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Epic Clarity Resolute HB & PB (ID #2773)

Summary:

  • Senior level healthcare business and information systems professional with over 20 years of related experience including hospitals, MSOs, HMOs, and Physician IPAs (managed care)
  • Epic Certified in Clarity Professional Billing, Clarity Hospital Billing and Resolute Professional Billing Administration
  • Expert level report writer in multiple environments, extensive emphasis on technology and decision support systems.
  • Healthcare data warehouse architect with multiple years of experience working with Epic EMR, implementing Tableau in multiple environments
  • Eight years of clinical experiences
  • Provide data architect related work for multiple data warehouses and data marts on a contract basis
  • Utilize and program SQL Server SSMS, MS Access, Crystal Reports, and other related BI Tools
  • Extensive background on Epic Clarity, IDX, and several other platforms

Facets RN Informatics SME (#312)

Summary:

  • Goal-driven healthcare services LPN professional with over twenty-one years' experience in the Health Plan and Health Insurance Industry.
  • Responsible for evaluating all policy and procedures, reports, and other documents for ICD-10 compliance and Epic HCC experience.
  • Extensive knowledge and experience with FACETS clinical configuration, testing and training of Business Processes and Informatics.
  • Strong clinical background in concurrent review, case management, disease management, and preventative care.
  • Excellent communication, documentation, problem solving, and organizational skills.
  • Extensive background in medical chart review and HEDIS collection and reporting.
  • Project Manager and Clinical Liaison between Medical Management and IT.
  • Experienced in State required reports for Appeals/Grievances.
  • Experienced with clinical interfacing PEGA/Compass with FACETS.

Epic Revenue Cycle Project Manager/Director (ID #3428)

Summary:

Consultant is a Project Management Professional (PMP) with over 10 years’ experience across multiple full-cycle implementations of Epic and other life sciences applications. As an experienced leader for over 20 years, consultant leverages their extensive experience to advise complex revenue cycle installs, completing projects on time and on budget. Certified in Epic Professional Billing and experienced managing the entire Revenue Cycle, has an excellent track record of leveraging her experience to build strong teams. Has been a dedicated leader in all phases of an installation including overseeing operational engagement in the implementation process (Access and Revenue Cycle Readiness), and provides the knowledge and experience needed to execute a successful Go-live as well as ongoing optimization. Consultant quickly establishes solid professional relationships, naturally identifies and drives towards a common goal, and would make an outstanding Revenue Cycle principal for any implementation.

Epic Clarity & Data Extract (ID #2651)

Summary:

  • Epic certified in EpicCare Inpatient, ADT, and Resolute Hospital Billing Clarity Data Models, EpicCare Inpatient Orders, Clinical Documentation, VB6, and ActiveX and trained in HIM Clarity Data Models
  • Expertise in Health Care Business Intelligence in Clinical Decision Support, Quality Management, and Revenue Cycle Management.
  • Over 10 years of experience in Analysis, Design and Development (SDLC) of Healthcare and Financial Applications and over 8 years Epic experience and over 6 years of consulting experience.
  • Strong techno-functional hands-on knowledge of Chronicles, CACHE, EpicCare Ambulatory, Inpatient, Resolute Hospital Billing workflows, Clarity and Reporting Workbench technologies and products.
  • Expert developing normal & complex crystal reports with Groupings, Formulas, SQL Expressions, Cross tabs, Command objects and advanced features in Crystal Reports (10.0, XI, and 2008) and carrying out report migration between different versions.
  • Very strong in SQL, PL/SQL, and T-SQL for writing Packages, Functions, Stored Procedures, Triggers, creating tables and indexes, OLAP and Performance Tuning.
  • Involved in Full Life Cycle implementations, Design, Build, Validate (DBV) process. Excellent skills in analyzing user’s requirements, modeling the systems and ensuring the functionality, with client’s satisfaction as the primary focus.
  • Involved in Meaningful use, ICD-10 conversion projects.

QNXT Configuration and Techincal SME (#3503)

Summary:

  • TriZetto QNXT Master Certified professional and effective leader with over 15 years’ experience
  • Background in leading health care implementation projects as configuration lead and specialist throughout the duration of project life cycle from inception to post live transition.
  • Strong healthcare background in platform migration, data mapping, plan document interpretation, benefits, contracts, utilization management, member enrollment, claims processing, HIPAA transactions, and user security.
  • Creatively identify innovative ways to solve complex problems while maintaining top-notch quality and world-class service.
  • Strong ability to understand system hierarchy and design architecture to thrive in highly matrixed, fast-paced environments.
  • Effectively presents and communicates information with all levels of the organization.