Beth Quinn

Experience

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  DST Health

  Apr 1995 - Jul 2017

  EDI Manager / EDI Government Services Manager / ETL Manager

  Oversaw all EDI and Integration Services for Government Programs, encompassing EDPS, EDGE, CAQH CORE, HIPAA standards, and managing transactions such as 837, 834, 835, 270/271, 276/277, 277CA, 278. Navigated the EDI Software Development Life Cycle (SDLC) and integrated it with other Product Development processes to ensure a cohesive workflow. Designed data flows and oversaw all integration activities using Agile and Waterfall methodologies. Administered resource planning, supply and demand forecasting, and work estimates to align team efforts with organizational goals.• Successfully managed and processed over a billion transactions annually. • Led the development and reporting for all EDI Services, utilizing three translation tools to support four product lines, PowerMHS, PowerSTEPP, Amisys, PowerMHC, and their associated modules.• Guided a global team of 50+, fostering coordination with multiple teams across the organization to optimize productivity.• Early Career: PMHS trainer booking highest business on record and Documentation Specialist specializing in online documentation creation and new product roll-out Show less

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  Babel Health (acquired by Allscripts)

  Aug 2017 - Apr 2018

  Director of EDI & User Configuration

  Steered all aspects of EDI Services for Government Programs. Supported architectural determination and design to enhance the organization's technological framework. Led the creation and execution of processes for implementing the Babel system. Developed staffing plan and growth strategies to align resources with organizational objectives.• Played a pivotal role in shaping product direction and introducing new offerings to meet evolving market demands.• Advocated for product and growth strategies, unlocking sales opportunities with large, multi-million transactional payer organizations.• Innovated the Babel Estimation process, providing accurate estimates of hours and costs for implementations and development.• Standardized implementation and configuration estimation templates and workbooks, ensuring consistency and accuracy in project planning.• Pitched compelling topics, devised marketing strategies, and led round table discussions at the RISE conference in Nashville, TN. Show less

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  Pulse8, LLC

  May 2018 - Aug 2020

  Director of EDI Development & Product Owner / Director of Customer Engagement

  Functioned as Product Owner for MA, ACA, ACO, and MC EDI Development, with specific focus on 837, 834, 835, and 999 transactions. Evaluated revenue cycle goals and uncovered opportunities to enhance revenue generation. Prepared estimates, project plans, conducted capacity analysis, and executed P/L analysis to ensure strategic alignment and financial viability of projects. Assembled and led high-performing, seasoned teams, to cultivate a collaborative and results-driven work environment.

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  UST HealthProof

  Aug 2020 - May 2022

  Product Delivery Director

  Delivered end-to-end implementation oversight for major healthcare payers, leveraging the HealthRules suite and collaborating with various vendors to deliver optimal solutions for clients. Formulated and executed comprehensive program management plans, and integrated multiple solutions and vendors for streamlined project delivery. Devised strategic approaches for the program team to manage scope, changes, and interventions for guaranteed achievement of project goals. Represented executives, including VP/CIO and Business stakeholders, to ensure transparent communication on project issues and decisions related to services. Show less

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  Wipro

  May 2022 - Dec 2023

  Senior Operations Manager / Program Manager

  Orchestrated the operational roadmap planning for Enrollment and Financial Reconciliation Operations, while achieving measurable results in team growth and talent sourcing globally and domestic. Executed Reconciliation Program roadmap planning, ensuring seamless coordination and execution with a focus on client-facing deliverables, active roadmap activities, and cross-functional team collaboration. Strategized with executive and business stakeholders to address critical issues and make informed decisions on services, status, and future planning. Show less

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  Catalyst Solutions

  Dec 2023 - now

  Healthcare Enrollment and Integration SME

  Leading focus on data visibility through reporting and data integration for Healthcare Payer Organizations. Executing data inventory roadmap planning and deliverables while highlighting data impacts and synchronization needs between IT Ecosystems. Oversight for vendor management, vendor release planning, and vendor release installation in conjunction with change control board creation and execution.