Executive Summary

• Confidential is a well-rounded, technology executive with almost 30 years of experience as a solution driven, customer focused professional in the areas of software development, systems integration, data warehousing, customer service and consulting services. He is a technical leader delivering complex systems and software architecture, application development, infrastructure and application hosting . He has extensive experience in passionately leading teams that develop industry-leading commercial software products and customized solutions that drive value for customers. His experience includes information technology, Agile software development using Scrum, program/project management, systems analysis, strategy development, resource allocation and utilization, knowledge management, relationship cultivation and continuous process improvement.
• Confidential has worked for almost 24 years at General Dynamics Information Technology formerly ViPS, Inc. where he has held a number of positions of increasing responsibility and control. Much of his experience is in the health care IT sector where he has worked for both government CMS and commercial health plans Humana, Horizon, BCBSA, FEP, etc. developing, implementing, and supporting these solutions. He has significant experience in managing customer expectations and delivering with excellence.
• George has spent the last few years transforming the Commercial Health unit of General Dynamics from a traditional waterfall methodology to an Agile development organization. His vision for speeding up product time to market, improving quality, and building products/features that deliver value to customers were the driving force behind this transformation. All aspects of the operation were considered with some teams using Scrum or Kanban methods to drive the vision to reality. Increases in flexibility, transparency, and control were byproducts across the organization. George has become the go to resource and Agile evangelist for other units looking to adopt Agile practices.

Areas of Expertise

Professional Experience

Confidential

Vice President, Commercial Health Operations

• Responsible for all operational aspects of our Commercial Health business unit with 3 major web-based and client/server product lines with 8 COTS products for the health care industry. Product lines address the Fraud, Waste, and Abuse business needs with the STARS suite of tools Medical/Quality management needs are addressed through the Source Solutions suite and ICD-10 through the NAV-10 product. Responsibilities included all of our product management and development activities, installation services, quality assurance, customer service help desk, ASP data center, and our growing professional solutions consulting unit. Responsible for managing overall P L of operations units budget 20M , maintaining customer satisfaction and continuously improving the product development lifecycle.
• Responsible for transforming the organization into an Agile organization. This multi-year undertaking positively affected all aspects of the organization to improve speed to market, improve quality, and enhance customer satisfaction. We've used Scrum, Kanban, XP, and test-driven development.

Director, Confidential

• Responsible for ensuring the successful development and implementation of CMS quarterly releases for the Part B and DMEPOS programs with direct responsibility over the application development units, release management, and quality assurance activities. Provided reporting on performance in line with the standard CMS performance metrics, monthly status and financial reporting. Managed the CMS change management and release processes, and worked closely with CMS to contain the dynamic nature of release scope. Participated in expanding ViPS' maintenance role for CMS to support the Medicare Modernization Act and associated activities without any negative impacts to performance standards. Drove award fees of 99-100 on contract performance.
• Instituted Release Management web pages to support continuing process improvements and focus on high performance and quality standards. Ensured compliance of organizational activities to support maintaining ISO 9001:2000 certification. Also initiated and oversaw the successful implementation of the CMMI Level 2 attainment project for all VMS Part B DMEPOS maintenance and project efforts.

Director, Commercial Product Development Confidential

Responsible for all commercial product development. Worked with strategic business units to create products in medical/quality management and fraud, waste and abuse health care arenas. Directed development activity that launched STARSentinel, a web-based fraud abuse early detection and analysis tool that analyzes claims data and identifies high-risk claims and providers. Worked with customers that were members of NHCAA to develop the product's fraud detection and scoring capabilities. Ported multiple applications to support Oracle, Sybase, DB2 and SQL Server. Development and deployed a web portal publishing product for making cost and quality analytic reports available to a wider audience via the Internet. Acquired a third party product and completely overhauled the product and re-branded it as the Source Solutions suite of tools. Directed activities for the national certification for MedMeasures suite from NCQA and ViPS worked as a Beta partner for the development of annual HEDIS measures.

