JANELL HANSEN

425-774-7702
janell.hansen@comcast.net

Lynnwood, WA
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 cross-functional 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 crossfunctional 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