SUMMARY:

• Over 17 years experience in healthcare operations and technology innovation with over 10 years in a senior executive role. Progressive record of successfully executing on turnaround service goals, business process improvement, revenue cycle optimization and major transformation initiatives. Seeking dynamic senior executive or C - level leadership roles in Health Administration, Biotech/Pharma, Technology and Medical Informatics that will leverage and expand on my core skills of governance, health/life science and medical knowledge and technology vision.
• Accomplished and entrepreneurial Business Planning, Operations, Technology and Information Management executive with an exceptional record of crafting and executing strategy. Diverse and deep knowledge of clinical/business operations and revenue cycle of healthcare businesses including acute, ambulatory, ancillary, delivery networks, pharmacy, GPO/supply chain, IPA/TPA/MSO and health plans. Possess a strong technical ability to architect and integrate the latest software, data system and data center technologies to achieve strategic objectives. Core business competencies include:
• Business IntelligencePortfolio & Program ManagementOrganizational Governance
• Strategic PlanningRegulatory ComplianceRevenue Optimization
• Product/Market DevelopmentPerformance ImprovementCost Reduction

TECHNICAL SKILLS:

Managerial: TQM/SPC/CQI/6, Lean Service, Activity-Based Costing, Managerial Accounting, P&L, Contracts Development/Negotiation (Outsourcing, Vendor), Capital/Operational Leases/Financing, Compliance (Joint Commission, HIPAA, PCI, California Healthcare/Privacy Regs, OSHPD, OSHA, DHS), HR/Payroll, Financials, Business and Marketing Plans, Grant Writing, Governance (Portfolio Planning, Risk Management, Strategic Planning, Organizational Development), Staff Management (Scope of Service, Mission/Vision, Position Competencies/Assessment, Team development and recruit/retention/succession plans)IT Best Practice:ITIL v2 and v3, Results/Project Management (SCRUM, Prince2), SDLC (Agile Iconix), COBIT, Service Catalog w/ Service Accounting, Network and System Change Management, End-User and Learning Management, Incident Response/Remediation Cycle (Availability and Security Risks), Business Continuity (Defined Downtime Plans, Escalations, Recovery Time and Recovery Point Objectives) and Capacity Planning (Network and System utilization monitoring/trending)

Clinical Systems: Cerner (Order Management, Surginet, Enterprise Scheduling, PharmNet, Classic Lab, CoPath), Enterprise PACS (Fuji, Agfa, GE, McKesson), McKesson Horizon (Surgical Manager, Enterprise Scheduling, Pharmacy Manager, Electronic Patient Folder), MediTech Client/Server, McKesson Paragon, McKesson/HBOC (Star ADT, Orders Management), QuadraMed (Affinity, QCPR-EMR), Lab (CCA/Aspyra, SCC SoftLab), OmniCell Supplies and Meds, Pyxis

Revenue Cycle: Hyland Onbase, McKesson Patient and Business Folder, Tenet Systems (PBAR, OnDemand, ePremise, etc), HBOC STAR ADT/Charge Capture, SMS, Keane, QuadraMed Affinity, Chain (Choice Dimension, Eclipsys Sunrise), Keane (A/R, IRF-PAI), EZ-CAP, eHealthCare, Landa Corp, Eligibility Systems, HIPAA Standard Transactions and Attachments, DSG Claims Scrubber, Major Clearinghouses, Reimbursement Contracts/Terms/Calculated Net-Downs, Pay-For-Performance, Quality/Utilization/Claims Data Submission

ERP Systems: Software 2000 (S2K), Tenet HR/Payroll, Kronos, UltiPro, APISoftware, Eclipsys AP/GL/MM, Lawson, Microsoft Dynamics, Affinity Financials, Quickbooks Enterprise, Choice Dimension

