mgrproject mgt ic resume example with 8+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA94105
:
Professional Summary
Insightful Manager with experience directing and improving operations through effective employee motivational strategies and strong policy enforcement. Proficient in best practices, market trends and regulatory requirements of industry operations. Talented leader with analytical approach to business planning and day-to-day problem-solving.
Skills
Policies and procedures
Project planning and development
Project Management
Strategic planning
Verbal and written communication
Plumbing
Functional & Business Requirements
Business Development
Procedure development
Key Performance Indicators
Staff Management
Microsoft Office Tools
Excel Power Pivot
QNXT
DOA
OPFS/DRG Pricer
Vendor Management
Education
The Bryman School - TempeTempe, AZExpected in ā āCertificate:Health Care Coordinator/Management - GPA:
Collaborated to develop and maintain targeted profit plans to sustain growth.
Performed complex financial and budget analyses to determine requirements and justify requested funding.
Collected data from other divisions to support quarterly forecasts.
Developed forecasting tools to analyze revenue variances and capitalize on industry trends.
Used relevant financial technology to generate reports and recommended courses of action to upper management.
Solved complex problems for senior leadership to execute on-time and under-budget projects.
Identified budget variances and recommended corrective actions, avoiding overruns and maintaining positive cash position.
Collaborated on projects with lawyers, accountants or public relations experts.
Ran and analyzed monthly revenue risk reports for executive team.
Reviewed weekly and monthly budget performance reports, ensuring departments and agencies operated within allocated budgets and investigated excessive expenses and reporting discrepancies.
Monitored and analyzed financial, statistical and operational data trends.
Created and maintained precise and accurate models, charts and reports.
Banner Health Plans - Supervisor of Operations City, STATE, 01/2015 - 08/2017
Introduced new methods, practices and systems to reduce turnaround time.
Led improvement initiatives to advance operational efficiencies.
Collaborated cross-functionally to refine procedures, devise best practices and enforce quality metrics.
Directed initiatives to improve work environment, company culture or overall business strategy.
Developed systems to track and log work issues.
Reduced process bottlenecks by training and coaching employees on practices, procedures and performance strategies.
Planned and resourced personnel and logistics for operations component exercises resulting in highly trained personnel ready to act quickly in critical roles.
Identified procedure or process changes required to improve performance and productivity.
Identified and resolved unauthorized, unsafe or ineffective practices.
Advanced productivity KPIs to achieve key business goals and objectives.
Evaluated employees' strengths and assigned tasks based upon experience and training.
Delivered feedback to decision-makers regarding employee performance and training needs.
Maximized performance by monitoring daily activities and mentoring team members.
Cross-trained existing employees to maximize team agility and performance.
Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
Identified and suggested remedies for areas of improvement based on detailed daily reports and analysis.
Supported management by processing invoices and documents with consistent on-time delivery.
Monitored day-to-day accounting processes to drive financial accuracy.
Maintained account accuracy by reviewing and reconciling checks.
Managed complex projects under direction of senior management to meet deadlines and budget limitations.
Implemented new accounting processes to decrease spending and work flow downtime.
Reconciled accounts, managed audits and updated financial records with remarkable accuracy.
Presented audit findings to accounting manager after reviewing results and paperwork.
Computerized recordkeeping systems, initiating and maintaining financial accurate and current tracking.
Recorded deposits, reconciled monthly bank accounts and tracked expenses.
Managed 8 people on three teams: Accounts Receivable Team - ie Refunds, Premiums. Adjustment and Provider Appeal Resolution Team - ie Provider Appeals, All Claim Adjustment Projects under 300 claims, Call Tracking Events. System Coordinators Team ie System Updates around claim payment issues and updated policies/regulations released by CMS.
Documented and communicated timely claims information while supporting accurate outcomes.
Gathered sensitive information to update customer profiles and help with appeals process.
Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
Supported financial director with special projects and additional job duties.
Complied with established internal controls and policies.
Established and checked coding procedures, monitored reports and updated internal files.
Updated Yearly tax rate for each operational jurisdictions, monitored Quarterly for twice a year updates.
Established and enforced internal controls, workflows and policies for tracking, reconciling and reporting on accounting activities.
Maintained suspicious claims database and prepared reports for supervisors.
Collaborated with claims department and industry anti-fraud organizations to resolve claims.
Paid or denied medical claims based upon established claims processing criteria.
Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Researched claims and incident information to deliver solutions and resolve problems.
Banner Health Plans - Information Analyst, End of Cycle City, STATE, 01/2013 - 12/2014
Identified project requirements by establishing personal rapport with potential and existing clients.
Processed invoices and contacted appropriate parties for timely payment receipt.
Reviewed documentation and identified financial discrepancies where applicable.
Supported monthly capitation program following targeted analysis and research to but checks.
Trained new and existing staff members in various financial procedures to prepare for job requirements.
Audited and reconciled daily claim check run for provider payments.
Executed vendor setup and payment, administration of bank accounts and account reconciliations.
Recommended improvements to processes.
Implemented regulatory guidance procedures for EOB/EOP/835.
Performed and documented quality control checks to maintain compliance with company initiatives.
Interpreted regulatory rules or rule changes and communicated with others through corporate policies and procedures.
Delivered timely information to insurance representatives to resolve common and complex issues.
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