SUMMARY

• Managed Care Clinical, Revenue, Financial, Product, Plan, Indemnification, Care, Risk, Outcomes, Network and Population Management Systems Data Operations, Programming, and configuration
• Electronic Data, Orchestration, and Pipeline SOA Systems Data Operations, Data Operations, Programming, and Configuration
• Artificial Intelligence, Machine Learning, Robotic Process Automation, Digital Enterprise
• Directory Services and Enterprise Infrastructure
• Enterprise Application Architecture, Programming, Implementation and Assurance
• Data Science, Data Arts and Information Philosophy, Managing how systems inform Human Outcomes
• Optimizes IT Investment, Improves Unitized Costs, Optimizes Costs (per FTE, Per Operations FTE, Per Operations, and Per Product), including transformational optimization to manage risk, loyalty, patronage duration, insight, ideation, innovation, customer understanding, translation of these into Monitored Features and Actions to assure continuous improvement as continuously improve Customer Priority, Human Priority, Loss Ratios, Patronage/Product/Policy Survival Duration, Rating Accuracy,
• Clinical Performance, Revenue Management, Return on Investment/Operations/Equity
• Democratization of Design enabled Directory Service Management solutions with X.400, X.500, X.509, LDAP, Active Directory, ADAM ADLDS, DNS, DHCP, Dynamic DNS, Enterix Unix and Linux API integration into Confidential Platform, Secure Shell Administration and Command Pipelining, Federation, Kerberos, Rights Management
• Policy Directed Infrastructure as a Service, Organizational Unit Directed Infrastructure as a Service, Object Oriented Service Access Interfaces, Message Queueing Routing, Messaging Services Routing, Application Partitions/Containers, Intelligent Multithreading Policy, Virtualization/Hypervisor/Partition Self Service and Automated Server Provisioning/Deployment/Deallocation, Application Logical Infrastructure Organization, Physical Site Infrastructure and Services Organization, in a context of Directory Service Trusts, Forests, Trees, Domains, and Namespaces.
• Implements Self Service Automation, Automation, Event Directed Automation and Environment Sensing Automation of Cloud Infrastructure, Virtualized Infrastructure, Simple Storage, Dynamic Storage, Containers, Managed Microservices Architectures, Managed Pipelines, Master Pipelines, Data Provisioning, Analytics, ETL, Artificial Intelligence, Machine Learning, Robotic Process Automation Bots/Routines
• Automated Incident Response, Continuous Development/Testing/Integration/Deployment, Code Repository Management, Pipeline Repository Management, Web Services, Platform as a Service, Software as a Service Data Distribution/Update/Masking/Deidentification/Deallocation, Batch Process Management, Data Visualizations and Data Visualization Repository Management
• Orients Enterprise Data with a focus on Consumer/User/Customer Intimacy, Conscious Value Associations and less than Conscious Value Associations, as well as value creation using statistical Process Control at the Data Structure, Master/Meta Data Management (to the development artifact and Data Structure Level), Loadbalancing, Interface, Struct, Class, Namespace, Thread, Process, Virtual/Replica/Pod/Node/Cluster, Transaction, Business Transaction, Business Activity Monitoring, Input/Output File, Post/Pre Processing Levels, with integrated DevOps and Lean Manufacturing, as well as Optimizing Self Service and automation in ways which synthesize world/industry/population/customer/organization sensing computing synapse to produce amazing improvements in Return derived from any technology, service, software, data, analytics, and research solution.
• Experience with High Performance Computing Platforms and Big Data including HPC, Compute, Map Reduce, Distributed Engine, Intelligent Engine, Statistical Process Controlled Engine, Interface/Infrastructure/Service/Data Status Sensing Routines as well as FDDI/Fiber, SAN, Delegate Network Partitioned Storage Array, Solid State and other High Performance Disks, Service / Hardware / Disk Level Recovery Algorithms, SQL / PLSQL / NoSQL / Relational / Contrived Key / Nonrelational / Columnar / Non Columnar / Complete Memory / Resilient Disk / Shared Disk / Dynamic Data Base Management Systems with Import/Export/Operational/Reporting/Control Data that is optimally managed into Rapids, Rivers, Lakes for optimizing information about Data Oceans to manage the information world
• Enterprise Information Systems, Artificial Intelligence, Machine Learning, Robotic Process Automation, and Control Technology Platform, using managed nondeterministic to deterministic information processing to improve Productivity, Risk, Collaboration, Knowledge Management, Rules Engine, Turing Machine, Analytics, and Performance including Managed Care, Benefits, Insuretech, Medtech, Fintech, ResearchTech, Virtualization, Pipeline Automation, Intelligent Automation,
• Revenue Management, Claims Management, Utilization Management, Modeling, Pricing, Rating, Experience Analysis, Adjudication, Incident Management, Source Management, Team Management, CSR, ERP and Ecosystem Management Solutions

