HEALTHCARE INFORMATION TECHNOLOGY MANAGEMENT PROFESSIONAL

with extensive experience in healthcare information management and technology, data management and data analytics from both a business and technical perspective. Expert in business and systems requirements technical design and development use case analysis and business process re-engineering. Proven ability to build and lead effective, successful teams that deliver best in class solutions to improve client satisfaction, organizational cost savings, and workplace productivity. Experience with various EMR/EHR and HIT platforms, HEDIS/NCQA requirements, Total Population Health, Disease Management systems as well as Medicare/Medicaid regulations. Goal is to obtain a position where my knowledge of the healthcare and IT/data management industries can be leveraged to improve the patient experience and increase the value of current and future product/service offerings.

Expertise Highlights

Professional Experience

Organizational mission is to provide strategic information technology and data management solutions to meet business needs. Capabilities include business requirements, solution design, business process re-engineering, data conversion/systems migrations, project/program management, analytics and strategic/tactical planning. The company specializes in providing solutions for the healthcare sector.

Key Results for Client Engagements:

• Functional Lead for development of a Provider Performance Portal application. Acting as Information Architect/Sr. Systems Analyst for provider, claims and utilization data capture/integration within data warehousing environment. Responsible for creation of functional specifications, development of use cases and testing scripts and identification of potential barriers/solution recommendations.
• Providing support to major health insurer embarking on implementing a data governance strategy. Includes providing guidance on the development of an internal data stewardship training program, evaluation of data quality maturity and recommendations of evaluation criteria for MDM/data governance/data quality tools.
• Root cause analysis for production data issues identified. Includes code review, data flow mapping and business process re-design.

The International Association for Information and Data Quality IAIDQ is a not-for-profit, vendor-neutral professional society promoting and defining information and data quality. Membership is comprised of professionals in varied business sectors, including Healthcare, Financial Services, Energy, Manufacturing, etc. Responsibilities include organizational management, marketing, issue resolution and personnel management.

Key Results:

• Coordination of benefits for organizational membership, including facilitation of journal/web content staff. Act as organizational point of contact for members regarding available resources, or other member inquiries.
• Oversight of volunteers for organization. Working in conjunction with other Board members, identify need for volunteers and conduct recruitment efforts. Responsible for Project and Resource Management activities as they apply to the volunteer pool.
• Board of Directors Liaison to individual IAIDQ Chapters, including Asia Pacific Chapter, UALR Chapter. Also working with interested parties to establish new Chapters both in North America and the UK.
• Establishment of new industry award for Data Quality projects undertaken by companies first award cycle to occur in 2014. Included the development of the eligibility guidelines, application process and proposal evaluation criteria.
• Social media marketing relative to growing organizational membership. Includes use of Twitter, LinkedIn, Klout and other social media sites to promote membership benefits.
• Review of Proposal Submissions for 2013 Information Data Quality conference agenda. Required the ability to be objective regarding topic content and applicability to potential audiences.
• Strategic planning regarding organizational growth including assessing organizational viability. Establishment of 100/200/300 day plans specific to membership retention and growth goals.

Confidential Key Results:

• Lead organizational data governance/data quality program at Health Dialog. Required knowledge of master data management, data governance and data quality methodologies and best practices with the goal of institutionalizing processes and increasing data quality maturity within the organization.
• Developed quarterly internal audit processes and procedures based on NCQA and HEDIS standards. Facilitates compliance with requirements for NCQA Accreditation as well as mitigates risk for audits conducted annually by various clients.
• Provide assistance to Legal department with regards to HIPAA compliance. Oversight of root cause analysis for potential PHI breaches and facilitates systems remediation to address identified issues.
• Project leader/manager for various corporate strategic initiatives as they relate to data and information management activities, including evaluating EMR/EHRs for potential interface with proprietary Total Population Health management software HL7 interoperability assessment .
• Gathered and assessed needs for Client Operations team and created prototype solutions to resolve issues regarding workload distribution and management, as well as productivity monitoring.
• Provided leadership and guidance to development staff engaged in major data conversion/systems migration project. Included gathering of business requirements, data analysis, issue resolution management, technical requirements review and application release planning.
• Managed team responsible for the design, development and implementation of the reporting and data management solutions for both internal and external clients. Technologies employed included business intelligence tools, PL/SQL, and VB/C .net, to name a few.
• Established business and technical requirements for automated data flow monitoring processes and data quality checks within existing applications and ETL processes resulting in proactive identification of data issues.