Tomas Tulier, PMP, PMI-ACP, PMI-RMP, CSPO

Tomas Tulier, PMP, PMI-ACP, PMI-RMP, CSPO

Manteca, California, United States
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About

As a seasoned Senior Project Manager holding PMP, PMI-ACP, PMI-RMP, and CSPO…

Experience

  • CommonSpirit Health Graphic

    CommonSpirit Health

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    French Camp, California, United States

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    French Camp, CA

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    Lathrop CA

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    South San Francisco

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    South San Francisco

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    San Bruno, California, United States

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    San Bruno, California, United States

Education

Licenses & Certifications

Projects

  • Provider Onboarding

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    Enhancing the Tennessee and Georgia markets with their provider onboarding process. The project has supported and conducted a comprehensive process efficiency review, document roles, responsibilities, and developed streamline workflows to improve the overall provider onboarding process.

  • NetworX Pricer & NetworX Modeler Analytics Project

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  • myQNXT Implementation Project

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  • 2024 DHCS Contract Remediation Project

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  • QNXT 5.9 R3 Upgrade Project

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  • Threshold Language Remediation Project (APL21-004)

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    DHCS All Plan letter to Managed Health Plans - APL 21-004

    See project

  • QNXT 5.8 R2 Upgrade Project

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  • Compliance Management System Replacement Project

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  • CMS Interoperability Patient Access and Provider Directory Implementation

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    See project

  • Fraud Waste & Abuse Payment Recovery Project RFP

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    Request for proposal project to partner with our compliance and claims department to assist with the prevention and management of FWA and payment recovery processess.

  • Edifecs (EDI) Implementation Project

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  • Cactus (Symplr) Upgrade Project

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  • Business Continuity Planning Project

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  • HEDIS Implementation Project

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    Health Plan of San Joaquin was in search of a HEDIS solutions partner who could assist in the following areas:

    • Quality Measurement
    • Medical Records Extraction Tools
    • Medical Records Retrieval Services
    • Year to Date Reporting for HEDIS measures

    Successfully incorporated the new HEDIS vendor and application into our Quality Medical Management platform

  • QNXT 5.6 R2 Upgrade Project

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Organizations

  • PMI Sacramento Valley Chapter

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    - Present

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