Director, Confidential

Responsible for all operational aspects of supporting the STARS product. Oversaw the Installation, Development, and Customer Service units that provided support to CMS, Medicare Contractors and Commercial Insurers. Worked on the STARS National License installations for numerous Medicare Contractors. Oversaw the development of a major overhaul of the STARS application in version 4.0 which included significant database structural optimization, a port of the back-end processes to be meta-data driven via java applications, and introduced the ad-hoc query tool Query Engine still in use over 15 years later. Provided exceptional support to STARS customers including the development of a dedicated help desk and launched a professional services consulting practice around the STARS application.

Manager, Confidential

• Managed all of the STARS integration processes at all customer sites, from the project start to post implementation. Responsible for overseeing over 20 installations. Exceptional record of installing STARS at customer sites on schedule and within budget. Developed implementation timelines. Managed and coordinated integration activities between VIPS' installation team and the client's user and technical staff. Determined the customer's database server needs, ordered server, and coordinated STARS' installation in their data center. Oversaw customization of the STARS software for each client ensured that user needs were met through appropriate claims/encounter data extraction, summarization, and mapping. Facilitated integration testing and data validation ensured that the interface between STARS' mainframe and database components and the customer's existing MMIS was functioning properly. Responsible for all aspects of setting customers' expectations and exceeding them in driving business value.
• Developed a standardized implementation plan for all STARS installs. Oversaw creation of user documentation and installation guides. Managed four major release conversions. Provide all installed STARS customers with ongoing functional and technical support. Managed customer training activities. Participate in weekly user conference calls with clients to answer questions, provide additional training, and communicate the resolution status of open problems. Shape further product development by conveying user needs and requests to the development team.

Project Leader/Technical Leader, Confidential

Led the team responsible for the timely and accurate implementation of provider profile, pricing, fee schedule, and eligibility file updates to VIPS' Medicare claims processing system, VMS. Medicare carriers annual performance evaluations were based upon this mission critical task. Highly visible, responsible position which involved heavy customer interaction. Coordinated project activities, assigned workloads, and wrote functional and technical specifications based on CMS' requirements. Coded and tested as necessary to meet tight implementation time frames. Automated and documented all programs and processes. Standardized the profile and reimbursement programs for each VMS carrier.

Senior Programmer Analyst, Confidential

Worked with CMS on the pilot version of the Medicare Fee Schedule database which transitioned Medicare payments from a reasonable charge basis to a fee schedule. Lead programmer for the implementation of provider, pricing, fee schedule, and eligibility file updates to VMS. Wrote functional and technical specifications based on CMS' requirements coded and tested changes. Worked with voluminous files comprising the entire VMS reimbursement system. Gained an in-depth knowledge of health care claims data and pricing.

Programmer Analyst, Confidential

Worked with CMS on the pilot version of the Medicare Fee Schedule database which transitioned Medicare payments from a reasonable charge basis to a fee schedule. Lead programmer for the implementation of provider, pricing, fee schedule, and eligibility file updates to VMS. Wrote functional and technical specifications based on CMS' requirements coded and tested changes. Worked with voluminous files comprising the entire VMS reimbursement system. Gained an in-depth knowledge of health care claims data and pricing.

Confidential

Programmer/Analyst

Developed functional and technical specifications for a life insurance policy issuing system. Provided application coding for new and existing modules. Ported the policy issue system to a new WYSIWYG application called Documerge. Saved the company thousands of man-hours annually in policy assembly and many dollars in savings due to elimination of standard policy brochures. Achieved LOMA certification.

Confidential

Programmer Analyst

Programmer/analyst of small business systems. Role included meeting directly with customers to solicit requirements, design a solution to meet those needs, code and test the system, and implement/train/support customer. Also was responsible for running the company's direct mail/list rental business. Mainframe computer operator, application developer and order fulfilment technician.