JANELL HANSEN

425-774-7702
Lynnwood, WA
janell.hansen@comcast.net
www.linkedin.com/in/janellhansen

PROGRAM MANAGER
Recognized subject matter expert in all aspects of compliance for regulatory filings,
responses and HIPAA management within the healthcare industry. Demonstrates strong
visionary and innovative, critical-thinking skills to influence the concept, planning and
execution of program objectives. Drives quality improvements for specialized business
processes to meet existing and future-state, enterprise-level objectives. Takes initiative
and ownership of identifying and resolving ambiguity and obstacles. Effective crossfunctional leadership based on integrity, accountability and credibility. Influential
communicator known for creating buy-in at all levels through clarity, focus, and fact-based
research and analysis. Key competency areas:
Program/Project Management Process/Quality Improvement Risk Management
LEAN Concepts
Stakeholder Management Political Acumen Training & Education
PROFESSIONAL EXPERIENCE
Premera Blue Cross, Mountlake Terrace, WA
1998-2015
Internal Consultant II, 2013-2015
Managed all aspects of the federal HIPPA Privacy Standards, practitioner contract
compliance program, and regulatory healthcare membership state filings.
Independently researched and evaluated company offsite storage; determined
status and relevance of archived boxes which numbered 13K+.
Presented
recommendations to leadership for reduction of legal liability, volume and expense
which resulted in an expense reduction of $30K and a reduction of legal discovery
liability.
Identified and resolved incomplete membership data for annual state regulatory
filing. Collaborated with the analytics team to complete the data resulting in timely
filings.
Participated in the new rules to determine filing language and elements for new
access plans and provided 11 years of archived information for the workgroup to
apply as applicable.
Applied LEAN concepts to the collaborative, cross-functional process which clarified
procedures and protocol with internal Special Investigation Unit, resulting in
improved understanding and working relationships, and achieved added audit
controls and mitigation of practitioner sanction notifications.
Initiated collaboration between departments to enhance associate continuing
education for federal HIPPA Privacy Program, new associate company introduction
and department specific HIPAA training.
Business Process Administrator, 2007-2013
Engagement of adaptive business elements and processes for internal federal HIPAA
program, and external state regulatory access plan and membership filings.

Launched the on-line protocol for the Provider Sanction Program in advance of the
timeline. This provided business decision makers 24/7 access to case development and
proxy decisions in support of achieving business objectives.
Influenced Director and V.P.s to adopt an automated system which reduced
administrative correspondence for the health care practitioner credentialing processes.
This streamlined the process, saved time and, money.
Captured a business flow, data elements, and document a formal process for another
area; without business knowledge to succeed. Mitigated the ambiguous process and
conquered the obstacle of noncooperation. The result was out of the norm task was
delivered timely.

JANELL HANSEN
425-774-7702
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Compliance Administrator, 2003-2007
Responsible for delivering criterial state regulatory mandated filings, and managing the
necessary cross-functional collaboration.
Developed, implemented and oversaw programs and processes that supported the
objectives being met on time and within compliance.
Implemented a comprehensive internal associate federal HIPAA Privacy Program for the
S.V.P.s five-region contracting department in a record four weeks. The result was
endorsement by the S.V.P. and the implementation of an annual bonus element.
Delivered a state mandated filing on time for Insurance Access Plans and membership
enrollment numbers. Recognized by the Regulatory Affairs Manager for persistence and
accomplishment.
DIRECTORY SPECIALIST, 2001-2003
Published hardcopy healthcare practitioner directories for plan members to determine
initial network benefits by specific schedule. Manipulated practitioner data and led
collaborative contracting staff review prior to publishing, using specialized software.
CLAIMS PROCESSOR II, 2000-2001
Responsible for the timely and accurate processing of complex Medicare healthcare
claims. Identified need for procedures revisions to expedite accurate and complete claims
payment and deliver positive member experiences.
CLAIMS PROCESSOR I, 1998-2000
Accomplished timely accurate health care claims payment with keen understanding of
procedures and focus on member experience.
EDUCATION
Paralegal Coursework, Edmonds Community College - Edmonds, WA
PROFESSIONAL CERTIFICATIONS
Directory Expert Software