MicrosoftInternetExplorer4

Introduction:

• At the end of 2007, I was employed by Blue Cross and Blue Shield as a Program Director within the IT Department. In an effort to trim the size of the organization, the company offered an early retirement incentive package to tenured employees and I accepted the package. I have since been selling Real Estate part time. Due to the current state of the economy, I have decided go back into full time employment.
• In my former role, I was accountable to provide strategic and operational leadership to ensure the successful corporate funding, prioritization, integration and implementation of business system capabilities for mission critical core business processes, including Health Care Claims Processing, Membership and Billing, National Systems Mandates, all federal and state regulatory mandates and the Corporate Compliance Programs at Blue Cross Blue Shield of Florida.
• Over my forty year career, I have played both an operational and strategic leadership role in the successful implementation of several major corporate-wide initiatives. These were mission critical and required my extensive health care industry knowledge, technical expertise and demonstrated leadership skills, contract management and negotiating abilities. These initiatives included the Year 2000 Project, HIPAA-AS, the launching of a corporate subsidiary for HMO business, the initial implementation of a Corporate Program Management Office and the formation of the current corporate Portfolio Management Structure.
• I have over thirty-eight years of integrated technical and business systems experience in the health care industry. I have held a variety of positions including Director of Service and Delivery Systems Portfolio, Director/Program Manager for the corporate-wide Year 2000 Project, Director of Regulatory Mandates and Compliance Program Office, Director of the HIPAA-AS Program Office, Director of the Information Technology Management Services Group and several technology-focused positions.
• I also have leadership experience in customer support and service areas. At the Information Technology divisional level, I have led the strategic planning, IT education, process improvement and Budget/Reporting area.

Professional Experience:

Confidential

Listed and sold real estate properties focused on distressed and REO properties. Part of three-man team that handled all REO business for the Brokerage.

Confidential

Director Portfolio Director

Provide the leadership and oversight to the Managing Service portfolio for BCBSF. This Portfolio includes all of the applications that are aligned to the Claims and Enrollment functions. These applications provide daily service to all non-Medicare customers and over 60 million claims a year. This also includes the maintenance of Blue Cross Blue Shield inter-plan business Blue Squared, Blue Exchange and ITS . Includes direct reports of 30 employees and managing 30- 40M in annual project funding with individual projects ranging from 2m to 15m.

Director Program Manager

Provide the leadership and oversight of BCBSF's development Program which deals primarily with regulatory and Association mandated initiatives for Blue Squared, Blue Exchange and ITS, providing input to the BlueCard Executive and CIO on national IT Strategy issues. The program provides day to day financial oversight, tracking, monitoring and reporting for Strategic initiatives. The program requires coordination and collaboration with multiple public and governmental agencies to ensure understanding and provide influence to the formation of Health Regulations and policy. The unit serves a primary Corporate subject matter experts on many federal and state regulations, facilitating assessment of the regulation, gap analysis and requirements definition for compliance issues. Coordinated with National BCBS Association to ensure appropriate alignment of BCBSF initiatives to the national IT strategy. Projects are completed via resources matrixed from various project management centers of excellence and the developmental factories. Administered full administrative accountabilities to 7 employees with matrix accountabilities to assigned resources. Typical annual project budget 12 - 16M.

Confidential

Established and provided leadership to the development and implementation of the prototype program level project office. The HIPAA Program Office was responsible for the development of processes, standards, organizations and governance structures for the overall management of the HIPAA project. HIPAA was a large complex multi-year project involving over 100 concurrent projects coordinated across the application factories with up to 500 people involved. The Program Office was responsible for project integration, deployment coordination for internal factories and external senders, scheduling, tracking, reporting, issue management, records retention, communications and change management. The standards, templates and process flows established by the program office were used a starting point to jump start the establishment of the Enterprise Project Management group.

Confidential

Established and provided overall corporate leadership to a very large multi-year project to mitigate the negative effects of the change in century. The project required the review and potential modification of all programs over 12 million lines of legacy code , computers, hardware, firmware, databases and user written routines for potential date related issues. The project required extensive collaboration and coordination with internal and external business partners as well as innovative contracting with IT resource vendors both state-side and international Designed and established the project office to provide centralized communications, issue management, change control and tracking for the all of the components. Direct reports included over 60 people at various points throughout the project with contract resources exceeding 120.

Confidential

Overall responsibility and leadership for planning, training and administrative services to the IT Division. Responsible for the development of strategic, business and operational planning activities. Supported divisional budgeting through collaboration and coordination with all aspects of IT. Provided consolidated reporting and communications on behalf of IT, financial analysis / support, contract management, internal/external audit coordination and support. Overall responsibility for technical, developmental and behavioral training for IT. Developed and implemented IT change control processes, facilitated and conducted all employee meetings, facilitated leadership development and team building events. Facilitated process re-engineering and other special projects as assigned by the VP of IT. Full administrative accountability for direct reporting staff of up to 23 employees

Confidential

Consulted and coordinated the integration of the HMO subsidiary into Corporate IT. Expanded IT strategy to include managed care business planning and direction. Conducted special projects as directed by the VP of IT.

Confidential

End to end accountability for all aspects of IT for subsidiary HMO business. The support included computer operations, telecommunications, application maintenance and development for the corporate and field HMO offices around the state. Member of HMO leadership team with responsibilities for IT capability delivery and integration into the business planning for the start-up and ongoing operation of the various HMO models. Oversaw the design, acquisition/development, implementation and support of all automated systems necessary to operate the business. Full administrative accountability for direct reporting staff of up to 34 employees.

Project Manager Finance,

Responsible for end to end support of the entire portfolio for BCBSF's Finance, Actuarial, Underwriting, Payroll and Personnel applications.

Analyst/Programmer

Provided analysis, design and systems development for BCBSF's Finance and Credit Union applications.