PROFESSIONAL EXPERIENCE

DataOps/DevOps Solution

Confidential

Responsibilities:

• Progressive Derivation of Efficiency, Optimization, Unitized Return, Stakeholder Value, Insight, Ideation, Innovation and Performance improvement Roadmaps
• Enterprise Information Synapse Architecture, Implementation and Management
• Enterprise, User, Self Service, Business to Consumer and Business to Business Distributed, Clustered, Asynchronous, Multithreaded, and High Performance Application Architecture, Development, Programming and Testing
• Node.js on Docker and Kubernetes
• Scalable Java Applications and JAVA Integrated Applications
• Data Science for conscious value, less than conscious value and value synthesis managing to Services Levels and Key Performance Indicators
• Field Architecture/Programming/Infrastructure/Operations/Implementaiton optimization
• Process Improvement in Devops, WinOps, DataOps, Sales, Marketing and Solution Architecture
• Program Management, Milestones, Designs, Agile, Scrum, Estimating, Sprints, Success Factors, Indicators and Best Practices
• Data Rapids, Rivers, Lakes, Warehouses, Marts, and Reporting
• Data Operations Solution Envisioning, Development, Proof of Concept, Piloting and Solution Architecture
• Artificial Intelligence, Machine Learning, Robotic Process Automation, Self - Service Automation, Statistical Process Control, Lean Manufacturing, Cloud, Microservices, Elastic Search, ETL, Data Migration/Integration/deidentification/distribution, Clustering, Programming, Scripting, Service/Response Automation, Master Data Management Data/Programming ArtifactsIP Clustering, Pod Clustering, Node Clustering, DBMS Clustering, Web Farm Clustering, Network Clustering, Service Clustering
• Big Data, Analytics, Artificial Intelligence, Machine Learning, Robotic Process Automation, Coding, Infrastructure, Architecture
• Devops Master Pipeline Management, CI/CT/CD, Source Management, Hypervisor, Containers, Images, Virtualization, infrastructure as a Service, Scripting
• Directory Services, Federation, Forests, Domains, Sites, Routing, Email, DNS, DHCP, Communications
• Enterprise Line of Business, OLTP, Batch Application Architecture, Programming, Testing, Integration and Implementation.
• Marketing Operations Improvement
• Sales Operations Improvement
• Technology Implementation Methodology Improvement
• Information Technology Operations Improvement, ITIL, MOF, MSF, Lean, Six Sigma, Agile, Scrum
• Full Stack Application Performance Improvement
• Architectural Performance improvement
• Clinical Operations Analytics and Improvement
• Financial Management and Revenue Management Analytics Improvement
• Hadoop and Google
• Architected, Testing, Installed and Configured Solutions which Perform Development Operations and Data Operations.

Dataops/Devops Systems Programming

Confidential

Responsibilities:

• Performed Functional Analysis of Managed Care Systems Coding, Pricing, Clinical Coding, CCIS, Administrative Coding, Rate Sheets, Fee Schedules and other modules
• VMware, Azure, Directory Services
• Managed Care Clinical and Financial Software
• Provider Network, Provider Agreement, Member, Vendor. Benefit Plan, and Product Configuration
• .NET, C#, F#, TSQL, NoSQL, PLSQL Debugging
• Programmed Modules which performed Data Operations, ETL, Integration and SOA through functional and technical pipelines and master Pipelines.
• Management of Specialized Fee Schedule in Optum/Facets Managed Care, Medtech, Fintech, Proprietary Software and Data achieving data operations workflow for ETL, Analysis, Analytics, Data Rapids/Rivers/lake/Warehouse/reporting along virtual environment,
• Cloud, Microservices, Distributed enterprise software, CI/CD, Systems Reliability, ITIL Change/Release Management, Automation, Directory Services Support, SAN, NAS, Policy and other areas of service optimization.

