SUMMARY

Accomplished Healthcare IT professional with significant success in IT enterprise systems strategy, design, and implementation. Demonstrated success in process improvement and requirements assessment with experience gained through numerous verticals in the healthcare industry, including pharmaceutical, insurance, healthcare practitioners, and product developers. Strong history acting as change agent skilled in analyzing operations and performance to develop innovative customer - centered solutions.

AREAS OF EXPERTISE

• Strategic Planning & Execution
• Budget, Finance & Service Management
• Vendor Relation Building
• Enterprise Application
• Process Improvements
• Data Architecture
• Program Oversight
• Client Assessment and Analysis

PROFESSIONAL EXPERIENCE

Manager, Data Integration

Confidential, Chicago, IL

Responsibilities:

• Designed, implemented and sourced tools for data integration.
• Selected Orion Rhapsody Integration Engine to utilize multiple connection methods and translate data to data sources for EHR and data warehouse.
• Built initial routes utilizing Javascript, SQL, Rest, SOAP, TCP/IP and SFTP.
• Designed and developed clinical data store and reporting utilizing external healthcare provider data in HL7, C-CDA and EDI X12 standards.
• Designed and sourced tools for secure texting with a future goal of telepsychology service capability.
• Designed and implemented automated payment reconciliation and billing process for new managed care programs resulting in the timely collection of over 1MM in new revenues.
• Performed interoperability studies and prepared case studies on grants including from Johnson & Johnson for improved outcomes in behavioral health utilizing interoperability.

Implementation Manager

Confidential, Madison, WI

Responsibilities:

• Managed Data Architects, Infrastructure team and offshore development teams in product development, client implementations and configurations and data refreshes.
• Responsible for the scale up of the database from 3 Million to 30 Million patients.
• Oversaw design of database architecture including data store design and development, and oversaw all performance and load testing.
• Led data migration efforts for client side data to build Population Management, Care Management and Financial/Revenue Cycle Management functions of SymphonyCare platform.
• Responsible for all IT compliance assessments for privacy and security of healthcare products for ePHI, HIPAA for compliance to the HITECH Act and HIPAA; contracted Coalfire for all testing and HITRUST reviews.
• Designed unified hosting strategy and successfully combined multiple datacenters onto the Amazon Web Services instances resulting in the savings of approximately $60,000 per implementation.
• Developed HL7 data interfaces using for communications between EPIC, Cerner, NextGen, SymphonyCare and reporting agencies for BCBSM PGIP Evidence Based Care Tracking Initiative.
• Defined and implemented data models utilizing National healthcare codes such as ICD-9, ICD-10, CPT, HCPCS, LOINC, NDC, NPI, CMS, and Groupers to support clinical quality measures for Meaningful Use stages.

Technical Director

Confidential, Waukegan, IL

Responsibilities:

• Oversaw strategy and objectives related to marketing, fundraising, online education, regulatory, and content management systems.
• Developed and deployed enterprise-wide processes for content management, system maintenance, and training materials.
• Conducted in-person staff training sessions on user editable modules and continual site maintenance.
• Developed new portal website using DotNetNuke, IIS7.5, SQLSrvr2008R2, FileZilla, .NET framework, JAVA, JSP, and WINHOST.

Director, PMO & Management Reporting

Confidential, Oakbrook, IL

Responsibilities:

• Boosted closure rate of all management reporting from 40% to 95% per week within first quarter.
• Directed cloud-based application strategy and integration with existing business applications and Oracle platforms.
• Implemented cloud-based Docufree document management system and workflow, including scanning over 1MM physical documents; integrated operational improvements, resulting in full conversion from manual paper to automated digital in 4 months.
• Selected and implemented program management tool Clarizen and facilitated Salesforce integration.
• Developed business intelligence strategy, including defining high-level requirements, proof-of-concept documentation, vendor selection, Oracle database analysis, and high-level data model redesign.

Healthcare Consultant

Confidential, Oakbrook Terrace, IL

Responsibilities:

• Developed online data integration strategy between membership systems and website to guarantee new clients had ability to accept new policies online, which resulted in reduced time for new members and processing of memberships.
• Directed the membership migration of over 190,000 newly acquired individually insured policyholders.
• Directed all department leads to create project strategy, objectives, workflow and deliverables.
• Managed project from conception through implementation.

Program Manager / Data Architect

ConfidentialChicago, IL

Responsibilities:

• Performed data mapping and ETL strategy of Claims, Membership, Disease Management, Pharmacy, Hospitalization’s and Laboratory information for on-line Membership Electronic Personal Health Record; utilized multiple data sources, including Teradata Data warehouse, medical systems DB2, MEDecision Care Management, SQL Server, along with separate Claims and Membership legacy systems.
• Defined lead priorities (resolution of competing requirements over needs) and workflows for multiple enterprise system acquisitions, implementations and integrations including Clarity, Peoplesoft HR and financials, and IBM Cognos.
• Led process re-engineering effort for compliance with Sarbanes-Oxley (SOX) and COBIT compliance that resulted in creation and approval of over 150 unique project management and business analysis documents.
• Trained over 500 Information Technology professionals in first year of roll out.