Patricia Jones

1515 West 156th Street, Compton, CA 90220 ● (562) 965-1596 ● pattim5620@gmail.com

SUMMARY OF QUALIFICATIONSA flexible, team player with proven ability to employ analytical planning skills and utilize project management tools to meet required organizational goals. Creative and forward thinker with outstanding written and oral communication and interpersonal skills. Adept at interacting professionally with a diverse group, executives, managers and subject matter experts. Over 20 years as a Healthcare Professional and have experience in Provider Contracting, Implementations of various Contracting Software, Infrastructure & Storage, Credentialing, Quality Management as well as Medical Records.

Experience 2010 – Present – Healthcare Partners Torrance, CAContract Specialist 3

Act as liaison between Health Plan and HCP as regards to Plan audits Track all health Plan audits to ensure that we submit requested documents

and P&Ps on time Facilitate meetings between Plans and HCP to ensure questions regarding

Corrective Action Plans are answered Manage and track the ACO program for both Commercial and Senior lines of

business Manage multiple mass mailing projects from initiation to completion Maintain all Contract Templates to ensure all regulatory language is included Track/maintain all changes made to contract templates on various

spreadsheets

2012 – 2012 Kaiser Permanente/Infrastructure & Storage Pasadena, CAProject Management Consultant

Manage projects as it pertain to decommissioning of arrays Develop strategies and project plans for Wintel server remediations Assume liaison role between assigned unit and other KP-IT Business

units Detail discovery of arrays assigned for decommissioning Research, compiles and format information into databases and

spreadsheet Conduct project status meetings Orientate and train new employees

2010 – 2012 Healthcare Partners Torrance, CABusiness Analyst 3/HCC Programs Department

Manage multiple projects from initiation to completion Develop project charter and scope Track projects, expenditures and risks. Develop project plans Compile budget analysis as it relates to each project Develop project communication requirements Assists with developing a member outreach tool to log, track and

maintain multiple outreach lists to be used company wide. Develop multiple HCC E-Learning courses for Medical Assistants and

other clinical personnel Develop and maintain Policies and Procedures Conduct in-services to Site Administrators and staff on the use of the

Member Outreach Tool

Develop user manuals and reference guides for the users of the Member Outreach Tool

Responds appropriately to reports of trouble related to HCC applications or programs to quickly resolve issue

Supervisor, Contract Admin /Provider Contracting Supervise the day to day activities for 4 Contract Coordinator 2’s Monitor productivity and prioritize duties Manage multiple projects from initiation to completion Establish and maintain strong business relationships with internal and

external customers Log and assign Notification of Change request for Contract Coordinators

who report to me Maintain the Access database for our Notification of Change (NOC)

requests Analyze biweekly reports and provide updates at the Contracting

meeting

2010 – 2010 Ewing and Associates/United Health Group Cypress, CATRICARE Contract Support Coordinator

Manage multiple projects from initiation to completion Build the provider network for United Health Care Military Veterans

Service by constructing ancillary and hospital contracts in Emptoris Application

Audit contracts for correctness of payment methodologies Provide technical support for State Contractors in regards to Emptoris

application Route contracts and amendments for configuration Establishes and maintain strong business relationship with internal and

external customers Present and Execute contracts in Emptoris

2004 – 2009 Molina Healthcare, Inc. Long Beach, CAProject Coordinator, Provider/Contract Support Services Team

Manage multiple projects from initiation to completion Instrumental in the planning of the implementation process of Emptoris

Software to multiple state plans. Support the Contract Review Process Manager Assisted with Alternate Contract Language Changes Conduct several forms of Emptoris Trainings Monitor and respond to questions and concerns sent via the Emptoris

Customer Support mailbox. Provide technical support to state plans. Develop and maintain Emptoris Policy and Standard Operating

Procedures Manage the system setup for Trainings and maintain departmental

SharePoint Site Log and assign incoming Contract Modeling Request for the Provider

Contract Modeling Manager

Contract Coordinator, Contract Administration Generated and tracked provider agreements and amendments,

from initial draft to full execution

Facilitate the completion of ad hoc agreements. Reported single instance Letter of Agreements and Hospital/IPA

Terminations on a weekly basis for the Contracting Meeting Routed contracts and amendments to configuration Coordinated the contracting process with credentialing, application

configuration, provider communication , data management, utilization management and other internal departments as necessary

Maintained integrity of contract templates in secured, organized and efficient manner in data management system.

Supported Network Development and other Provider Services Staff through written and verbal communication with provider’s regarding status and other administrative tasks as requested.

Education California State University Dominguez Hills

PMP CertificationEl Camino Junior College

Associates Degree (Sociology)

Professional Skills Microsoft Word Microsoft Excel Microsoft Projects Microsoft PowerPoint Microsoft Exchange Microsoft Access Microsoft Visio Emptoris Web-based Software SharePoint IDX

ReferencesAvailable upon request