Gail Walker

Background

About Gail Walker

IT analyst and nurse professional with extensive project and operational management experience in healthcare with primary focus on finance, MSO/IPA/TPA administration for claims, provider contracts and benefits, in various settings. Recent LVN degree to augment healthcare operations with clinical knowledge for use with hospital systems, physician EMR, and nursing/UM care management systems.*Results-oriented business and systems analyst with sound experience in development as well as vendor packages -Proficient in BRD, systems design, functional specs and process efficiencies to meet user needs -Passion for systems testing including test plan management, stage, unit, integration/end-to-end and parallel test case development and quality control to prevent go-live surprises -Configuration/Build expert for benefit plan, provider contracts, authorizations/referrals and overall claims adjudication, as well as with case management care coordination and provider billing systems -Excellent ability for interpreting files, mapping data for EDI, conversions, and Hl7 interfaces (most recently Hl7 orders, meds, lab & radiology results, progress notes and API tasking with IDX, Allscripts and Meditech )-Indepth experience with SQL and other Db query tools to identify and correct data integrity issues -Solid report developer with financial and business knowledge to help executives manage strategic initiatives *Project manager for healthcare financial, operational, and clinical initiatives including managing project plan, facilitation of cross functional team meetings and sharing project status with IT and operational executives -Highly effective in leading teams to achieve project deliverables in timely manner -Systems expert in managing conversions, software implementations and upgrades -Creative mind with ability to find solutions and create alternate paths toward success -Project oversight led with business knowledge providing smart liaison between IT, finance, & ops