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HIPAA Project Manager

SUMMARY

• Over 12 yrs experience in healthcare systems implementations.  Experienced in HIPAA Transaction Code Sets and non-HIPAA compliant interfaces.  Experienced with enterprise wide HIPAA Risk Assessment and Gap Analysis, the development of a comprehensive HIPAA compliance project plan, and the delivery of a recommendations report on the organizational approach and strategy for HIPAA compliance. Managed contract resources and vendor relationships in HIPAA Compliance initiatives, Policy and Procedure development, Implementation and Audit. Extensive project management skills. Accountable for project business case development, project release planning, project plans and timelines, project budgets, project reporting, project delivery, resource allocation, and issue tracking systems.

PROFESSIONAL EXPERIENCE

Inova Solutions, Inc. - Seal Beach, CA

Mar 1996 - Present

Project Manager

• Responsible for maintaining current HIPAA knowledge and active involvement with WEDI/SNIP and HIMSS. Responsible for new business development, legacy to web development projects, and IT consulting servicing the Real Estate industry including technology and data integration, business process analysis, education and re-engineering. 
   

Perot Systems Corporation - Los Angeles, CA

Mar 2002 - Aug 2002

Project Manager

• Identifed clinical requirements for Laboratory Information Systems (Sunquest/Misys) De-Merge Project (Daughters of Charity Health System/Catholic Healthcare West). Acquired and managed resources, established timelines for project team resources, monitored progress against project plan, and directed team resources in completing project tasks. Managed the project testing phase. Ensured full project documentation ensuring successful compliance with laboratory regulatory agencies. Coordinated with peer project managers where project co-dependencies exist. Managed vendor's project managers. Worked closely with the Transition Project Office in reporting project status and tracking milestones.
   

 

Managed Resources, Inc. - Long Beach, CA

Aug 2001 - Mar 2002

Project Manager

• Accountable for a comprehensive enterprise wide HIPAA Risk Assessment and Gap Analysis, the development of the Project Work Plan,a comprehensive Compliance Project Plan, the delivery of recommendations report on organizational approach and the strategy for HIPAA compliance. Provided consulting services to HIPAA Task Force. Managed contract resources and vendor relationships in HIPAA Compliance initiatives, Policy and Procedure development, Implementation and Audit.
   

Kaiser Permanente - National Clinical Systems Development

Aug 2000 - May 2001

Project Manager, KP-CIS Implementation and Interface Development / HIPAA Compliance

• Implementation of Kaiser's Electronic Medical Record for the Southern California two regional hospitals. Project matrix consisting of approximately 50 resources.
   
• Development of 11 (Appointments, Pharmacy, EKG, Patient MASTERS, Order Entry, Laboratory Results Management, Common Provider Master, IDX, Patient Charting System , Immunization, Dictation/Transcription) ancillary application interfaces for SCAL to the national EMR with HIPAA compliance in as a requirement.  Participation in the National Code Sets repository development for HIPAA compliance. Standardization of non HIPAA compliant interfaces to KP-HL/7. Conducted JAD sessions with ancillary application owners, business owners and EMR development team.  Accountable for project plan, project budget, project reporting, resource allocation, SDLC, project business case development and maintenance. KPCIS Maintenance/Release planning, Data Migration, CMT (Common Medical Terminology).  Member of project's Data Strategy Team accountable for mapping data from source to target systems.  Development of knowledgebase for EMR implementation using Lotus Notes (KP Standard). Heavy interaction with business users (clinical business representatives) to document and validate user business requirements. Development and maintenance of issue tracking system (Lotus Notes and Vantive ESS).  Participation in the development team for the Common Provider Master project. Development of baselet and formulary management systems, distributed security management, ancillary application enhancements, directory services, order management routing, utility data load. Accountability for NCSD ancillary applications nationally for HIPAA compliance.  Discovery of all impacted ancillary applications using Y2K established application repository.
   

