SUMMARY:

• Proven leader that has lead, scoped, initiated, identified deliverables and established timelines, monitored and controlled multiple projects to completion in over 10 years of project management experience including business (including RFPs and quote generation and contract language work) and technical perspectives and needs across government, county health plan clients and commercial health plans and with internal and external resources including vendor and customer resources.
• Experienced at identifying and matching resources to projects for the success both of the project and overall organization. Continuously monitors the performance of project resources as well as customer satisfaction with those resources to proactively identify and handle potential communication issues as early as possible.
• Adept at balancing business and technical needs with 20 years of healthcare technology experience including enrollment, billing, insurance and clinical systems with a track record of delivery in high pressure environments.
• Extensive knowledge in SDLC approaches including waterfall, iterative/spiral and agile. Over 10 years of experience with process evangelism and best practices.
• Thoughtful and transparent leader with a history of helping others through technology. Core values include service to others through healthcare and service above self. Led teams across multiple functional areas including client facing solutions, development and business analysis. Recruited, mentored and retained multiple people through collaborative team building across distributed team (multiple locations) and business units including mentoring and coaching with an eye towards employee empowerment.

PROFESSIONAL EXPERIENCE:

Confidential

Sr Manager, IT

Responsibilities:

• For EMR, worked closely with a Big 4 consulting company and across all of the AHM ( Confidential ) enterprise’s key business functions in vendor management including contract review. Advised the Executive Director of IT on EMR vendors and related architecture and solution needs (ESBs (Enterprise Service Buses), Salesforce.com etc) including recommendations related to various build vs buy decisions and scales of solutions (e.g., integration engine vs. ESBs)
• Directly involved with the establishment of the IT PMO and worked closely with the Business PMO (Project Management Organization)
• Establishment and management of the BSA (Business and Systems Analysis) team including recruiting of BSAs with prior exposure to product and project management and clinical EMR implementations
• Strategic hiring of new people to support key initiatives including overseeing a multi - faceted recruiting effort including job descriptions and flexing additional capacity to handle existing system requests while changing the focus of the team to project and more efficient support work
• Rolled out DevOps (Development and Operations) culture (including systems thinking, faster feedback and continuous improvement) across the Home Monitoring enterprise working directly with executives and other business stakeholders
• Management of the Applications and Analytics team including culture transformation, combining development and operations in support of strategic and business-critical activities and processes
• Performed strategic leadership on IT transformation to move from a tactical focus to a consultative model in support of enterprise-wide initiatives in Home Monitoring
• Built maturity of the overall organization in terms of operational excellence, business and systems analysis and support including DevOps on-call and overall IT major incident process
• Systems spanning applications including Salesforce.com (SFDC), EMR, ERP, Call Center, Revenue Cycle, Workflow and Analytics across a range of off-the-shelf (Great Plains, SSRS/SSIS/etc) and custom solutions

Confidential

Sr Project Manager

• Managed the Conversions project at the EPIC Program level
• Oversaw conversion of legacy data from multiple clinical and billing systems to EPIC for 3.3 million patient population, approximately 6 million encounters and associated ancillary data including lab, pathology, radiology, demographic, vitals, family, procedure and social history, medications and pharmacy. Worked with key clinical stakeholders and ran 2 workgroups for demographics/MPI and a clinical workgroup.
• Brought stability and order to a team with many transitions on project management approach prior to my involvement
• Established a standard reporting mechanism for technical updates and summarized those updates for key stakeholders and executive leadership
• Worked with all levels of the organization from individual contributors in the business/stakeholder and IT/IS departments to executive leadership
• Provided key information for the EPIC GLRA (Go-Live Readiness Assessment) effort and worked with key EPIC personnel to deliver a solution that was ideal for Scripps and met the EPIC requirements
• Organized and oversaw validation sessions for Small Scale, Large Scale and Full Scale (full patient chart) validation including orientation sessions, selection of charts to validate and clinician engagement.

Confidential

Sr Project Manager

• IT Project Manager for application replacement projects involving one of the largest customers of Confidential (government focused) as well as individual and family plans and small groups
• Operating cross-functionally in support of Confidential ’s new claims system including project planning, monitoring and controlling and closure including business cases, budget tracking and vendor management/procurement oversight and Statement of Work (SOW)/contract negotiation
• Mainframe to distributed system migration across data centers to achieve cost savings through closure of the legacy data center
• Processes used included waterfall for infrastructure and agile for application development
• Identifying and managing risks, issues and decision logging and tracking
• Creation of resource requirements and requests and onboarding/offboarding project resources including T&M and Fixed Fee SOWs including internal, external/contract and vendor resources
• Involved in seed/investigation funding requests and consultant engagements
• Overseeing architecture, design, development, QA and infrastructure work
• Working closely with the business PM and stakeholders.

