Jira
Results-driven healthcare professional with a Master’s in Hospital Administration and a proven track record in clinical operations, project coordination, and quality assurance. Demonstrated expertise in cross-functional collaboration, regulatory compliance, stakeholder communication, and optimizing operational workflows. Adept at driving clinical excellence through data-driven insights, automation, and quality initiatives. Seeking a Clinical Operations Manager role to leverage experience in hospital administration, insurance processes, and healthcare project management.
· Worked in projects like Insurance Grid Project, and worked with RPA and the Technical Appeals team.
· In Insurance Grid provide data required for the appeal creation through research process, so the data is used by the Users.
· Worked in the Technical Appeals team, doing account reviews and appeal creation.
· Collaborated with Insurance Grid and Appeals teams to develop appeal templates which can be used by users for appeal creation.
· Assess and process claims efficiently while maintaining compliance with company policies and regulations.
· Served as a strategic liaison between Operations and RPA teams, orchestrating the identification and implementation of automation opportunities using advanced RPA technologies
· Conducted comprehensive time and motion studies across multiple departments to evaluate and enhance the effectiveness of current automations, while refining platform navigation and augmenting user proficiency.
· Meticulously documenting minutes of meetings (MOMs), and leveraging Smartsheet to monitor and report on project milestones and inter-departmental progress.
· Daily quality control checks of laboratory equipment and to report if any issue.
· Ensuring all lab technicians adhere to protocols.
· Preparing a monthly revenue report for the lab. Ensure proper documentation.
· Ensured there is a decrease in TAT.
· Coordinated Covid vaccination drive
· Emergency department TAT analyzation.
· Worked as ER coordinator
Jira
Asana