Project Manager Operations

ANTHONY SWARAY

Minneapolis, MN ***** 612-***-**** *******.**********@*****.***

Summary

Highly skilled Operations Project Manager with background in coordinating and executing complex projects in diverse industries. Possess strong leadership abilities and expertise in streamlining operations, improving workflows, and increasing efficiency. Demonstrated success in developing effective strategies to achieve operational goals and drive project success. Skilled at fostering collaborative relationships, managing teams, and promoting innovation to optimize performance.

Skills

Project Management

Strong verbal and written communication skills

Proficient with Microsoft Project and Salesforce

Proficient in the Microsoft Office Suite

Good understanding of HIPAA and EHR standards

Experience

Operations Project Manager 10/2021 to 01/2024

Mitchelle Hamline School of Law Saint Paul, MN

Developed and implemented project plans to ensure successful completion of projects.

Coordinated with cross-functional teams to develop strategies for the successful launch of operations projects.

Monitored progress against schedule and budget goals to identify potential risks or areas for improvement.

Identified resources needed for each phase of the project and allocated them accordingly.

Conducted regular meetings with stakeholders to review project status, discuss issues and risks, and obtain feedback on deliverables.

Drafted comprehensive documentation such as process flows, user guides, training materials.

Provided guidance and support to team members in order to ensure high quality results.

Resolved conflicts between stakeholders through effective communication techniques.

Developed standard operating procedures which were used by all departments involved in operations projects.

Healthcare Business Analyst 07/2019 to 07/2021

Express Scripts Holding Co Bloomington, MN

Reviewed healthcare data for accuracy and completeness to ensure compliance with applicable regulations and standards.

Analyzed operational performance, identified improvement opportunities and recommended solutions to optimize business processes.

Created process maps, flowcharts and diagrams to document workflow processes related to healthcare operations.

Implemented new software applications and upgrades in a timely manner according to established protocols.

Developed training materials that clearly explain how users can best utilize new systems or features.

Monitored progress of projects against predetermined milestones ensuring successful completion within budget constraints.

Prepared reports summarizing project status updates for executive management team members.

Claims Examiner 03/2017 to 06/2019

UCare of Minnesota Minneapolis, MN

Reviewed medical records and documents to determine coverage eligibility of claims for insurance benefits.

Performed data entry into the computer system to record information regarding claim status.

Investigated discrepancies in claims and resolved issues with customers via telephone or written correspondence.

Analyzed customer complaints, identified root causes of problems, and developed corrective action plans.

Processed appeals from denied claims according to established procedures while ensuring compliance with applicable laws and regulations.

Assessed accuracy of claim payments by comparing submitted bills to benefit allowance guidelines.

Created reports on rejected claims, including statistical analysis of trends in rejections.

Provided guidance to other staff members regarding claim processing rules and regulations.

Advised customers on their rights under their health plan policies when necessary.

HIM Technician 08/2016 to 01/2017

Allina Health Minneapolis, MN

Reviewed medical records for completeness, accuracy and compliance with regulatory standards.

Maintained patient confidentiality in accordance with HIPAA regulations.

Assisted in the preparation of documents for filing and scanning into electronic health record systems.

Provided guidance and assistance to other HIM staff on departmental procedures.

Audited charts to ensure that all pertinent documentation is present and accurate.

Conducted quality assurance reviews of medical records to ensure accuracy of coding and billing information.

Processed incoming mail, faxes, emails or other forms of communication related to patient's health information.

Coordinated activities between various departments regarding access, storage, retrieval, transfer or destruction of healthcare records.

Education and Training

Master of Science: Health Informatics 12/2019

College of Saint Scholastica Duluth, MN

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