Abbey Wood
Project Manager
Brantford,ON
Summary
Medical / Insurance Systems Medical Director - Project Management
Overview
14
14
years of professional experience
Work History
Health Insurance Systems Implementation Project Manager
Nano Health Suite
Dubai
02.2015 - Current
- Developed and implemented a comprehensive insurance management system, comprising over thirty standalone and interconnected modules, to facilitate internal manual and automated operations for health insurance companies, pharmacies, hospitals, government agencies, and clinics
- This included creating branded customer-facing systems seamlessly integrated with payment systems, banks, and government regulatory bodies
- Analyzed and formulated Business and Medical Rules for clients, automated claims processing, and pharmacy adjudication systems
- Collaborated with the internal finance and reinsurance teams to assess demands and customization requirements for software solutions
- Ensured accurate recording, calculation, and reporting of accounting information to the relevant operational departments of the International Insurance Company
- Additionally, it provided seamless communication and integration with HSBC Bank across multiple countries and currencies
- Customized backend and customer-facing modules, such as Medical Necessity Check Points, Drug Database Knowledge, Pharmacy Benefit System, IR/AR DRG Grouper System, Coding and Billing Services, Dashboards and Analytics, Revenue Cycle Management, HR System, Finance and Reinsurance ERPs, Marketing and Communication Applications
- Conducted extensive research, analysis, and design of communication and configuration modules, including suites, to meet technical, medical, and billing solution requirements set by government bodies
- Ensured compliance with HIPAA regulations, global technology policies, and security benchmarks
- Utilized Project Management Waterfall, Agile, and Scrum methodologies
- Implemented systems for healthcare market companies in the Middle East and North African (MENA) region, including insurance companies, third-party administrators, multiple hospitals, pharmacies, clinics with various specialties, and government regulatory branches across more than 10 MENA countries
- Developed and conducted comprehensive training programs for employees, ranging from product owners to end-users, in MENA countries, covering multiple currencies and languages, in collaboration with an International Insurance Company.
Project Manager
Blue Health Services
Oakville, Ontario
06.2020 - 01.2021
- Responsible for opening a new 15,000-square-foot surgical medical facility with multiple specialties, including pharmacy, operating, and treatment rooms during the COVID-19 pandemic's ever-evolving mandates
- Led the preparation for a successful pass of an Ontario Health Insurance Plan (OHIP) Level 2 OR Inspection
- Collaborated with contractors, HVAC, marketing, associates' employees, medical departments, pharmaceutical sponsorships, suppliers, and owners to review and resolve any missing elements before the OHIP inspection
- Created policies and procedures manual for all departments and specialties of the facility to define the quality standard of medical care for efficient operating rooms and best business practices
- Coordinated construction, marketing, medical professionals, employees, and owners to ensure a standard of care for treatments and surgical procedures, including pre-and post-op care.
Manager
Carrot Eye Surgery Clinic
Mississauga, Ontario
02.2009 - 02.2015
- Successfully led and managed a medical facility's day-to-day operations and business development roadmap
- Oversaw and guided a team of staff and associates, conducting performance evaluations, providing coaching and mentorship, and driving practice growth across three facilities in the Greater Toronto Area
- Collaborated directly with the Medical Director, Associates, and Owners to evaluate and enhance organizational systems, processes, policies, and procedures
- Managed and maintained inventory control for surgical medical supplies, equipment, and products
- Skillfully managed external communications, resolving conflicts with patients, hospitals, and referring offices, while maintaining a solid reputation for the facility
- Collaborated with renowned hospitals, including Brampton Civic Hospital, Credit Valley Hospital, Kensington Eye Institute, St
- Michael's Hospital, Sick Kids Hospital, Oakville Trafalgar Hospital, and Trillium Health Partners Hospitals on on-call schedules, surgical schedules, educational events, knowledge transfer, pharmaceutical studies, and research projects.
Education
Graduate Masters, Master of Business Administration -
Athabasca University
Post-Graduate Diploma - Business Administration
Algonquin College
Project Management Professional (PMP) - undefined
Career Training College
Post-Graduate Diploma - Travel and Tourism
Project Management Institute
Skills
Systems Implementationundefined
Timeline
Project Manager
Blue Health Services
06.2020 - 01.2021
Health Insurance Systems Implementation Project Manager
Nano Health Suite
02.2015 - Current
Manager
Carrot Eye Surgery Clinic
02.2009 - 02.2015
Graduate Masters, Master of Business Administration -
Athabasca University
Post-Graduate Diploma - Business Administration
Algonquin College
Project Management Professional (PMP) - undefined
Career Training College
Post-Graduate Diploma - Travel and Tourism
Project Management Institute
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