Experience

GuideWell

• United States
• Telecommunications

• BRM GuideWell Health

  • May 2014 - Present

  •Technology Liaison between GuideWell and GuideWell Health Clinical Entities. •Develop and execute technology and business solution plans for GuideWell Clinical Entities including front office, back office and clinical systems. •Oversee strategic projects for HEDIS, Care, Health Population and Meaningful Use requirements to increase performance and drive reimbursement •Develop and oversee patient engagement technology projects to increase Meaningful Use performance above 50% for stage 2. •Develop shared services strategy across claims, CRM, and care domains to reduce operational costs 26%



Florida Blue

• United States
• Insurance
• 700 & Above Employee

• Technical Architect

  • Apr 2012 - May 2014

  •Direct leadership for the Performance Testing Team targeting the performance testing of over 87 applications across Capability Development, Novitas, and First Coast Service Options•Manage the performance testing for Diamond Oracle 11g upgrade, ICD-10 key word testing, Exchange, and ICD-10 Provider Testing Effort •Direct Leadership for the Test Automation Team accountable for implementing and maintaining the automation framework across multiple functional QA areas.•Developed a test automation strategy resulting in a 20% reduction annually in the overall QA budget.•Developed and executed sourcing strategy for QA reducing annual operating budget by 25%

• Information Technology Integrator

  • Jan 2006 - Mar 2012

  •Provided proactive consultation to the Service Organization Senior Leadership Team on business and IT strategies both internal and external.•Oversaw the development of the Service Organization capability roadmap inclusive of medium to large enterprise efforts related to technology transition, technology retirement and capability development •Accountable for identifying and executing technology solutions that drive performance and reduce administrative costs across claims systems, CRM applications, provider/member portals, and automation

• Solutions Architect

  • Apr 2002 - Jan 2006

  •Oversaw moderate to complex projects through the effective application of Project Management Methodologies and enterprise architectural standards.•Facilitated the development of moderate to complex business solutions plans detailing strategic direction in the area of information management, technology systems, and organizational infrastructure•Facilitated the development of system migration plans to achieve the retirement of key legacy systems such HMO, PPO, Medicare and National Business claims systems resulting in major product segments being consolidate on one core platform.•Provided Program integration for multiple enterprise projects to ensure capabilities are integrated at the enterprise level and similar capabilities are leveraged across domains

• System Support Manager-National Business Unit

  • May 1999 - Apr 2002

  •Direct leadership accountability of the Training/Audit Team, Technical Support Team, Infrastructure Support Team, Project Management Team, Membership and Billing Team and Divisional Reporting/Budget•Direct leadership accountability for 5-service managers/Project Consultants and indirect leadership for 45 professional and non-professional staff•Blue Cross Blue Shield of Florida’s vendor manager for the National Account Servicing Company (NASCO)

• Project Manager National Business Unit

  • Jan 1998 - May 1999

  •Statistical data development and analysis of NASCO business operations as well as financial performance•Developed and maintained a $9.5 million dollar annual budget for NASCO and Canadian Operations•Implemented and maintained a training program for Blue Cross Blue Shield of FL Sales and Marketing representatives on the servicing of National Business and the selling of National Business utilizing the NASCO/ITS Operating Platform

• Supervisor Northeast Region Service

  • Jun 1995 - Jan 1998

  • Supervised staff of 21 supporting the Northeast Region customer service, claims and adjustments



Barrnet Technologies

• Manager

  • Sep 1993 - Jun 1995

  Supervisor for staff of 25 Government Guarantee Agency employees. Supervisor for staff of 25 Government Guarantee Agency employees.