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IT Manager, IT Project Manager, Operations Manager, Business Project Manager Resume
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| Desired Industry: Healthcare |
SpiderID: 4647 |
| Desired Job Location: Marlborough, Massachusetts |
Date Posted: 1/8/2006 |
| Type of Position: Full-Time Permanent |
Availability Date: 01/16/06 |
| Desired Wage: 86000 |
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U.S. Work Authorization: Yes |
| Job Level: Management (Manager, Director) |
Willing to Travel: No |
| Highest Degree Attained: Bachelors |
Willing to Relocate: No |
Objective:
LINDA POWAZINIK
27 Libby Ave., Marlboro, Mass. 01752, (508) 251-1925, mswhimiscal@peoplepc.com
PROFESSIONAL SUMMARY:
ľ Healthcare background.
ľ Experience in management.
ľ Collaborative team player with technical and analytic skills.
ľ Able to adapt well to changing priorities and deadlines.
ľ Strong interpersonal skills, negotiator, customer advocate.
ľ Effective communicator with both the technical and business departments.
ľ Diverse and extensive leadership role in multiple projects.
EXPERIENCE:
TUFTS HEALTH PLANS Waltham, MA:
Business/IT Project Manager
„h Successfully accomplished compliance with Software Engineering Institute¡¦s Level 3 Capacity Maturity Model
„h Reviewed and provided input to technical detail software design
„h Analyzed existing processes and developed streamlined courses of action
Consultant, eHealth Direct
„h Contributed to corporate priorities focusing on the design of a new claims engine consisting of, but not limited to the configuration of business rules
„h Contributed to analysis and decisions in various aspects of the solution testing phases
„h Facilitated the conversion to eHealth Direct
„h Assisted with data modeling and mining
Manager, IT Business Account Management
„h Managed a team of Business Analysts with varied skills and abilities, who were the liaisons between the business and technical staffs for the second largest managed care company in New England
„h Focused on Customer Relationship Management (CRM)
„h Conducted training sessions
„h Participated in vendor negotiations
Team Lead, IT Business Account Management
„h Excellent ability to understand customer expectations and translate business requirements to IT functional specs
„h Select project assessments include HIPAA and the Managed Care Bill
Systems Analyst, IT
„h Facilitated weekly provider reimbursement checkrun implementation meetings and followed up on
issues
„h Supported various departments (e.g. Claims/paper & electronic, Plan Benefits, Member Services, Provider Reimbursement, Internal Audit, Finance, Provider Information, Reporting & Analysis)
Supervisor, Internal Audit
„h Developed (designed, coordinated, programmed in SPSS, and tested), implemented, and supervised the claims audit function to monitor compliance with the corporations internal control systems and operational procedures.
„h Exercised judgment in determining the extent of testing and research needed to effectively audit claims
Research Assistant and Health Systems Analyst, Research and Analysis
„h Ensured the technical implementation and evaluation of company initiatives, in coordination with the involved departments, by translating business initiatives into successful operations. With team, developed innovative ways to streamline operations and substantially reduce costs for the organization (e.g. Provider Fraud Program, Mental Health Carve Out Program)
„h Participated in the creation and implementation of a billion dollar network medical budget. This budget served as the primary data input into the IT reporting core and was the basis for all financial risk evaluation and report based standards of performance
„h Assisted in business intelligence identification of critical information
Claims Examiner, Supervisor, Claims Operations
„h Supervised and educated a staff of eight claims examiners
„h Examined medical and dental claims for appropriate reimbursement
Assabet Continuing Education Marlboro, MA
Instructor, Medical Office Practices and Medical Coding
„h Successfully provided software instruction using Medisoft for medical office practices
„h Effectively developed and taught an introductory course to medical coding
Instructor, Medical and Dental Office Practices
„h Developed a course in medical and dental coding, scheduling, and third party billing
„h Obtained internships and provided students with employment opportunities in hospitals, medical and dental offices
Various Medical and Dental Offices MA
Office Manager
„h Responsible for, including but not limited to, medical and dental coding, third party billing, accounts receivable, payable, and scheduling staff
COMPUTER EXPERIENCE:
Platform: HP3000
Software: SPSS PC, Lotus 1-2-3, Microsoft Excel, Word Perfect, Microsoft Word for Windows, Microsoft Project, CC Mail, Lotus Notes, DOS, Paradox, QUIZ, Supertool, Qedit, Qshow, SQL, Oracle
EDUCATION
Framingham State College
CONTINUING EDUCATION
Project Management
PROFESSIONAL AFFILIATIONS
Women In Health Care Management
Minuteman Regional HS Medical Careers Program Advisory Committee
References furnished upon request
Candidate Contact Information:
| Name: Linda Powazinik |
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| Street: |
Phone: 508-251-1925 |
| City: Marlboro |
Fax: - |
| State: Massachusetts |
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| Zip: |
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| Web Site: |
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