Summary

• 14 years' IT and healthcare leadership and consulting experience. Valued subject matter expert providing expertise in:
• Healthcare Informatics Information Assurance System Transformation Big Data Analytics Software Engineering Strategic Planning
• The fire in my belly drives high performance results transformed agency processes, secure systems, and organizational and personnel change in healthcare. Track record for positively impacting healthcare operations in areas of training clinical services, EMR, EDI/HL7, policy, and back-office administration.
• Ideally suited to senior-level opportunities in healthcare information technology.

Professional Experience

Confidential

Senior Information Systems Manager Senior Living Services

• Co-developed the strategic technology plan and coordinated the rollout of all systems and services for 26 new nursing homes and retirement communities. Credited with introducing the solutions that improved clinical administration, increased productivity, and optimized accounting processes across all facilities.
• Used Arthur Anderson's Project Management methodology. Gathered the IT requirements for all clinical, accounting, and administrative functions and developed a 3-year strategic plan new systems included best-in-class solutions for accounting GL, A/R, A/P , e-commerce, electronic medical record EMR , Health Level 7 HL7 , and electronic data interface EDI for health insurance billing.
• Evaluated, purchased, and introduced emerging technologies such as voice recognition software and optical storage of patient documentation that enabled clinical staff to save time and improve delivery of clinical care.
• Worked directly with 3rd-party national reimbursement programs including Medicare and Medicaid coordinated with fiscal intermediaries and carriers to facilitate accurate billing and claims processing. Conducted live product testing and training EDI submission during systems remediation and HIPAA transactions testing.
• Experienced with benefits coding: Medicare Part A, Medicare Part B, Medicaid, Medicare supplements, Deductibles, and Co-insurance.
• Trained medical and administrative staff on enterprise computer system for billing, reconciliation, claims transmission, and electronic medical record EMR system.

Confidential

Senior Healthcare Analyst

• Enabled HMO to increase its competitiveness and increase revenues by 1 automating nine new managed care benefit plans offered to the public and employer groups and 2 supporting a new joint- venture dental HMO.
• Recognized for conducting a needs assessment, including time-motion study, to improve the existing billing system prepared Yourdon data flow diagrams and evaluated 3rd-party project scheduling software.

Confidential

Administrator, Health Information Systems

• Upgraded the quality and usability of utilization and patient discharge data to allow local regulatory bodies to better allocate hospital services across 45 local hospitals.
• Implemented new system which further enabled all 45 hospitals to more effectively plan individual business strategies in a highly competitive environment.
• Used project management tools MS Project, Lotus 1-2-3 to facilitate scheduling and budgeting.

Confidential

Senior Healthcare Consultant

• Provided management consulting services to US Department of Health Human Services HHS including:
• Benchmarked the best management practices of 1 10 nationwide ambulatory clinics and 2 5 Medicare State Survey Agencies.
• Collected data from Medicare State Survey Agencies, nearly 1000 hospitals, and 10 ambulatory clinics.
• Evaluated statistical methods and procedures used to ensure data validity, applicability, efficiency, and accuracy.
• Evaluated sources of information to determine reliability and usability limitations of data.
• Developed reports, graphs, presentations in meaningful business terms to diverse audience.

Confidential

Senior Process Infrastructure Manager / Senior Enterprise Engineer

• Drove and transformed process engineering and excellence across the Pentagon-based 225 person JSIN Program that managed the internal and external systems and infrastructure for all Joint Staff customer services
• Lead the Process Group which served as the focal point for defining, maintaining, and improving JSIN's processes, based on ITIL and PMBOK.
• Oversaw 17 technical JSIN Teams 1 define, document, adopt, and evaluate existing and new infrastructure processes, 2 map key processes, 3 maintain current documentation of infra- structure diagrams and flowcharts, 4 align processes and activities to service descriptions. -- Frequent meetings with all levels of personnel ranging from flag officers, enlisted personnel, multiple contractors and all levels of their personnel. -- Tracked critical infrastructure processes across the JSIN Teams e.g., server, network, messaging, information assurance, knowledge engineering, service desk, configuration
• management .
• Supported the development of the Information Assurance IA program at both the United States Department of Education ED and United States Patent and Trademark Office USPTO including policies and procedures based on NIST SP 800 series e.g., 16, 18, 30, 37, 53, 53A, 60, 66 HIPAA , FIPS 199, and OMB A-130 to comply with FISMA. Provided security planning for the system development lifecycle.
• Assisted building service-based model ITIL allowing measurement by service to provide visibility to program and infrastructure performance, improve alignment with FDIC business needs, and continuous improvements. Planned consolidation of reporting tools to AppBoards, SharePoint, BMC Analytics.
• Analyzed software development processes, ensured compliance with SDLC and SRA guidelines, and implemented best practices based on established development methodologies including Six Sigma, CMMI, and IBM's Rational Unified Process RUP . Performed extensive writing, used MS Project and Earned Value Management EVM . Collected and analyzed metrics recommended, implemented, and measured process improvements.
• Performed IV V audits of all SDLC phases of technology projects for USPTO, ED, and OPM. Analyzed traceability of requirements to design, design, management and quality procedures, adequacy of testing, migration, and post-implementation