key qualifications

• In depth technical knowledge of Medicaid Management Information Systems MMIS including expertise in:
• RFP Development
• MITA SS-A
• IV V and Testing Quality Assurance Implementations
• Expertise in claims systems and claims processing methodologies
• Experienced developer of decision support systems

project experience

Confidential

Project Manager

• Served as a key member of FOX's RFP development project team to gather requirements for a new enterprise based MMIS.

Confidential

• Served as the project manager for FOX Independent Verification and Validation IV V Team for the Nebraska New MMIS Project. The project contract included IV V oversight of the DD I Contractor during design phase of this service oriented MMIS.

Confidential

• Managed the FOX team during development of the Medi-Cal RFP Scope of Work which included the requirements for the DD I of a Service Oriented Architecture replacement system.

Confidential

• Managed the successful turnover, transfer and installation/enhancement of the MMIS system from incumbent. Primary responsibility was for management of implementation technical staff. Performed Quality Assurance activities and reviewed deliverables in support of the successful NPI implementation. In 2009, served as interim project manager for the MITA State Self Assessment and performed the MITA Technical Assessment of the current MMIS.

Confidential

• Member of the FOX Team that assisted Alaska Medicaid in providing Project Management Office services and IV V services for the requirements analysis and implementation of a new Medicaid Management Information System MMIS .

Confidential

• Member of the FOX team that performed a requirements definitions and Independent Verification and Validation IV V project for the new TCMIS managed care system and data warehouse/Decision Support System DSS . Conducted Joint Application Design sessions, documented system requirements using Information Engineering methodologies and developed a Request for Proposal RFP .

Confidential

• Performed on-site consulting, development, maintenance, support and client training of PricewaterhouseCoopers' GENEVA ERS application package. GENEVA ERS was deployed as a critical link between the SAP logistics application and several downstream applications including data warehouse repositories and financial/operational reporting. Developed and implemented a number of application performance improvements and played an active role in: 1 the development of client training materials and documentation 2 expanding the use of GENEVA ERS within the client's organization. During 2000 to 2001, Mr. Phillips gained experience with developing JAVA Web-based applications and solutions.

Confidential

• Performed as part of a highly successful decision support application development team utilizing three-tier architecture. The Data Warehouses and Data Marts developed encompassed health care membership, managed care, risk analysis and financials. Specialized in the data sourcing, extraction, conversion and key administration functions. Developed method to dramatically reduce the time required to perform the fact build and key administration portions of relational database construction. The latest decision support implementation, Information Access Initiative, was a nominee for the ComputerWorld Smithsonian Award.

Confidential

• Experienced in implementation, expansion, maintenance and technical support for electronic claims submission. Was key member of project to increase the proportion of claims billed electronically to over 50 percent in a very aggressive timeframe. Performed as Project Leader for the design, development and implementation of electronic claims billing system used by Medi-Cal providers throughout California. Member of development team for automated service prior authorization and eligibility verification system utilizing advanced audio-text and clustered server capabilities. Team Leader of the 'Enhancements' implementation technical team during the Takeover phase. Team Leader on the EDS proposal team that successfully gained the Medi-Cal business.

Confidential

• Managed several teams of systems engineers and customer support staff during the design, development and implementation of the Colorado Medicaid system. The effort required approximately 1,900 systems engineer hours, development of a unique service prior authorization methodology and development of several new claim forms and associated processing methodologies. Telecommunications systems experience in developing and implementing telecom protocols for file transfers of proprietary health care claims submission via modems.

Confidential

• Managed a number of implementations of state-of-the-art Computer Aided Design CAD and manufacturing control and monitoring systems for the Delco-Remy Division of General Motors. These implementations were estimated to save the customer approximately 3.5 million by reducing direct and indirect labor, specialized tooling and product design and development costs.

Confidential

• Designed and implemented the conversion of the procedure, pricing and diagnosis files for Colorado Blue Cross/Blue Shield. Due to the unique nature of the files, it was necessary to design and develop an innovative approach to diagnosis code handling.

technology, tools, and methodologies

• Programming languages: COBOL II, COBOL OS/390, C, ALC Assembler , VisualBasic, SQL
• Hardware experience: IBM S/370, PC, Intel, DEC VAX and PDP
• Operating environments: MVS, OS/390, Windows 95, 98, NT , UNIX, DOS
• Applications: GENEVA ERS, ETI Extract, Oracle, MS Office suite, MS Access, MS VisualBasic, Visio, Intertest
• Methodologies: EDS Systems Life Cycle, Project Management
• Web-based applications: PriceWaterhouseCoopers
• Telecommunications Systems: EDS Systems