SUMMARY:

• Over 25 years of management experience as a physician executive with experience in providing leadership to the planning, organization, coordination, and management of health IT programs.
• Health IT subject matter expert with solid Program and Project Management oversight experience (P&L environment) in healthcare and information technology with a passion for healthcare IT transformation.
• Demonstrated expertise in project management, team building, analysis, and improving operations.
• Able to assess needs, processes, and performance and recommend and implement improvements.
• Strong skills in customer service, as well as interpersonal, written and verbal communications.
• Excellent ability to establish priorities, multi - task, and meet strict deadlines. Proven proficiency in developing innovative solutions to problems and achieving results.
• Extensive consulting practice experience with large and mid-size cross-functional projects within multi-system environments that involved all different levels of project and program management.
• Represented enterprise program’s objectives and interests with the Department of Health and Human Services agencies such as the Confidential, Centers of Disease Control, Food and Drug Administration, Center for Medicare and Medicaid Services, Walter Reed Army Medical Center, Department of Defense and pharmaceutical companies.
• Significant experience with Fortune 500 companies self-insured health plans market for healthcare business intelligent products and solutions such as data analytics platforms for Population Health Management, Clinical & Quality Outcomes, Risk Score Accuracy & Insight (Risk adjusted Medicare Advantage, managed Medicaid, commercial ACA, ACOs, and dual eligible health plans), Utilization Efficiency, Regulatory Compliance, Financial Performance & Insight, and Research & Strategic Insights with an integrated approach with its Client Services Division. health care data analysis and process improvement, focused on enhancing decision-making for cost containment, return on investment, value proposition, risk analysis, and unit effectiveness. Analytical and objective, able to evaluate data integrity, spot trends, array options, model outcomes, and troubleshoot.
• Significant experience providing IT Product Strategic Business Development, Marketing (internal and external buy-in), Customer Relationship Management and Thought Leadership at C-suite management levels within the HHS agencies to health IT companies across various programs and projects focusing on Federal government contracts.
• Significant knowledge of medical terminology and experience with the analysis of relevant data sources, the mapping of data terminologies and data structures, data architecture, data set standards, data interchange standards, database of vocabulary, terms & classifications and the development of related policies and procedures
• Significant product development experience of Healthcare Business Intelligence and Data Analytics platforms that provide population health performance management, health outcomes and patient safety, financial and operational management solutions.
• Significant experience with ETL, data warehousing and data marts at the Confidential and the Confidential .
• Experienced in IT business process management solutions, IT organizational structure, and platform technologies: requirement analysis, IT acquisition and sourcing, integration and deployment; business model design for IT sustainability; IT systems selection and implementation strategies.
• Experience in the development of healthcare IT strategic and tactical deliverables. Technical knowledge of the process and challenges involved in healthcare system implementations planning and management. Knowledge of healthcare industry regulations and policies including Meaningful Use, NCQA, and others.
• Strong experience developing and implementing strategic plans to advance a company’s mission and objectives and providing business and technology vision for organizations wide information services and focusing on cutting-edge technology practices that are customer/patient centric.

WORK EXPERIENCE:

Confidential

OPERATIONS SUPPORT

Responsibilities:

• support integration efforts to integrate with the EIDM and ePortal for multifactor authentication support delivery of high-quality, on time Salesforce applications to Confidential program teams ptimize structure Salesforce workload and oversight of projects development support of the core RF functionality (e.g., participant management, reporting). support of appropriate model onboarding to RF to streamline onboarding new models quickly and efficiently/RF Intake Coordinator.
• High level requirements development with model teams
• Completion of impact assessment process and activities coordination with CICDIM, model team, Confidential It staff and OTS IT staff as follow:
• Review requirements with RF/IC intake coordinator
• Conduct requirements clarification session with model team/requestor. Enhance requirements/user stories
• Draft impact assessment completion
• Final impact assessment creation - gap analysis, estimate broken down by type of activity, justification for further engineering assessment.
• Contributed for the Innovative Payment Contractor, a contracting vehicle developed by Confidential for Confidential use. Provides financial services for Confidential - same capabilities as a MAC.