Software/Hardware: Microsoft Development (.NET C#, IronPython, ASP.NET, VS2005), Other Development (Javascript, DHTML/AJAX via libraries, Python/TurboGears, DevExpress, Tibco GI, Delphi 7, Eclipse IDE, Enterprise Architect/UML/ERD, SCM/QA via Axosoft, Subversion), Application Services Platforms (Sharepoint, Apache, IIS, Biztalk, MuleSource, Pervasive Data Integrator, HealthSlide Boomerang, Orion, Tomcat, Glassfish), Databases (MSSQL 2000/2005, Oracle 8-10, Pervasive SQL, Intersystems Cache, PostgresSQL, Unify), XML (XPath/XQuery, XSL/XSLT, XSL:FO), Automation (AutoIT, AutoMate, ScriptLogic, Veritas), Operating Systems (Microsoft, RHE/Ubuntu Linux, AIX 5.x+, SCO Unix, Alpha/VMS), Server Virtualization (VMWare, Xen, MVS, Virtuozzo, Parallels), Server Based Computing (Citrix, Provision Networks, Terminal Server), Storage (Compellent SAN/NAS, NetApps NAS, HP EVA, Cisco Fabric, Veritas, IdealStor, ADIC, iSCSI), MonitoringMicrosoft Clustering Services, HP ProLiant, IBM pSeries,, VirtualizationMicrosoft Development (.NET C#, IronPython, ASP.NET, VS2005), Other Development (Javascript, DHTML/AJAX via libraries, Python/TurboGears, DevExpress, Tibco GI, Delphi 7, Eclipse IDE, Enterprise Architect/UML/ERD, SCM/QA via Axosoft, Subversion), Application Services Platforms (Sharepoint, Apache, IIS, Biztalk, MuleSource, Pervasive Data Integrator, HealthSlide Boomerang, Orion, Tomcat, Glassfish), Databases (MSSQL 2000/2005, Oracle 8-10, Pervasive SQL, Intersystems Cache, PostgresSQL, Unify), XML (XPath/XQuery, XSL/XSLT, XSL:FO), Automation (AutoIT, AutoMate, ScriptLogic)

PROFESSIONAL EXPERIENCE:

EXECUTIVE VICE PRESIDENT

Confidential, Long Beach, CA

Responsibilities:

• Established a unified service desk and consolidated multiple IT units into one department and established average first call issue resolution to 80% of all service calls with a measured customer satisfaction metric of over 85% excellent.
• Planned for and executed business continuity strategy including fully meshed Wide Area Network, redundant data centers/colocations, virtualization and Storage Area Networks to achieve “core systems” total unplanned downtime from days to less than a few hours per year with a recovery point objective of four hours or less.
• Analyzed and implemented a telecommunications consolidation strategy reducing voice and data spend by over 60%, while significantly improving service level reliability, redundancy and available bandwidth capacity.
• Guided to execution several business process outsourcing agreements reducing costs and improving results in medical transcription (60% savings), back-file conversions and revenue cycle processes.
• Transformed revenue cycle workflow for pharmacy division with a combination of lean process optimization and business process outsourcing to achieve an increase in cash from under $5 million to over $8 million monthly average.
• Consolidated multiple content/document management systems into a single EDM/Workflow system yielding a 40% annual savings and significantly improved office productivity and system reliability.
• Innovated unique market defining solutions for EMR interoperability and Health Information Exchange to address business needs of organization by providing architectural guidance and vision to vendor partners.
• Reimplemented several stalled and partially failed system implementations including Ambulatory Care and HR/Payroll systems, improving the effectiveness and compliance of key business operations.
• Designed, prototyped and deployed web-based enterprise platforms designed to manage worker’s compensation carriers, Medi-Medi HMO’s, Medical Provider Networks, TPA/Utilization Review Companies and Medical Service Organizations.
• Established Agile/SCRUM SDLC practices to create custom software products addressing service collections, SOA/EAI integration systems and web based B2B ASP platform for the worker’s compensation industry.
• Effected a governance structure to create real-time alignment to business objectives via senior executive partnerships establishing program/project joint ownership of all initiatives.
• Continually evolving IT best practices for service management via ITIL and program/project management via SCRUM and Lean management practices to bring about increased productivity and consistent quality.
• Successfully completed all major project initiatives within budget parameters including revenue cycle conversions, ambulatory systems (surgery, practice/EMR), LIS, CR/PACS, EDM, ERP (HR, Payroll, Supply Chain), WAN/LAN upgrades, VOIP PBX, Web applications and many integrated departmental systems.
• Develop and guide RFP process with executive and senior leadership for all major initiatives including HIS replacement and EMR selection.
• Implemented an enterprise service catalog and pricing to establish clear enterprise IT service offering to all managed as well as affiliated/partnered entities.
• Serve as a key resource and leader in strategic planning, marketing strategies, business process mapping and operational development of diverse startups including healthcare supply chain and insurance companies.

