Mary Howerton McDonald

Methods and Procedures Analyst and Technical Writer @Health Net

West Milford, NJ, US
MOBILE NUMBERS
+19•••••••09

Signup · Get unlimited contacts

WORK HISTORY

Jan 1999 — Present

Methods and Procedures Analyst and Technical Writer @Health Net

View department →

Reported directly to the Vice President of Operations, Director of Claims and Medicare Compliance Manager- Responsible for publishing and editing all claims policies, procedures and workflow for all lines of business- Prepared functional design specifications for on-line Claims Operations User’s Manual. Created and maintained over 500 plus documents currently housed in the Claims Operations User’s Manual- Assisted in the development of the electronic document request form and supporting report mechanism- Developed a language translator and currency converter for foreign claims- Analyzed, designed and documented new pricing software for the Claims Department- Designed and implemented the Contract Clarification process for the Claims Department- Facilitated the deployment of all quarterly updates to the pricing software used to adjudicate claims- Assisted in the functional design specification of the electronic platform for submitting requests for Claims Methods and Procedure Area- Actively participated as a team lead for the Health Net One Methods, Procedures and Workflows Group- Participated on several Health Net One National Business Consolidation Teams.

SKILLS

Health PolicyChange ManagementClaimCross-Functional Team LeadershipHealthcare ConsultingHealthcare IndustryHealth InsuranceProject PlanningManaged CareInsuranceCommunicationCustomer ExperienceNetwork DevelopmentProvider RelationsTeam BuildingManagementOperational ExcellenceLeadershipProject ManagementVisioTrainingHealth Care ReformHipaaUnderwritingForecastingSoftware DocumentationHealthcare ManagementCredentialingClaims ResolutionHealthcareCall CentersBusiness NetworkingPerformance ManagementMedicaidPolicyExecutive ManagementOperations ManagementDisease ManagementStrategyCustomer Service

ABOUT MARY HOWERTON MCDONALD

Strategic Planning / Resource Allocation and Optimization / Process…

This profile is compiled from publicly available professional sources. Unifers is not affiliated with or endorsed by LinkedIn. Request removal of this profile.

Mary Howerton McDonald — Email, Phone Number & Contact Info | Unifers