Confidential

Technical Project Manager

• Lead integration effort, overhaul of integration mechanics for optimum efficiency and reliability
• Coordinated effort for the interface testing for the Paragon v13 upgrade from v12
• Supporting in-house IT, assisting with any EHR and integration related issues

Confidential

Director of Solutions

• Reinvigorated and refined the integrated legacy solution for enrollment of low income families into state and county healthcare and other assistance programs to maximize service to existing customers at the County and National levels.
• Responsible for direct customer interaction and primary point of contact for executive-level customer leaders for items ranging from quotes to contract negotiations to presenting solutions and improving customer satisfaction.
• Streamlined technical teams and delivery process that promoted the exchange of enrollment data utilizing formats including HIPAA 834 EDI transactions, custom formats and database load formats that improved efficiency.
• Instrumental in process improvement efforts including discovery and resolution of root causes of production errors and creation of performance enhancement team leading to resolution of client satisfaction issues. Spearheaded significant user experience and application performance improvements (2-4 minute waits down to seconds).
• Instituted and managed daily meetings with client leads in order to surface issues and manage daily work. This resulted in a significant reduction in escalations and improved teamwork and proactive planning.
• Led efforts with 20 full time and contractor direct reports across multiple functional areas including client facing solutions, development and business analysis. Created teams that specialized in execution through creative use of team members' skills for the most effective solution delivery. Orchestrated, guided and reviewed efforts for data quality improvement working closely with customer and internal contacts.
• Full hire and fire responsibility, engaged in performance reviews and performance improvement plans, set goals with and for subordinates towards a more productive work environment. Worked closely with HR to set up processes and procedures for performance evaluation.
• Streamlined change control/change management for weekly builds across development, QA, IT and release management including hands-on resolution of issues and improvement of team efficiency.

Confidential

Analyst Manager

• Managed team and individual performance and mentored and coached direct reports towards a more collaborative and dynamic environment.
• Ensured team collaboration with client stakeholders, development and testing in order to create high quality deliverables. Oversaw release planning and feature prioritization and coordination across development and testing teams. Led JADs and client sessions to ensure maximum productivity. Supported new releases and validation of code re-factoring.
• Supervised and streamlined the analysis effort for the State contract for capitation management at DHCS-OHC in relation to Medi-Cal (California Medicaid) and the ACA (Affordable Care Act) (1115 waivers etc) including retroactive enrollment and rate changes, recoupments and HIPAA transactions (820, 834) for maximized efficiency.
• Conducted successful implementation effort for Hepatitis C supplemental payments including working with state policy stakeholders (including business rule and file layout definition) and via contract managers to vendors/plans. System payments approached $24B/year for approximately 10mm beneficiaries.

Confidential

Technical Project Manager/Workflow Architect

• Led multiple concurrent projects starting with quoting through delivery and maintenance and all phases in between. Coordinated development and testing of workflows and rules including post-live support and change management for better integration and efficiency.
• Delivered and defined workflows for Value-Based Purchasing (VBP), Clinical Quality Measures (CQM), Emergency Department (clinical and charging), Meaningful Use (CCDA), Respiratory Therapy, Admission Consults, Fall Risk and Discharge Reporting including data gathering and storage in the form of assessments, orders and results and creation and management of clinician reminders.
• Created rules that were used in decision support applications and included live ordering rules with recommended actions per customer requirements based on previous orders and lab values. Coordinated change and release management including direct work on workflow and rules enhancements.
• Built rapport with clients, recommending and specifying new solutions (including intial estimates and quotes for new work working closely with Confidential account executives/managers) and expanding Confidential footprint at those clients. Performed client facing (including onsite) work on clinical and enterprise workflows (including integration, TIBCO and database/SQL Server components and support of the corresponding data and execution pipeline) and rules across the United States from design to test and deployment interfacing with managers, directors and the C-suite.

Confidential

Healthcare Architect

• Worked directly with client stakeholders (including onsite), staff and Confidential Partners across the United States and globally to promote and strengthen the Confidential company and Partner relationships.
• Developed clean end to end design (through pipeline to repository persistence and query) and implementation of Microbiology (HL7v2 to v3/RIM discrete data) and Pathology (HL7v2 to v3/RIM) interfaces and historical loads including Confidential PL/SQL database queries and using GoldenGate to work on database extracts and mappings.
• Performed B2B (Business-to-Business) pipeline production support and maintenance with efficiency and built new channels for future expansion opportunities.
• Collaborated with product management and sales to provide input on future release feature prioritization, requested new features and competitive intelligence for new vertical market explorations.