Confidential

CEO/PRESIDENT/CHIEF OPERATIONS OFFICER

Responsibilities:

• Provided executive leadership to the planning, organization, coordination, and management of the company’s IT programs.
• Assisted the Clinical Solutions Division in developing the strategic vision and opportunities for the Fortune 500 companies self-insured health plans market for healthcare business intelligent products and solutions such as data analytics platforms for Population Health Management, Clinical & Quality Outcomes, Risk Score Accuracy & Insight (Risk adjusted Medicare Advantage, managed Medicaid, commercial ACA, ACOs, and dual eligible health plans), Utilization Efficiency, Regulatory Compliance, Financial Performance & Insight, and Research & Strategic Insights with an integrated approach with its Client Services Division.
• Oversaw all phases of the ETL project delivery life cycle and consulted for other projects determining the impact of current/existing technologies on the project (s) as to increase of those technologies in the final product.
• Oversaw risk management processes assuring its overall application within project (s).
• Performed health care data analysis and process improvement, focused on enhancing decision-making for cost containment, return on investment, value proposition, risk analysis, and unit effectiveness.
• Evaluated data integrity, spot trends, array options, model outcomes, and troubleshoot.
• Assisted the Product Development team to identify and specify features and functions of the business intelligence software such as analytics, reporting and online dashboards to improve utility to users and relative advantage against competitors as follow:
• Aggregated data from electronic health records (EHRs), practice management systems, pharmacies, labs,
• Patient registries for common diseases (stable and acute stages) to help client manage populations (clinical drivers) by promoting evidence-based care, track individual patients and get data on clinical events and lab results,
• Compliance reports to identify patients who need screenings or other care to better coordinate and close gaps in patient care, overutilization of procedures and tests and underutilization of other needed services
• Physician alerts when a patient is due for care,
• Automated workflows to allow physicians to focus on patients,
• Predictive clinical models that identify those patients at highest risk for hospitalization or further cost thus informing for a more intensive care management approach.
• Alternative payment models
• Assisted the Product Management team with developing and optimizing existing clinical dashboards to measure population health management clinical and business metrics (cost drivers) and all data warehouse and data marts environment maintenance and management tasks such as ETL, data congregation from multiple sources into the company’s single database so a single query engine can be used to present data; database isolation level lock contention in transaction processing systems risk mitigation; data history maintenance; data integration from multiple source systems, enabling a central view across the enterprise; data quality improvement by providing consistent codes and descriptions, flagging or even fixing bad data; preservation of a single common data model for all data of interest regardless of the data's source; data restructure to assure coherence to the business users, optimal delivery of excellent query performance, even for complex analytic queries, without impacting the operational systems; maintenance of operational business applications value assurance process.
• Established quarterly reporting services to evaluate provider, plan and hospital performance. Established service framework to generate clinical and benefit consulting revenues. Provided pre-sales support as needed.

Confidential

DIRECTOR, HEALTH IT STRATEGY AND INNOVATION

Responsibilities:

• Responsible for all healthcare IT strategic market plans providing direction to position Confidential to meet the health IT related needs of potential clients across the Health and Human Services account, in particular the National Institute of Health.
• Led the CIOSP3 Task Force team, an information technology project of high complexity, by managing matrixed teams to develop the effort and coordinate the various project plans materializing the intended outcome - $20 billion contract vehicle mechanism for Health Information Technology services and solutions.
• Provided internal consulting for business case development in the use of Health Information Technology services and solutions.
• Determined program resources requirements by establishing key partnerships with healthcare IT, bioinformatics companies and bioinformatics research institutes such as the Institute for Computational Medicine at the Confidential .
• Independently communicated with enterprise-wide stakeholders to plan and mange project interdependencies.
• Assisted in the management of HHS Federal contracts, in particular the Confidential contracts valued at approximately $80 million dollars.

