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PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEABILITIES, KNOWLEDGE & SKILLS:Able to demonstrate poise, tact,diplomacy, and wise judgement. Excellent analytical and organizational skillsWorking knowledge of healthcare payment models, Physician practice management, revenue cycle, payer contracting, managed care models, accountable care and organizational structure.Client service oriented( internal and external).Able to multi- task and prioritize workload in a fast- paced environment. Working knowledge of change management, process improvement methodology: LEAN- SIX Sigma.Creative and persistent problem solver.Able to collaborate across departmental lines, establish and maintain strong professional relationship with clients and other stakeholders.Excellent and strong interpersonal skills to handle sensitive situations and confidential information. Excellent written and communication skills including presentation and negotiations. Achieved a P/L of 85% within the last three years. Improved patient enrollment from less than 30% to 91%. HEDIS AND HIPPA proficientWORK EXPERIENCEMEDISENSE CARE LLC,Westland, MI 48186Clinic Administrator: 2013-Present Lead, create and manage budgets and projects. Analyze data, develop reports to measure clinical outcomes and network performance. Develop business-savvy ideas to impact how clients live healthier lives. Medical cost savings and utilization improvements through cost/process analysis. Author partnership and collaboration Agreements with significant stakeholders. Conceptualize continuous improvement systems for staff and volunteers. Device culture appropriate services delivery methods to accommodate diverse client population, even within hard to reach culture's. Supervise 17 field providers and 5 office clerks. Assign caseload on a weekly basis, monitor, provide individual and group training, advice and mentor staff. Update all staff every two weeks on extant laws. Establish effective result oriented relationship with cultural, traditional and historically diverse population hard to reach through staff knowledgeable in such communities. Daily analysis of computer generated reports from field staff, to ensure that specific goal determined quality of progress are met. Ensure that field operations conform to set budget allocation, nationwide acceptable cost/ benefit parameters and international best practices. Organize speaking tours to Senior citizens Apts,AFC homes, Churches and family gatherings. Conduct quality assurance tasks and customer services via phone/email. Program Administration utilizing Administrative, project management and leadership skills. Track and escalate case management issues, prepare progress reports, root cause analysis and monitor continuous improvement. Process Medicare, Medicaid and provider enrollment documents. Update policies/procedures and standard work programs. MEDISENSE CARE LLC, Sterling Heights, MIDirector/ Manager: 2009 Community Relations Specialist: Maternal Infant Health Program: MEDICAID PROGRAM Organized health education programs for pregnant women, especially immigrant women. Searched for housing, baby needs, finance, literacy, transportation, food and employment opportunities for migrant men and women. Recruited Nurses, Social Workers, Nutritionist, clerical, drivers and assigned them to individual clients for monthly home visits. Monitored home visit reports and entry into State database(MDDS) Follow due process and business management principles in all financial/budgeting and billing matters. Implemented training programs and monthly inhouse meetings for all field staff based on Michigan Department of Public Health specifications. Managed Payroll and incentives.EDUCATIONUniversity Of California: Irvin: 2019: PMP Licensure Classes. TEXAS A&M INTERNATIONAL UNIVERSITY, LAREDO, SERVS983:M.B.A ALABAMA A&M UNIVERSITY, HUNTSVILLE, AL1981: BS: EconomicsCOMMUNITY VOLUNTEER SERVICES:2017-2019Organize pro bono visits to AFC, Senior citizen's homes and individuals without means.SKILLS:Project ManagementData Analysis:Microsoft SuiteCritical ThinkingMentoringResolving IssuesEmotional Intelligence &Innovative.Can function independently. |