JENNIFER S. KLIG, MA., LPC.

15 Strawhill Court

Owings Mills, MD 21117

(410) 356-8638

 

 

EXECUTIVE SUMMARY:

 

A business analyst with a proven track record of planning and leading large scale IT projects in the healthcare industry. Experienced in system migrations, new client implementations and database correction and improvement strategies. Thorough understanding of various healthcare policies and quality assurance standards stemming from clinical and supervisory level positions held in managed care settings.

 

 

WORK EXPERIENCE:

 

Magellan Health Services

March 1999 to Present

 

Senior Business Analyst

• Currently working on a company-wide project aimed at migrating the existing enrollment data from various legacy systems to a newly centralized membership platform.
• Evaluate client specific needs during system conversion and implementation projects and document required programming changes to help meet those needs.
• Identify current system deficiencies and propose solutions aimed at increased operating efficiency, customer service and profitability.
• Develop and implement software testing strategies.
• Assess various enrollment data problems and deficiencies, propose strategies and implement solutions for database correction.
• Document standard operating procedures and system training documents.
• Provide analytical support to technical staff.
• Project management.
• Was previously responsible for the design and support of membership and provider systems developed using Visual Basic 6.0, MS SQL Server 6.5 and MS SQL Server 2000.

 

CareFirst Blue Cross Blue Shield of Maryland

April 1998 to March 1999

 

Business Analyst

(resigned to accept position above)

• Was responsible for identifying deficiencies and proposing enhancements to existing enrollment and billing systems.
• Documented specifications for programming changes.
• Monitored external vendor interface systems to assure that appropriate enrollment data was transmitted and applied appropriately.
• Developed and implemented software testing strategies.
• Planned and led projects involving various integrated systems.

 

 

 

CMG Health, Inc.	December 1990 to April 1998
Business Analyst	November 1996 to April 1998

 

(position eliminated due to corporate buyout)

• Was responsible for the analysis, design, testing, documentation and implementation of client server applications developed using PowerBuilder 5.0, AREV 2.1 and MS SQL Server 6.0/6.5.
• Conferred with system users regarding standard operating procedures and evaluated the need for future software development.
• Prepared process models, clarified program objectives, identified problems and proposed enhancements to existing applications.
• Provided analytical support to technical staff.
• Led project meetings and prototype sessions.

 

Case Manager Supervisor

January 1995 to November 1996

 

(transferred to position above due to regional service center closure)

§         Was responsible for hiring, training, evaluating and supervising a staff of twelve intake specialists and clinical case managers.

§         Monitored productivity and scheduling of staff to ensure that appropriate case management and customer service were provided to clients.

§         Conducted utilization review to include the formulation and monitoring of cost-effective and clinically appropriate treatment plans for high-risk psychiatric patients.

§         Was additionally responsible for case assessment, triage, and crisis intervention and on-call coverage.

 

 

Case Manager Mentor

April 1992 to January 1995

 

 

(promoted to position above)

§         Was responsible for training new case managers regarding company policies, procedures, quality improvement activities, interpretation of various benefit packages, treatment approaches and appropriate application of the provider network.

§         Assessed the clinical skills of new case managers, identified individual training needs and developed remedial action plans.

§         Was additionally responsible for clinical case management, crisis intervention and on-call coverage.

 

 

Case Manager

December 1990 to April 1992

 

 

(promoted to position above)

• Was responsible for appropriate assessment, triage and referral of psychiatric patients.
• Identified and case-managed high risk psychiatric patients and provided on-call crisis intervention.
• Conducted utilization review with care providers to determine the need for ongoing treatment and to develop appropriate treatment plans.

 

 

Smith Counseling Services

September 1989 to December 1990

 

 

Therapist

(resigned to accept position above)

• Was responsible for providing individual, marital and family counseling to patients of varied age groups in a private practice setting.
• Completed patient evaluations and developed appropriate treatment plans.
• Conducted psychological testing and analyzed the findings to help identify specific treatment needs.
• Was additionally responsible for crisis intervention with high-risk patients.

 

 

EDUCATION: Loyola College, Baltimore, MD

DEGREE: M.A. - Clinical Psychology

GRADUATION DATE: September 1989

 

Towson State University, Towson, MD

DEGREE: B.S. - Psychology

GRADUATION DATE: December 1987

 

SOFTWARE:

§         MicroSoft SQL Server 2000 Enterprise Manager

§         MicroSoft SQL Server 7.5 Enterprise Manager

§         MicroSoft SQL Server 6.5 Enterprise Manager

§         Windows 2000

§         Windows NT

§         MicroSoft Access

§         MicroSoft Word

§         MicroSoft Excel

§         MicroSoft Project

§         Power Point

§         BP Win

 

 

PERSONAL: Fluent in Russian.

 

 

REFERENCES: Provided upon request.