Systems Architecture/Programming/Testing

Confidential

Responsibilities:

• Improved Performance, scalability of Multiple Regions of Healthcare Claims Management, Processing and Pricing
• VMware, Azure, Directory Services.
• Managed Care Clinical and Financial Software
• NET, C#, F#, C++, VB, ASP, JSP, Python, Anaconda, TSQL, NoSQL, PLSQL Debugging, Java Programming
• Debugging, installation/Configuration/Debugging
• Programmed Modules which performed Data Operations, ETL, Integration and SOA.
• Configured, Installed, Tested and Managed Virtual Infrastructure and Cloud Technologies.
• Modeled Data Migration, ETL, Integration, and Processing as well as Infrastructure Provisioning Requirements for Pipeline Automation
• Architecture and Development of Claims System EOB generation Routines including ETL, Data Integration, Analytics, Data Migration, production of automation routines, management of Source, in CI/CD environment using Microservice Architecture, SQL, .NET. Performs Enterprise Claims System Support and Customization of existing Software Modules. Tests and Implements Custom Developed Services.
• Dataops Architecture and Program Management.

Business/Technology Specialist

Confidential

Responsibilities:

• Assist in Improving Date Ware Housing Data Migration, Meta Information, and Application Specific Change Management Process
• Analyzes Network Management, Narrow Network Strategy, Stop Loss Reinsurance, Product Revenue Investment, Liquidity, Incurred but not received, Reserving, Rating, Clinical Performance, Care Performance and Population Management Configuration
• VMware, Azure, Directory Services, AWS, Node.js, JavaConfigures PCPs, Networks, Groups, Links and Tests Benefit Plans, links Rate Sheets, Code Ranges
• .NET, C#, F#, C++, VB, ASP, JSP, Python, Anaconda, TSQL, NoSQL, PLSQL Debugging, Java Programming Debugging, Managed Care Clinical and Financial Software
• installation/Configuration/Debugging
• Performed Enterprise ETL, SOA, Data Operations and Development Operations Automation.
• Modeled, analyzed and testing Data Migration, Processing, Metadata Management, CI/CD, and Statistical Process Control Processed for Pipeline Synthesis.
• Performed at two of the largest health coverage entities in the United States in particular areas of Entitlement, Needs Bases and Specialized Services requiring 837 I/P/D Service Providers among others. Developed/Programmed Complete Data Management Routines for BTB Trading Partner Interaction including interaction with Proprietary and Standard file exchange formats. Performed Data ETL/Rapids/River/Lake/Warehouse/Reporting/Analytics Solution review/architecture/enablement. Systems Reliability Engineering, CI/CD, Microservices, Cloud, Reporting/Visualizations, Metadata/Masterdata Management, Custom Development, Care Product Configuration, Insurance Product analyses and Performance improvement, Claims System Optimization, Revenue Management Optimization, Medical Loss Ratio optimization program development, Claims Floor/Ceiling management to prevent interest and fines, and other services
• Data Operations Software Module Architecture and Programming

Systems Architecture/Programming/Configuration

Confidential

Responsibilities:

• Net Programming/Debugging, Java Programming Debugging, Managed Care Clinical and Financial Software installation/Configuration/Debugging, Biztalk Server, .NET, C#, F#, C++, VB, ASP, JSP, Python, Anaconda, TSQL, NoSQL, PLSQL, Programming
• VMware, Azure, Directory Services, AWS, Node.js, Java
• Configures PCPs, Networks, Groups, Links and Tests Benefit Plans, links Rate Sheets, Code Ranges
• Technology Architecture, Configuration, Testing, and Improvement at Numerous Organizations
• Performed Enterprise Statistical Process Control, Lean Manufacturing and Value Optimization for Enterprise Clinical, Financial, Care and Claims Systems.
• Functional Systems Pipeline Analysis for Pipeline Development, Pipeline Modeling and Robotic Process Automation.
• Pioneered Big Data Distributed Engine Intelligence Processing, Cloud, SRE, CI/CD, Microservices, AI, ML, RPA, Self-Managing and Self-Healing Architectures in Complete Data Operations and Analytics for the Largest Data Sets and Revenue Volumes in the Health Services Industry. Performed Dataops, Devops, Salesops, Marketingops, Implementation/Service Ops, ITIL/MSF/MOF/Agile Ops, Public and Private Cloud for the largest ASP in the World, established new industry leading systems performance and reliability for Hundreds of customers in Hundreds of Initiatives. Assisted in Migrating three or more industry leading claims, HIPAA Transactions, and Health Industry Software Solutions into 4GL and Xgeneration architectures with unlimited scaling ability, performance, availability and capacity.
• Enterprise Claims Systems Software Architecture, Testing, Customization and Optimization

Manager of Transformational/Translational Technologies/

Confidential

Responsibilities:

