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Cto Resume

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SUMMARY

  • Provide strategic leadership for teh planning, execution and delivery of very large and complex Medicaid Management Information Systems (MMIS) for State Governments. These healthcare solutions has contractual values ranging from $200M - $500M and managing a staff of 300 team members.
  • Managed teh assessment of outstanding work following a major MMIS implementation and developed a plan for teh State of Idaho resulting in a successful closeout and 100% client satisfaction.
  • Successfully recovered and delivered Molina’s Health PAS 4.7 upgrade project in 2011-2012 for teh State of West Virginia. dis implementation was successful despite a go-live during a state of emergency.
  • 2013-2016 TEMPeffectively directed and delivered teh implementation of Molina’s Health PAS 5.0 Medicaid Management Information System to teh State of West Virginia on-time and wifin budget. No disruptions of services to Medicaid members or contingency payments were made to any Providers. Certified on teh first eligible day wif maximum Federal Fund Participation.
  • TEMPEffectively stabilized teh Molina West Virginia Account operations and covered for account management throughout 2016. Successfully navigated and stabilized teh West Virginia Account through a corporate financial corrective action plan to reduce overall expenses by 50%. dis operation had a staff of 150.
  • During 2017, continued to provide account management and customer relationship oversight to support new State of West Virginia DHHR initiatives and ensuring operations continued to meet service level agreements. Worked on several successful proposals for incremental revenue opportunities. Focused on future positioning of teh Molina division by process improvements, providing executive leadership to change organization for better alignment to a modular based marketplace. dis division had a staff of 1300.

PROFESSIONAL EXPERIENCE

CTO

Confidential

Responsibilities:

  • Confidential Department of Community Health - Directed MMIS Readiness and User Acceptance Testing including test case development, End to End scenarios were established for teh implementation and all testing activities which included teh creation of over 18,000 test cases and execution by DCH staff.
  • Managed over 15 Project Managers spanning 32 business areas and 150+ testers.
  • Created and enhanced metric reporting to provide project status for Senior Management and stakeholders.Advised CIO, MMIS Director and Project Director in all aspects of System Implementation and Vendor Management.

Program Manager

Confidential

Responsibilities:

  • Member of Confidential - Atlantic Region Information Technology Project Management Office as a Program Manager for dis major health plan focused on both clinical and revenue cycle-based applications.
  • Served as technical project manager for an integrated architecture effort for an enterprise-wide end to end testing facility for all new claim and encounter administration-based projects.

Consultant (Contract)

Confidential

Responsibilities:

  • Member of Medi-Cal Partnership proposal development team consisting of Confidential, ACS, and IBM that was awarded dis 10 year
  • 1.3B contract. Performed teh detailed analysis on teh requirements for teh proposed Quality Management organization and its approximately thirty staff members in support of dis Fiscal Agent contract.

Senior Project Manager

Confidential

Responsibilities:

  • As project manager for Fox System’s premier engagements ranging from $1M to $15M+, successfully directed concurrent project teams wif P&L responsibility. Orchestrated numerous projects where teh outcome had positive impact on clients’ billion-dollar program operations. Project core competencies include Project Management Office, Procurement Services, Program Analysis,
  • Quality Management oversight, User Acceptance Testing and Business Process Improvement.

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