SUMMARY:

• 25+ years health care experience in HIT, management, program management, project management, implementation, optimization, clinical, and consulting roles with integrated health systems, health plans, Quality Improvement Organizations (QIOs), federal and state organizations, and IPAs.
• Consulting engagements to drive strategy, improve performance and provide innovative business/technology solutions.
• Subject Matter Expert (SME) in health care: provider and payor, clinical, finance, solutions development and implementation.
• Adaptable, astute, focused on processes and deliverables.
• Business development, thought leadership, road - mapping, marketing, and white papers.
• Organizational Project Management (OPM), Portfolio, Program Management (PMO), and Project Management experience.
• EHR implementation in acute and ambulatory settings (including upgrades and optimization).
• Excellent communication skills, adept at building and repairing relationships.
• RFP planning, submissions, interviews.

TECHNICAL SKILLS:

• OPM
• PMO
• project management
• program design
• change management
• process improvement
• strategic planning
• workflow
• measurement
• reporting
• HIT
• EHR
• MU
• optimization
• consensus building
• regulatory compliance
• policy and procedures
• quality improvement
• PMBOK processes and tools
• QA/UM.

PROFESSIONAL EXPERIENCE:

Confidential

Program Manager PMO

Responsibilities:

• Multi-state Acute and Ambulatory settings.
• Client engagement and communication.
• Strategic planning; scope, charter, and project plan development.
• Managed portfolio and program from business case to discovery, design, planning, execution, governance and operations.
• Develop and management of program budgets (operating and capital).
• Manage purchase orders, forecast and track costs.
• Analyze performance and productivity.
• Maintain program level schedule and critical path.
• Clinical services from current state to future state (workflow and optimization).
• Beaker, Confidential, and Sunquest: discover, build, and test.
• Enterprise program work included interfaces and 3rd party apps.
• Management over teams that assessed current state and future state workflows including business requirements, process flows, work queues, and reporting.

Confidential

Program Manager

Responsibilities:

• Collaboration program manager for a new business partnership.
• Led stakeholders thru complex relationship and business decisions.
• Strategic planning and project plan development.
• Managed portfolio and program from business case to governance and operations.
• Assist in development of annual program operating and capital budgets.
• Manage program budgets and track costs.
• Analyze performance and productivity.
• Maintain program level schedule and critical path.
• Clinical services from inception to workflow to execution.
• EHR implementation and go-live planning of Epic for complex ambulatory and acute systems.
• Applications include EpicCare, Orders, ADT, ASAP, Resolute PB, HB Cadence, and MyChart.
• Management over teams that assessed current state and future state workflows including business requirements, process flows, work queues, and reporting.
• Develop centralized scheduling and electronic supported patient self-rooming plans.
• IT work included conversion of data, unique workflows and business streams.

Confidential

Healthcare Consultant

Responsibilities:

• EHR go-live planning and implementation of Epic for large healthcare system.
• Provided strategic assessment and operational planning.
• Led cutover assessments, planning, approval, and execution.
• Planning for 3rd party apps, assessment/planning, support, and transition process during go-live.
• EHRs conversion of legacy data and long term storage of archived system.
• Managed hardware and software implementation and IT system integration.
• Project management of 200+ applications and various departments including: ED, Med Surg, ICU, member services, finance, radiology, labor & delivery, HIM, and ancillary departments.
• Key deliverables: assessment, design, build, test, train, and go-live phases.
• Assessed current and developed future state workflows.
• Root cause analysis to identify technology issues.
• Process improvement to address IT, utilization and continuity of care.
• Led change management and hospital culture shift.
• Coordinated analyst timetables, build, integrated testing, and roll-out.
• Monitored IT implementation including biomed and third party applications.
• Promoted adoption through all levels of hospital and clinic staff.
• Provided C-Suite and director level management of Command Center and report-out meetings with hospital executives and managers.

Confidential

Principal Consultant

Responsibilities:

• Assessed five health system acquisitions and their IT needs.
• Presented recommendations and multi-year planning with C-Suite.
• Developed budgeting and contracting plans.
• Provided strategic vision and operational planning.
• Set sustainable trajectory toward complete service delivery.
• HIT transition of acute and ambulatory settings.
• MU planning, revenue cycle, and overall readiness.
• Conducted planning sessions with business leaders and reported to C-Suite.