Confidential

Technical Project Manager

• Managed the DQM (end consumer of the upgrade) part of the project (including coordination within DQM and across multiple teams) for the Initiate 9.2 upgrade, successfully implemented. Successfully performed IBM/Initiate upgrade analysis for patient and provider hubs including the SCPA (Sutter Care Pattern Analyzer). Transitioned Client from Initiate Java desktop client to Internet Explorer-based client.

Confidential

Technical Project Manager

• Consulted on and managed the client’s first software design and development project with clinical healthcare software (EMR/EHR) and facilitated a successful implementation.
• Provided daily mentoring in the use of agile methods, helping to update the organization’s understanding of agile by collaborating directly with project managers, resource managers, architects, developers and testers.
• Assisted with hiring of project and analysis staff.
• Performed regulatory analysis on the HITECH Act project, including working closely with CCHIT (translating ambulatory certification criteria for use in vision) and integrating information from industry and government sources including HITSP, ONCHIT, HITPC and HITSC including workgroups (Privacy and Security, NHIN/NWHIN, Meaningful Use, Clinical Quality, Information Exchange). Evaluated the Interim Final Rule (IFR) and Notice of Proposed Rulemaking (NPRM) for ARRA/HITECH Act implementation. Responsible for keeping abreast of the political, social and technological landscape as applied to the vision care space and its unique needs.

Technical Project Manager

• Successfully managed EMPI effort to support the SCPA (Sutter Care Pattern Analyzer) project including algorithm customizations and analysis working closely with the SHEW ( Confidential Enterprise Warehouse) team.
• Responsible for the daily project management of the effort to reliably match provider and patient demographic information with existing sources to aid quality reporting and associated best clinical practices
• Identified and provided mitigation plans for risks and issues and recommended solutions approaches to resolving issues (and oversaw implementation of those solutions) encountered while prototyping solutions.
• Collaborated with personnel across many levels of the organization up to director and VP levels in completing the Sutter Care Pattern Analyzer project.

Confidential

Sr. Technical Analyst

• Responsible for the operational reporting efforts for the patient and provider hubs across system of 26 affiliates and physician foundations and millions of patient records across Confidential HIE.
• Performed data quality analysis in support of the acute care hospital EHR and MIDAS+ reporting go-lives including single- and cross-source duplicate and compliance analysis. Tools used included Initiate Systems software, Micrsoft SQL Server (including writing custom T-SQL), Microsoft Excel and Access.
• Served as an Initiate ATSC (Authorized Technical Support Contact) and worked closely with Initiate Systems personnel.
• Automated former manual process, reducing each run from multiple days of manual effort to 10 minutes. Used a combination of operating system and SQL scripting including automatic modification of SQL parameters during each run. Created and documented policies and procedures and provided associated training.
• Performed on-call and after hours production support including data loads and HL7 and web service call (hosted on Apache Tomcat) flow. Preformed automation of data quality tasks and production monitoring.
• Performed change management coordination and ticket triage in BMC Remedy.
• Wrote SQL queries for extraction and analysis of data

Confidential

Product/Project Manager

• Managed projects including HL7 interfaces (billing, scheduling, clinical labs), ePrescribing, software implementations and upgrades, GUIs, database abstraction layers, middle layer/business logic abstractions including feasibility studies
• Ambulatory EHR and EMR including tablet/mobile health and PHR (Personal Health Record).
• Sales support including RFPs, quotes, estimates and contract negotiation and feedback as well as technical specifications for new solutions and custom work.
• Trade show and user group presentation experience.
• Directed activities of customer support personnel including training and skills development.
• Worked directly with customers and their vendors located across the United States.
• Designed, built and maintained SQL Server databases and tables including those for image storage, lab results, interfaces and clinical charting.
• Directed requirements gathering, clinical workflow consulting and design working with customers and prospects spanning provider, billing, scheduling and clinical support personnel.
• Researched and recommended tools and defined interface architecture.
• HL7 interfaces: registration (ADT), billing (DFT including ICD-9 and CPT codes), scheduling (SIU) and clinical (reference and internal) labs. Non-HL7 interfaces including specification and data mapping creation.
• EHR provider documentation customization/build including new vocabulary concepts, outlines (inverse of templates), etc.
• Managed and performed data conversions (including associated data quality analysis) and interface designs and implementations.
• Vendor and client facing activities to support interface projects and client implementations (including server sizing, performance testing) from initiation to deployment.
• Created scanning software in my spare time.