Adria Winans, CPM

Experience

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  Electronic Data Systems

  Mar 1998 - Aug 2001

  Business Analyst

  * Ensured business needs for changes to processes, policies and/or information systems were identified, understood, defined, documented, and acted upon by eliciting, analyzing, documenting, validating, specifying, and verifying the needs of business or user in a clearinghouse environment.

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  Perot Systems Corporation

  May 2005 - May 2007

  Senior Business Analyst/Clinical Change Manager

  * Trained and became expert SME for EMR (ePremis) to streamline payment processing while increasing efficiency for more than 10 Tenet hospitals.* Worked with Business and IT teams to document user stories (requirements), process flows, UAT results and status reports.

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  Concentra

  Aug 2011 - Aug 2012

  Project Manager II

  * Achieved project objectives for the enterprise workplace Electronic Medical Record (EMR) application, ensuring completion in a timely and cost-effective manner.* Built, developed, and grew client relationships vital to the success of the project. * Devised full-scale project plans and associated communications documentation, communicating project expectations to team members and stakeholders. * Delegated tasks and responsibilities to personnel, and recorded project milestones and deliverables. Show less

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  Quest Diagnostics

  Aug 2012 - Nov 2013

  Implementation Project Manager

  * Engineered multiple Lab Information System interface projects simultaneously as key contact for project management, business requirements, and analysis. * Directly interacted with clients and vendors during all phases of implementation.* Facilitated complex HL7 analysis and research to certify client project conforms to mapping standards. * Initiated requirement gathering, design, configuration, and customization of solutions. * Instructed clients and vendors on benefits and limitations of their specific LIS-interface system prior to, and during implementation. * Facilitated and documented functional and technical design specifications, leading development in an agile environment. Show less

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  CVS Health

  Sept 2014 - May 2016

  Implementation Project Manager

  * Orchestrated the overall implementation and transition process for 22 high-profile business clients to the PBM (Pharmacy Benefit Manager) system RxClaim and supported major changes for existing clients.* Provided project management and consulting to identify creative solutions that met client and CVS requirements. * Tracked implementation progress and milestones using MS Project and Salesforce.* Worked efficiently and independently, meeting deliverables and deadlines.

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  UnitedHealth Group

  Nov 2016 - Feb 2020

  Senior Implementation Project Manager - OptumRx

  * Ensured proper implementation of 27 new large complex commercial clients transitioning to the PBM (Pharmacy Benefit Manager) system RxClaim.* Championed the entire project lifecycle, including planning, execution, and closure. * Served as the primary point of contact for overall and day-to-day service delivery throughout the implementation process.* Subject matter expert for benefit designs, products, clinical programs, formularies, and industry standard guidelines.* Collaborated closely with clients to understand their population, provided Utilization Management and Care Coordination guidance to help lower costs and provide better outcomes.* Maintained and updated project tracking and information systems using Salesforce.* Identified opportunities for improvement of processes, tools and made constructive suggestions for change.* Achieve 100% audit compliance.* Collaborated closely with Vendor Transition and QA internal partners to ensure all file exchanges (eligibility, accumulators, claims, PA files) were completed in a timely manner.* Completed post-production support, client reporting, and documented lessons learned. Show less

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  Capital Rx

  Feb 2020 - Jul 2021

  Implementation Project Manager

  * Oversaw effective, accurate, and timely transition of 7 new mid-sized commercial clients to Capital Rx’s PBM (Pharmacy Benefit Manager) system JUDI®. * Established implementation project plans using MS Excel, defined, and gathered requirements, outlined project objectives, and defined success. * Maintained meticulous notes and constantly assessed progress against key milestones. * Proactively identified execution risks and developed solutions to address them.* Collaborated with internal and external subject matter experts (SME) to facilitate successful implementation. * Built and maintained trusting relationships with clients and any associated third parties through superior customer service and oversight. * Provided 30 days of post-production support and advising clients on transition to Account Management. Show less

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  Delta Dental Ins.

  Jul 2021 - Mar 2023

  Onboarding Project Manager

  * Managed implementations from start to finish for 55 mid-sized commercial clients.* Functioned as a key partner to the line of business and understood strategic goals, customer needs and business objectives; liaison between sales and cross-functional partners involved in implementation.* Developed and maintained comprehensive project plans using Smartsheet for clients as well as internal partners.* Planned, documented, and executed all phases of the project lifecycle, including scope management, requirements management, work breakdown schedule and timeline management, priority and dependency management, and the assignment of roles and responsibilities. Show less

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  Medcor

  Feb 2024 - May 2024

  Manager, Customer Success
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  Navitus Health Solutions

  Jun 2024 - now

  Implementation Project Manager