Confidential

MEDICAL DIRECTOR, BUSINESS DEVELOPMENT

Responsibilities:

• Business developer within the National Institute of Diabetes and Digestive and Kidney Diseases, National Human Genome Research Institute National Advisory Council Meetings.
• Executed Confidential and Confidential strategic growth plan and created additional paths of entry for the company at the Confidential and Confidential market that were previously not marketed by Confidential .
• Led market research efforts, analyzed new market opportunities and pursued new business opportunities within HHS, in particular Confidential .
• Contributed to pipeline growth from $0 to over $12M in a seven-month period.
• Led and contributed to internal and external proposal management meetings with team partners for small ($10K-$50K), medium ($7M-10M) and large contracts ($67M) with the Federal government;
• Contributed to HHS RFP responses totaling $267 million dollars. Contributed to RFIs partnering with different stakeholders such as EDS, Nortel, NGIT, Quick Beam, Global CI, Norbeck Technologies and Paragon Technologies.
• Cancer Therapy Evaluation Program - Enterprise System RFP rebid winning in the amount of $67 million. Contributed to investment strategy company meetings to provide business development input to securities companies.
• Worked with the Product Management team to identify, specify features and optimize functions of the web-based enterprise systems that included web portal, mobile interface, relational databases, middleware, data interchange, data warehousing, and reporting

Confidential

MEDICAL DIRECTOR, BUSINESS DEVELOPMENT

Responsibilities:

• Responsible for the direction of the overall policies and goals for the business development department, for its healthcare account (HHS). Negotiated team agreements.
• Supported the development of proposals, solutions, plans of action, and business/account growth plans.
• Conducted the overall collection, processing, and analysis of study data for all business development projects using the Office of Small and Disadvantaged Business Utilization, Department of Health and Human Services (HHS) Procurement database.
• Developed a marketing database for Contract Specialists, Contract Officers, Deputy Directors, Directors’ contact information of the different HHS agencies.
• Developed a marketing database for contracting opportunities for the different institutes within the Confidential .
• Analyzed HHS Procurement forecast for contracting opportunities requirements and projections of all anticipated contract actions.
• Advised on contracting opportunities above $100,000 at Confidential .
• Established Blanket Purchase Agreement valued at $30,000 per contract with the Confidential Office of Logistics and Acquisitions Operations.

Confidential

TRIAL MANAGER

Responsibilities:

• Managed the hospital’s Rheumatology patient population health by implementing new technologies as to align the organization around the health management strategies of those patients.
• Designed and implemented clinical study database using Microsoft Excel and Oracle Clinical Trial Databases.
• Recommended and introduced new economies of effort through use of new Clinical IT technologies such as clinical study relational databases increasing efficiency and effectiveness with existing manpower.

Confidential

DEPUTY PROGRAM DIRECTOR

Responsibilities:

• Designed, implemented, and evaluated a knowledge decision support system that continually allowed for efficient and effective biomedical/scientific and marketing information use by the DVC Science Dept. and JVAP.
• Used interdisciplinary aspects of specific disciplines such as computer science, medicine, biotechnology, and communications to gather, organize, analyze, refine, and disseminate medical/scientific and marketing information on vaccine science and technologies.
• Managed within organizational and cost constraints, setting goals linked directly to stakeholders' needs, and utilized proven project management tools to complete the different projects that composed this program on a reasonable time and within budget.
• Managed program procurement and financial management aspects such as program’s operating and travel budget and activity based costing reports.
• Developed and maintained professional contact with top tier thought leaders/experts from the industry, academic centers, and government.

Confidential

CONSULTANT

Responsibilities:

• Provided advice on Initial or Recredentialing site review services that ensured providers followed plan-specific standards.
• Provided advice on Component and Behavioral Health Site Review Services that ensured providers followed plan-specific standards.
• Provided advice on guidelines to perform Credentials Verification Services for providers.
• Provided advice on guidelines to perform Credentials Verification Services for facilities.