Confidential

EPIC Implementation Manager

Responsibilities:

• Managed hardware and software implementation and IT system integration.
• Key deliverables: assessment, design, build, test, train, and go-live phases.
• Upgrades involved Epic 2011 to 2013 and to 2014.
• Oversaw the analyst and business owners work on data discovery, data gathering, workflow gap analysis, and conversion cut-over data.
• Epic applications including ADT, Cadence, Prelude, ClinDoc, EpicCare, ASAP, Beaker, Beacon, Optime, Stork, HIM, HB, PB, and Radiant.
• Management over analyst teams that assessed business requirements, process flows, current state, future state workflows including work queue, charge router, and reporting.
• Root cause analysis to identify technology issues.
• Process improvement to address IT, utilization and continuity of care.
• Led change management and hospital culture shift.
• Coordinated analyst timetables, build, integrated testing, and roll-out.
• Monitored IT implementation including biomed and third party applications.
• Plan and conducted cutovers.
• Oversaw conversion of legacy data including archival access.
• Promoted adoption through all levels of hospital and clinic staff.
• Assessed employee roles and responsibilities to meet new workflows.
• Provided C-Suite and director level management of Command Center and report-out meetings with hospital executives and managers.
• Coordinated care and case management for the patient population.
• Improved relationships between regional and hospital leadership.
• Met MU stage 2 requirements.
• Provided clear and concise status reports to stakeholders.
• Portfolio work to assess new acquisitions and transitioning to Epic platform.

Confidential

Healthcare Consultant

Responsibilities:

• Developed program processes to transfer business practices to other locations.
• Operational implementation management including:
• Enrollment, claims, member service ops, benefits, and finance
• IT system integration, marketing and research
• Integrated clinical processes, provider network, regulatory and compliance, quality, and pharmacy
• Case management and pharmacy programs for chronic care and dual enrollees.
• Identified utilization metrics and quality improvement strategies.
• Coordinated analyst timetables, build, integrated testing, and roll-out.
• Policy and procedure revisions.
• Report design, development, and presentation.

Confidential, Nashville, Tennessee

Healthcare Consultant

Responsibilities:

• Planning, build, and test phase involving technology infrastructure oversight.
• EHR implementation, upgrades, and optimization.
• Business analysis, strategy, staffing management.
• Program management working with C-Suite and operations management.
• Change management, team development and process improvement.
• Project Management Operations (PMO), strategic business plan development.
• Reporting and communication responsibilities.

Confidential, Washington, DC

Senior Manager Consultant

Responsibilities:

• Strategic enterprise architecture, eligibility and enrollment.
• Software development project.
• Agile sessions and content review.
• Regulation, compliance and policy development.
• Public facing website to meet Federal requirements.
• Coordinated work with MITA, and MMIS.
• Led agile sessions and developed workflow.
• Change management and leadership coordination.
• Team development and process improvement.
• Identified and developed quality improvement processes.
• Marketing national roll-out campaign for HIT and health insurance services.

Confidential, Oregon

Healthcare Consultant

Responsibilities:

• Operational strategy involving multiple departments.
• Financial and IT strategy/redesign.
• High profile budgeting strategies vetted by political committees.
• Change management, team development, and process improvement.
• Designed internal reconciliation business processes.
• IT infrastructure to reconcile, audit, meet compliance, and record archiving.
• Program management, program and risk assessments.
• Led State of Oregon discussions with independent Medicaid health plans.
• Data validation, policy development, operational management.
• Reviewed and improved transition including continuity of care.
• Reported metrics and communicated with stakeholders.
• Met deliverables and recovered monies.

Confidential, Washington, DC

Associate Director

Responsibilities:

• IT Strategy (Federal funding, compliance strategy), IT cost sustainability plan, and provider/stakeholder support.
• Program oversight and risk assessments/risk management.
• IT infrastructure, operations strategies, process and data center improvements.
• Benchmarking analytics, cost benchmarks, and measurement programs.
• Communication planning and materials.
• Utilization and process improvement.
• Installed infrastructure functions to support business and IT operations, including:
• Program management and strategic enterprise architecture
• Information management including analytics
• IT effectiveness measures with a focus on solution delivery, quality assurance and testing
• Designed and presented option papers for program development.
• Led planning and production of Operational Manual including policy and procedures, database design and maintenance.
• Consulted with State of Illinois to develop HIE sustainability plan. Researched and presented cost models, stakeholder development and project planning.

Confidential, Texas

Director of Provider Initiatives

Responsibilities:

• Developed use of Confidential measures for quality and provider reporting.
• Managed member and provider Medicare Advantage Plan issues.
• Monitored QA and UM.
• Quality of care projects including continuity of care.
• Oversight of grievance and referral issues.
• Redesigned clinical and revenue data reporting using new software reporting tool and combining it with claims and revenue data sources.