Director, Manager, Supervisor, Analyst, Coordinator Resume

Desired Industry: Business/Management	SpiderID: 20782
Desired Job Location: Fontana, California	Date Posted: 4/27/2008
Type of Position: Full-Time Permanent	Availability Date:
Desired Wage:
	U.S. Work Authorization:
Job Level: Management (Manager, Director)	Willing to Travel:
Highest Degree Attained:	Willing to Relocate:

Objective:
To obtain a management position within a dynamic organization, utilizing my accomplished and “take charge” professional experience and skills.

Experience:
Quality Analyst 09/2006 – 12/2006
Loma Linda University Medical Center, Loma Linda, California
- Developed methods to assess current practices in relation to performance measurements via Loma Linda’s HPF system, the VSurvey, PowerChart, and MIDAS
- Evaluated needs and made recommendations for process improvements, new systems and methods using Lean Six Sigma processes
- Managed data collection and analysis to meet reporting requirements, which included data validation, reliability, objectivity, implications, and impact
- Educated team leaders and management regarding process improvement methods and tools, and identified and negotiated for resources required for each project
- Coordinated successful completion of weekly medical record reviews for 7 analysts
- Investigated patient claims using Root Cause Analysis (RCA) and Focus Reviews processes according to JCAHO requirements
- Organized and reported outcomes of the following committees: Women's and Neonatal Multidisciplinary QI, Professional Practice Committee, Pre-Hospital & Transfer Committee; OR Committee; and Sedation Committee
- Ensured privacy and security of Protected Health Information (PHI) as outlined within Loma Linda’s policies and procedures related to HIPAA compliance

Administrative Specialist 05/2004 – 05/2006
Kaiser Permanente, Fontana, California
- Coordinated various meetings, including notifying attendees, reserving rooms, refreshments and audio/visual equipment, as well as preparing and distributing supporting confidential documentation
- Represented Project Managers in delivering PowerPoint presentations for new employee orientations and training sessions
- Investigated patient injury claims, including interviews, telephone calls or correspondence to determine possible extent of company’s liability
- Entered Unusual Occurrence data into Access database for reporting purposes
- Processed medical legal referrals and signature verifications for the Legal Department

Project Administrator 06/2002 – 01/2004
Hellmuth, Obata + Kassabaum, Inc., Culver City, California
- Composed correspondence outlining policies and procedures to staff
- Implemented new departmental filing system
- Conducted extensive internet research, that resulted in substantial cost savings for the department
- Entered Request for Information (RFI) using Expedition software
- Maintained timekeeping operations for the project team, generated department requisitions
- Compiled extensive statistical data for various reporting purposes
- Managed and maintained inventory of supplies for entire project location

Senior & Confidential Executive Secretary 05/1990 – 11/2001
UHP Healthcare, Inglewood, California
My employment with UHP Healthcare included 4-1/2 in Legal Affairs; 2 years in Membership Services; and 5-1/2 years in the Human Resources Department. Some of my duties for all three departments included the following:
- Worked in conjunction with attorneys’ to negotiate provider contracts, as it related to evaluating and monitoring of contract performance to determine the need for amendments, extensions and compliance of contractual obligations
- Assisted the Risk Management Director in developing Requests for Proposals for self insurance
- Participated in the negotiation phases of collective bargaining agreements, hearings, and drafting of policies and procedures
- Provided research services to resolve variances, and decreased corporate costs
- Worked with senior management staff to identify problems, diagnose causes and determine corrective action plans
- Assisted with annual budgetary preparations and monitoring
- Ensured compliance with Federal and State regulations by transmitting annual EEO data
- Scheduled computer training courses, as well as staff development courses for all employees’
- Worked in conjunction with Service Representatives in the appeal process to ensure reimbursements were identified and paid, and in a timely fashion
- Chaired Annual Support Staff festivities and Employee Recognition activities, and coached scholarship applicants through the completion of scholarship process
- Supervised and trained clerical staff and effectively generated performance evaluations

Education:
Doctor of Philosophy
Walden University, Minneapolis, Minnesota
- Concentration: Public Policy and Administration
- Enrollment Status: Degree in progress

Masters of Business Administration
American InterContinental University, Hoffman Estates, Illinois
- Concentration: Healthcare Management
- Graduation Date: June 2007

Bachelors of Arts in Business Administration
American InterContinental University, Hoffman Estates, Illinois
- Concentration: Healthcare Management
- Graduation Date: May 2006

Affiliations:
Member of Cambridge's Who Who Publication.

PROFESSIONAL ORGANIZATIONS

Help Public Service Foundation, Inc.
- Board Position: Vice President and Supervisor of Program Development

Skills:
Microsoft Word
Excel
PowerPoint
Access
Publisher
HR-1 Software
ABC Flowcharts
Visio
MedImpact
Cycare
Expedition
Cognition
Outlook
Lotus Notes
MIDAS
KPDS Mainframe
SPC Excel
LLUMC HPF
PowerChart
VSurvey

Additional Information:
- Recent MBA graduate, pursuing Doctoral degree in Public Policy and Administration
- Highly skilled in utilizing critical thinking skills to conduct medical chart reviews and Root Cause Analysis sessions that comply with regulatory requirements
- Knowledgeable in quality assurance and process improvement via Lean Six Sigma Process

Reference:
William L. Buffington
Watts Health Corporation
10300 S. Compton Avenue
Los Angeles, California 90002
(323) 357-6690

Rusti LaCour
1404 South St. Andrews Place
Los Angeles, California 90019
(323) 419-1073

DeDra Devereaux
15622 Bonsallo Avenue
Gardena, California 90247
(310) 329-5797

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