Becky Simer

About Becky Simer

Proven success in healthcare program management and project implementation, IT, and…

Experience

1. Clinical Project Manager

   General Dynamics Information Technology

   May 2018 — Present · West Des Moines, IA, US

   Clinical SME for State Medicaid Agency, managing quality and cost incentives for fee-for-service provider payment model. Design and build clinical episodes of care to systematically reward providers for high quality, cost-efficient care. Research best practices and care standards, and determine requirements for patient and provider eligibility. Determine exclusion criteria and co-morbidity for positive and negative risk factors; build comprehensive clinical / claims code set as database to execute each episode of care.

Education

• Mercy Hospital School of Nursing

  RN Diploma, Registered Nursing

  1982 — 1986

• University of St. Francis, College of Health Arts

  Bachelors of Science; Diploma, Health Arts

  1997 — 2000

Skills

• Hospitals
• Program Management
• Disease Management
• Business Analysis
• Patient Safety
• Policy
• Health Information Exchange
• Informatics
• Healthcare Management
• Case Managment
• Visio
• Project Management
• Business Process Improvement
• Inpatient
• Data Analysis
• Emr
• Case Management
• Healthcare Information Technology
• U.s. Health Insurance Portability and Accountability Act (Hipaa)
• Electronic Medical Record (Emr)
• Quality Management
• Software Documentation
• General Practice
• Managed Care
• Health Policy
• Healthcare Consulting
• Practice Facilitation / Quality Improvement
• Change Management
• Workshop Facilitation
• Healthcare
• Strategic Planning
• Hipaa
• Icd-10
• Management
• Team Building
• Training
• Nursing
• Revenue Cycle
• Quality Improvement
• Leadership