SR. DIRECTOR & CHIEF INFORMATION OFFICER

Confidential, Los Angeles, CA

Responsibilities:

• Unified support desk of two IT departments into one, significantly increasing customer service scores and cross-entity support.
• Implemented standard network communications and operating systems infrastructure from multiple and conflicting legacy technologies to a complete Gig/Fast Ethernet and Microsoft Active Directory based environment capable of supporting converged data, voice, video and patient monitoring activity while saving over $300K annually in operating costs.
• Founded an Information & Technology Management Steering Committee which defined a three-year IT Management Plan that aligned projects to business goals, unified priorities and enforced project selection standards and produced a roadmap with budgetary figures for investments in infrastructure, applications,, support and integration needed to meet business plan objectives, including the merger of two organizations.
• Instrumental to both hospitals’ attainment of 97% score on JCAHO compliance audit through formation and guidance of the IT Steering Committee and establishing new and revised Policies and Procedures related to Information Management planning, privacy and security.
• Pioneered an innovative use of Voice over IP technology in a healthcare setting to provide customers with rapid response and service; finished product is a highly desired site for industry leading vendors.
• Consolidated management of servers to one core data center operation thereby reducing staffing expenses by over $100K/year while still increasing service overall.
• Managed application development and data analyst team that maintained legacy in-house applications and provided business intelligence applications for the exective and leadership teams.
• Employed knowledge of SQL Server and Oracle as well as accounting knowledge to coordinate G/L (General Ledger) system conversion, which required batch interfaces to legacy A/R, A/P and Payroll systems.
• Successfully managed pro-forma, system architecture, integration, RFP, implementation and consolidation of several systems including systems for billing/claims, ERP, CRM (patient scheduling) and clinical applications.
• Established a PMO leading various initiatives such as LIMS, CR/PACS, Enterprise Scheduling, Perioperative Resource Management and multiple departmental/clinical projects.
• Saved approximately $400,000 per year in creation and maintenance of custom EDI interfaces by architecting an integration middleware solution using BizTalk server to provide a more universal, scalable exchange system.
• Effectively managed $5 million IT/IS and Telecom operating budget as well as capital budgets exceeding $8 million.

MANAGER, DECISION SUPPORT SERVICES

Confidential, Los Angeles, CA

Responsibilities:

• Presented contract, clinical program and quality/process improvement strategies, solutions and results to regional task force meetings and medical and hospital executive boards.
• Greatly enhanced the ability of Quality/Outcomes, Medical Staff, Marketing and Business groups to improve quality, track financial performance and tap profitable service lines by planning and implementing data capture, data mart and decision support systems based on a formal, documented methodology.
• Consulted internal teams in quantitative analysis and data management methods that allowed consistent, timely and objective assessment and reporting of process improvement initiatives to senior management.
• Streamlined physician review process by creating a physician balanced scorecard that automated the integration of safety, outcomes, and legal data reducing effort from weeks to minutes.
• Improved effectiveness of patient outreach efforts by developing patient program and referral databases that provided key contact, outcome and marketing response information to gauge impact of marketing initiatives.
• Instrumental in driving quality improvements such as lower nosocomial infection rate and average length of stay by building database application and interpreting results for COO, Medical Director and Process Improvement Committee.
• Achieved passage of Management of Information Standard review with no issues by devising an Information Management Plan and advising newly appointed Corporate Medical Director on Quality/Outcomes, corporate systems and vendor strategy to meet new JCAHO ORYX requirements.

SR. OUTCOMES/BUSINESS ANALYST

Confidential, Los Angeles, CA

Responsibilities:

• Enabled hospital to attain JCAHO Accreditation with Commendation by developing a standardized balanced scorecard to report financial, utilization, outcome and patient satisfaction aspects of key clinical programs.
• Credited with increasing patient and family response rate and admissions by introducing a database-oriented approach to managing marketing and outreach programs.
• Concurrently handled senior management and medical staff requests for ad hoc analysis of critical business issues while completing scheduled projects within set timelines.
• Developed forecasting and modeling calculators that optimized the analysis of managed care contracts based on financial and clinical information.