We provide IT Staff Augmentation Services!

Senior Director Resume

SUMMARY:

  • I am an operations and technology practitioner with over 17 years of experience in application delivery of Core Administrative systems for Health Plans.
  • Specifically I have a strong skill set in the implementation of large - scale core administration platforms with deep experience across the Health Plan value chain and all phases of the software development lifecycle.
  • I also have significant IT strategic advisory experience for core Health Plan Quoting, Rating, Underwriting, Core Operations, and Finance systems and operations.

AREAS OF EXPERTISE:

Patient Registries, Electronic Health Record, Electronic Medical Record, EMR, EHR, Management Consulting, Consulting, Healthcare Consulting, Strategy Consulting, IT Strategy, Business Strategy, Program Management, Business Program Management, Healthcare Information Technology, Project Management, PMO, Healthcare, Health Plans, Payer, Health Insurance, Business Transformation, Business Process Transformation, Business Process Improvement, Executive Management, Client Relationship Management, Health Plan Operations, Medicare, Healthcare Reform, PPACA, ACA, Affordable Care Act, ICD-10, Health Exchanges, Administrative Simplification, HIPAA, HIPAA X12, EDI, Executive Facilitation, Executive Leadership, Health Benefits Administration, Healthcare Management, Health Plan Management, Underwriting, Enrollment Operations, Billing Operations, Claims Operations, Finance, Core Administrative Systems, Core Administrative Operations, SDLC, Software Development Lifecycle, Business Requirements, Requirements Gathering, Requirements Traceability, Logical Design, Physical Design, Application Architecture, Technical Architecture, Enterprise Java Beans, Java, JDK, WebSphere, DB2, UNIX, jUnit, Unit Testing, System Testing, Integration Testing, SIT, User Acceptance Testing, UAT, Model Office, Operational Readiness, Deployment Planning, Deployment Readiness, Deployment Execution, Post-Deployment Support, Application Maintenance

EXPERIENCE:

Confidential

Senior Director

Responsibilities:

  • Led a $21.6M IT patient registry business unit that supported the development and management of patient registries for large pharmaceutical drug trials, medical and rare disease association quality improvement programs, and Confidential and Confidential reporting for Medicare providers.
  • Annual contribution margin on revenue was 38% annually, totaling $8.2M, above target margin of $6.3M.
  • Overall Account Director on all engagements.
  • Responsible for overall management of engagements, executive communications and client relationship management, engagement profitability, and overall Program execution and delivery.
  • Built relationships with senior executives within medical associations and professional medical societies.
  • Responsible for deal shaping and deal review discussion on new business development opportunities.
  • Supported overall pricing of opportunities.
  • Led SOW and proposal creation, and led review with Finance and Legal leadership.

Confidential

Consulting Executive

Responsibilities:

  • Led the planning and creation of the Business Process Modeling practice.
  • Responsible for planning and executing a $1.0M annual budget.
  • Identified the strategic vision for the practice.
  • Built 3-year plan to generate $3M in annual revenue.
  • Created the structure of the practice and was responsible for hiring into the practice
  • Developed several service offerings around health plan business process modeling. Offerings included quote to card service solution, business process assessment framework, and claims management workflow capabilities.
  • Led several projects of differing team sizes through different phases of the Software Development Lifecycle for Large Health Plan Core Administration System Implementations
  • Projects included a $49M program to improve Claims processing, a $5M Underwriting solution redesign, and a $110M billing and enrollment solution implementation.
  • Roles included Business Program Manager, Project Manager, User Acceptance Testing Lead, Requirements Team Lead, Solutioning Strategy Lead, Platform Design Lead, Design and Development Lead, Development Team Lead, Vendor Manager, Business Architect, Technical Architect, Application Architect, and Java Developer.
  • Responsible for overall management of engagements, executive communications and client relationship management, engagement profitability, and overall Program execution and delivery.
  • Built relationships with senior executives within Health Plan claims, customer service, managed care, and underwriting operational areas.
  • Led several IT strategy projects with teams of various sizes within the Core Administration Systems Implementation market offering,
  • Projects included Phase I Merger and Acquisition IT Assessment Core Administration Solutioning Strategy, Core Administration IT Test Strategy, Core Administration Product Feasibility, and Informatics IT Strategy Assessment.
  • Responsible for overall management of engagements, executive communication, client relationship management, engagement profitability, and overall Program execution and delivery.
  • Provided leadership within several internal eminence building activities including overall leadership for new resource evaluation framework; training curriculum development for new practitioners on relationships and branding, trends in Healthcare, and situational leadership; and acted as Executive Partner for General Systems Training Course focusing on Personal Health Support Program Effectiveness Study.
  • Co-led Rocky Hill/Hartford Office Payer Consulting organization.
  • Directly and indirectly managed team size of 26 practitioners.

Hire Now