Project Analyst

Posted on: 2007-03-15

ANITRA CASERTA PROFILE Results-driven, highly motivated professional with 8 years progressive experience in healthcare services. Proven track record with outstanding talents in process improvement, resource management and training. OBJECTIVE To obtain a challenging position with a first class organization where my contributions would aid in bringing success to the next level. CAREER ACCOMPLISHMENTS 05/2006-present United Healthcare Project Analyst, Network Management– Telecommuter Position Manage and lead projects which support Network Management initiatives impacting over 60,000 practitioners in the New York, New Jersey and Connecticut markets. CT Medicare Expansion •Charged with coordinating efforts to expand the Medicare line of business within the Connecticut Market to fulfill internal purchase order. Lab Initiatives •Responsible for planning outreach initiative targeted at informing and educating 45,000 providers on changes occurring with lab vendors. Planned for the assignment of tasks to over 200 network employees. •Developed tracking tools for reporting status of outreach efforts, communicated results to senior management on a weekly basis. Provider Verification Project •Developed and implemented strategy to improve provider directory deficiencies. •Compiled provider data for telephonic survey; process included the extraction of provider demographic data from internal database, the assignment of codes for specific fields of data, and the creation of call script. •Tracked and interpreted results from outbound effort by vendor; produced and presented executive summary to senior management. 04/2005-05/2006 United Healthcare/Oxford Health Plans New York, NY Network Account Manager, Network Management Supervised a team of 13 Network Account Representatives; established and communicated employee goals and tracked employee performance. Reviewed employee applications, interviewed potential candidates and made hiring decisions to successfully fill Network Account Representative positions. Managed process for administering physician contracts, improved overall TAT by 25% through cross training initiatives. 05/2004-03/2005 Oxford Health Plans Trumbull, CT Provider Outreach Representative, Network Management Responsible for creating and maintaining productive relationships with participating providers in the New York market with the goal to improve satisfaction and engagement ratings, increased e-Business transactions and decreasing call volume. Efforts resulted in an increase in e-Business transactions by 70% and an estimated decrease in call volume by 15%. Elected by management to lead initiative in molding newly created team’s mission and strategy. Formulated proposal to revamp the program based on research and data collected during the first few month’s of the teams launch. Created and executed a blast fax to launch Provider Outreach, including a fax back responses to determine providers’ preferred contact method. Program resulted in a 20% response rate setting the groundwork for the program. Conceived and implemented quarterly newsletter aimed at educating provider network. 07/2003-05/2004 Oxford Health Plans Trumbull, CT Project Manager, Operations Created a custom receipt database to account for daily intake and staffing needs. Completed inventory management project which included identifying all existing inventory, determining monthly usage and working within budgeted dollars Worked with outside vendor to customize a label product to suit business needs. This new product reduced our annual supply costs by $50,000. Collaborated with staff to reduce prep time and supply costs through the “scanner rig” process. This resulted in a cost savings of approximately $82,000 annually. Gathered all materials necessary for Disaster Recovery testing. Communicated with internal and external personnel to ensure a smooth testing process. Assisted in the launch of a formal Career Development Training Program by developing a thorough set of training tools, accounting for scheduling needs and defining the criteria for the order in which employees train. As a result, employee versatility increased by 170% and a total of 10 employees were promoted through this program in a 5-month period. 01/2000–07/2003 Oxford Health Plans Trumbull, CT Senior Representative, Operations Provided coordination and support services for the delivery of training programs to document imaging employees. As a result, 75% of the employees were promoted to higher-level positions in the department within a 12-month period and employee satisfaction increased by 50% within a three year period. Handled scheduling needs for the department for 46 employees; ensured business needs were met while staying within budgeted expectations. Assisted in the design, development and implementation of mail extraction machines. This resulted in a payroll savings of $300,000 and an increase in productivity of over 70%. SKILLS Microsoft Office Suite, Microsoft Visio, Windows (95, 98, 2000, XP), Lotus Notes, Kronos, Ceridian, Internet, HIPAA Compliant EDUCATION 1997–2001 Sacred Heart University Fairfield, CT John F. Welch School of Business, AACSB Accredited B.S., Business Management. AWARDS Oxford Health Plans/United Healthcare Process Improvement Award, 2005 Oxford Health Plans Go for the Gold Recipient, 2003 Oxford Health Plans Go for the Gold Recipient, 2002 Oxford Health Plans Stock Star Recipient, 2001