Jeff Sewesky

About Jeff Sewesky

KEY STRENGTHS Project Management: Proven ability to manage projects from conception to completion, ensuring they are delivered on time and within budget Health Plan Operations Expertise: Deep knowledge of health plan processes, including claims adjudication, enrollment, billing, and provider relations. Health Information Systems (HIS): Experience with a variety of health information systems and platforms. Process Improvement and Optimization: Adept at analyzing existing workflows and implementing new processes to improve efficiency, reduce costs, and enhance the member experience. Data Analysis and Reporting: Skilled in using data to identify trends, optimize operational efficiency, and generate insights for strategic decision-making.

Experience

1. Consultant-senior Project Manager Client - Elevance Health

   Brooksource

   Jul 2024 — Present

   Lead business functional workstream teams in the successful delivery of medium size projects. Consistently achieve project milestones within aggressive timelines. Develop and implement project management methodologies and best practices, resulting in increased project efficiency and reduced risk. Manage all aspects of the project lifecycle, including requirements gathering, risk assessment, management, and stakeholder communication. Proactively identify and mitigate project risks, ensuring successful project completion even under challenging circumstances. Effectively communicate project status and updates to senior management and key stakeholders, maintaining transparency and fostering collaboration.

Education

• Commonwealth University-Bloomsburg

  BS, Bus Admin/Management

• King's College

  AS, Marketing

Skills

• Software Implementation
• Hl7
• Revenue Cycle
• Software Documentation
• Sdlc
• Financial Reporting
• Hipaa
• Claims Management
• Management
• 837p
• Systems Analysis
• Financial Analysis
• Business Analysis
• Analysis
• Medicaid
• Performance Improvement
• Data Analysis
• Crystal Reports
• Vendor Management
• Healthcare
• Claim
• Process Improvement
• System Analysis
• Healthcare Management
• Edi
• Healthcare Analytics
• 837i
• Managed Care
• Visio
• Requirements Analysis
• Healthcare Information Technology
• Operations Management
• Requirements Gathering
• Insurance
• Leadership
• Medicare
• Healthcare Consulting
• Business Process