Chicago, IL- Emergency Department
Lead Medical Scribe
Medical Scribe SysytemsLead Medical Scribe
Oct. 2009 - Apr. 2013Los Robles Hospital and Medical Center- Recruited, hired, trained, and evaluated scribe employees in an effort to achieve MSS performance standards while implementing MSS standard training practices and testing materials - Managed 25 employees and ensured that each scribe met both the quality and compliance standards that were established by the company and by Joint Commission. - Maintained staffing levels to ensure coverage of all shifts - Organized and published all applicable scribe staff scheduling needs for a 24/7 emergency room - Provided efficient, real-time documentation of each patient’s medical-legal chart while working directly with the ED physician. - Maintained up-to-date medical & billing documentation in an effort to capture accurately all billing elements applicable to the care the patients received during their ER visit
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