Catholic Healthcare West Long Beach Community Medical Center/Saint Mary's Medical Center

Mar 1999 - Aug 2000

Project Manager/Consultant/Interim Director Information Systems

• Accountable for the Y2K remediation for 820 servers, desktops, LAN/WAN, retirement of 187 devices and deployment of 800 desktop devices, and Y2K Remediation of the following major hospital information systems: Kronos Timekeeping, Security Solutions Badge System, HRIS, GE Financials, SunQuest, IMPAC, ADAC, Co-Path, Edu-Tracker, ANSOS, Apollo Cardiology db, Lextel Dictation, MedStaff, Sunquest, Varian, Xiox, Xtend, MedSeries4, Infinium, Quadramed, STC Datagate, HCM (Cost Accounting). Y2K Remediation included the use of HIPAA NPRM's as criteria for security, privacy and transaction code sets. Other work included JCAHO preparation for IM Department, business process redesign and campus operations consolidation. Accountable for annual maintenance budget of $725K and epartmental budget of $2M.
   

Kaiser Permanente - Financial Applications Systems Development

Feb 1997 - Feb 1999

Information Technology Consultant

• Accountable for the successful remediation of 198 critical applications. Developed and maintained application database and management reports. Managed contract programmer resources and Y2K remediation vendor resources.  Developed and maintained comprehensive regional project plan. Y2K Application testing and certification. Maintained data interchange between vendors (IBM, SAIC, Data Dimensions, STA America). Lead design team in Data Dimension's component tracking system. Coordinate cross organizational initiatives related to Y2K testing, upgrade, remediation and certification.
   

CalOPTIMA - Information Technology

Jul 1996 - Jan 1997

Senior Business/Systems Analyst

• Maintenance of GTE QCARE system. Audited system (Provider Master File, Claims and Pre Authorizations Processing, Membership and Eligibility).  Worked on RFI in acquisition of Data Warehouse vendor (Red Brick), EDI (DHS to CalOPTIMA - Eligibility, Provider Master, Encounters, Claims), and development of MS Access database for required reports for audit. Provided training for basic systems analysis. Temporary chair of IS Steering Committee.
   

UniHealth Information Services - Provider Services

Feb 1994 - Jun 1996

Business/Systems Analyst

• Installed Practice Management and Managed Care systems for Harriman Jones Medical Group.
   
• Provided onsite technical expertise via hardware and systems support and end user training.  Performed business analysis and re-engineering (Medi-Cal, MediCare, HMO, IPA Billing and reconcilement). Provided technical expertise via business analysis and work flow re-engineering.  Trained end users and systems analysts on MG400 and InfoCure systems, AS/400 operating system, AS/400 Query, Elite/400, Basic Systems Analysis. Product Development Manager for MG400. Coordination of programming (Ed Jung and Associates) and analyst resources.  Development of the Claims, Referral, Preauthorization's, Capitation, Correspondence,  Accounts Payable and Cost Accounting Modules. EDI development for commercial payors, IMS, data warehouse, internal systems
   
• Project manager for the CALOptima/MG400 development and implementation.  Designed and managed programming for interface to 7 independent systems Hospital Information Systems/MG400 interface
   
• Developed and reviewed RFI's for new systems acquisition Practice Management, Managed Care, Cost Accounting.
   

APS Management Service, Inc. - Business Development

Feb 1990 - Jun 1996

Information Technology Consultant

• Installed, trained and managed in house practice management software for small physician offices. QBX (Clipper Based System), MediCare, MediCal, HMO, and Private Insurance Electronic Billing. Create and implement software development projects. Created new EDI formats for claims and encounters.
   
• Membership Eligibility Downloads for payors. Managed analyst and programmer resources. Created budgets, proposals and financials for shareholder reporting. Provided receivables management services, network installation and maintenance, and PC Upgrades (Software and Hardware).

EDUCATION

• LT University, 2001, Project Management Certification
• US Naval Reserves, 1997, Military Science
• State University of New York at Buffalo, 1984
• Amherst, NY, Biology

Affiliations:

• Healthcare Information Management Systems Society (HIMSS)
• Workgroup for Electronic Data Interchange (WEDI)
• Strategic National Implementation Process (WEDI/SNIP)