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Fidelis Care New York - Financial Integration And Initiatives Manager Resume Example

Leah Long
  • XX XXXXXXXXX XXXXXX, Edison, NJ 08837
  • H: XXXXXXXXXXXX
  • XXXXXXXXXXXXXXXXXXXXXXXX
Professional Summary

Service-oriented Financial Integration and Initiative Manager with 7 years background in Healthcare Industry. Core competencies include Productivity and Process Improvement, Quality Improvement, Data Analysis and Critical Problem Solving, and as well as excellent communication and time management skills. Handles tasks with accuracy and efficiency.

Skills
  • Impact Analysis
  • Root Cause Analysis
  • Data Analysis
  • Data Mapping
  • Project Management
  • Process Improvement
  • System Development Life Cycle
  • PeopleSoft Finance
  • Facets
  • Financial Reconciliation Management (FRM)
  • MS Office Suite
  • SQL
  • Business Intelligence

     

Professional Experience and Key Achievements
Financial Integration and Initiatives Manager, 09/2014 to Present
Fidelis Care New York Rego Park, NY
  • Manages major components of project delivery as well as initiatives for strategic and process improvements throughout the department
  • Monitors requirements/regulations, assesses their impacts on the various financial areas and makes recommendations for adherence
  • Identifies problem areas in Finance and generates long-term solutions
  • Defines business requirements based on data analysis and manage automation solution tools to increase business efficiency and improve existing processes

     

Key Achievements

  • Spearheaded AR Reconciliation Project and identified opportunities to collect Medicaid Capitation payments and closed gaps on HBX APTC receivable
  • Led redesign on Finance business requirements template to ensure completeness
  • Delivered external data requests and validated output for accuracy and completion (Medicare BID Extracts, CHP Rate Proposals, MLTC Experience)
Finance Database Analyst, 03/2008 to 08/2014
Fidelis Care New York Rego Park, NY
  • Performed accurate reporting and ongoing analysis on medical, dental, vision, pharmacy and remittance data used to understand medical cost and utilization drivers
  • Identifies problem areas in Finance and generates long-term solutions based upon a mixture of analysis, past experience and judgement
  • Conducts impact analysis on various Finance initiatives and provides appropriate recommendations to management parties

     

Key Achievements
  • Significantly turned around initial result findings of HCRA Audit 200 to be favorable to the organization by identifying errors in data and providing accurate data analysis
  • Participated in sucessful annual interim and year-end audits by providing complete and accurate data; Performed walk-throughs with auditors
  • Recommended solutions for overall improvement and accuracy of MMCOR data reporting and reconciliation
Systems Analyst, 01/2006 to 01/2008
Hewitt Associates Bridgewater, NJ
  • Led requirements sessions with client team and documented specification requirements to ensure consistency with system functionality
  • Responded to ongoing client issues; Performed root causes analysis and generated coding alternatives for identified problems
  • Developed testing strategies with defined output to ensure quality testing of a fully functioning system
Product Developer, 08/2004 to 11/2005
Donovan Data Systems New York, NY
Production Control Analyst, 03/2002 to 08/2004
Donovan Data Systems New York, NY
Education and Professional Development
Certification: Transact-SQL, Oct 2015 Learning Tree Education and AnyWare Centre - IT Training in Toronto - New York, NY
Certification: PeopleSoft General Ledger and NVision Training, Nov 2010 Oracle - Iselin, NJ
Certification: PeopleSoft Query, Oct 2010 Oracle - New York, NY
Bachelor of Science: Mathematics, Sep 2001 De La Salle Zobel - Manila, Ph
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Resume Details

This is a real resume for a Financial Integration and Initiatives Manager in Edison, New Jersey with experience working for such companies as Fidelis Care New York, Hewitt Associates, Donovan Data Systems. This is one of the hundreds of Financial Integration and Initiatives Manager resumes available on our site for free. Use these resumes as templates to get help creating the best Financial Integration and Initiatives Manager resume.

Previous Companies:

  • Fidelis Care New York
  • Hewitt Associates
  • Donovan Data Systems

Previous Job Positions:

  • Financial Integration and Initiatives Manager
  • Finance Database Analyst
  • Systems Analyst
  • Product Developer
  • Production Control Analyst

Schools:

  • Learning Tree Education and AnyWare Centre - IT Training in Toronto
  • Oracle
  • De La Salle Zobel

Level of Education:

  • Certification
  • Bachelor of Science

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