• .NET, C#, F#, C++, VB, ASP, JSP, Python, Anaconda, TSQL, NoSQL, PLSQL Programming/Debugging, Java Programming Debugging, Managed Care Clinical and Financial Software installation/Configuration/Debugging
• Product Support, Software Development Operations, Prescriptive Architectural Guidance DevelopmentVMware, Azure, AWS, Directory Services
• Performed Private Cloud, Public Cloud, Microservices, Big Data, Analytics, Data Ops, Dev Ops, ETL, SOA, Massive Parallel Processing, Infrastructure as a Service, Systems Reliability, Automated Health Monitoring, Automated Incident Management, Lean Manufacturing, and Statistical Process Control architecture, implementation, and derivation for Value at IT, Services, Customer, Sales and Marketing levels for small, medium and multibillion dollar solutions.
• Pioneered Big Data Distributed Engine Intelligence Processing, Cloud, SRE, CI/CD, Microservices, AI, ML, RPA, Self-Managing and Self-Healing Architectures in Complete Data Operations and Analytics for the Largest Data Sets and Revenue Volumes in the Health Services Industry. Performed Dataops, Devops, Salesops, Marketingops, Implementation/Service Ops
• ITIL/MSF/MOF/Agile Ops, Public and Private Cloud for the largest ASP in the World, established new industry leading systems performance and reliability for Hundreds of customers in Hundreds of Initiatives. Assisted in Migrating three or more industry leading claims, HIPAA Transactions, and Health Industry Software Solutions into 4GL and Xgeneration architectures with unlimited scaling ability, performance, availability and capacity.
• Enterprise Claims Systems Software Architecture, Testing, Customization and Optimization

Associate Accomplished/Senior Consultant/Sales Engineer

Confidential

Responsibilities:

• Performed for Confidential in the Role of Managed Care Clinical, Financial, Revenue, Claims, and Digital Systems Architect in transforming Managed Care Systems from Legacy to 4GL and Beyond to Windows, Websphere, HPC, Devops, Dataops, Data Science and other Platforms
• Biztalk Server Product Team for the HIPAA Transactions
• Infrastructure Architecture Lead for an Industry Team
• The Surface Computing Platform which represents how hydride integrates at peaks and Valleys of one dimension in structure and two hydride molecules integrating into structure can exhibit a required third ‘Ghost’ Hydride location which can be separate.
• Pioneered Cloud, Devops and Dataops with automated infrastructure as a Service Management for the Largest ASP in the World
• Pioneered numerous industry first in health industry information technology. Perform Directory Services Ops, Enterprise Infrastructure Ops, Enterprise Software Development Ops, Devops, Pioneered Data Ops, Systems Assurance Operations and other Services.
• Implemented some of the leading and first Health Information and Service Applications in the Cloud/ASP/Microservice/Webservice and Internet Applications Age. Developed the prototypes for a Nationally utilized Software Module integrating QNXT Claims Systems into Interplan Processing of Blue Interplan Processing System. Assisted in half decade effort to migrate the world's Leading Claims Processing and Managed Care Software into the 4G and XG Age with dynamic, distributed, clustered, big data, columnar Database, Microservice
• Distributed Engine, SAN/NAS/Grid computing models for scalability, performance, reliability, and other characteristics.

Service Desk Association

Confidential

Responsibilities:

• Foundational Technology, Service, Research, Publication, Customer Enablement and Value Production Ops
• Foundations in Information, Library and Research Science Information Systems
• Communications Infrastructure Wiring, Protocols, Infrastructure, Implementation and Management
• Directory Services Implementation, Configuration, and Management
• Research Assistance, Classroom Assistance and Exam Proctorship
• Applied Systems in Learning, Finance, Human Development and Information Systems

SKILLS

• Big Data
• Statistical Process Control
• Dataops
• Devops
• Claimsops
• Clinicalops
• AI/ML/RPA
• ETL
• HIPAA Transactions
• Software Programming
• Cloud
• Microservices
• CI/CD
• Devops
• MSF/AGILE/ITIL/MOF
• Clinical Analytics
• Data Science
• Insurance/Reinsurance Product Optimization
• Return on IT/Service/Operations/Equity
• Meta/Master Data Management
• Program Management and Development
• Novell, Active Directory and LDAP
• Exchange Server. Confidential Office. Other OFfice Suites.
• Windows Server, Windows Operating System, OS2, DOS and Linux
• SQL Server, Oracle, DB2, PostgreSQL, Sybase, Access, Peachtree, SPSS, SAS
• .NET, JAVA, SQL, TSQL, PLSQL, NOSQL, COMTI, COM
• Asure, AWS, Google Cloud, Citrix, VMware, Virtualization Services, RDP, HyperV.