Experience

Blue Care Network

• Hospitals and Health Care
• 200 - 300 Employee

• Senior Delivery Manager - Process & Pay Claims

  • Mar 2021 - Present

  Southfield, Michigan, United States * Responsible for approximately 60% of HMO IT and all Ancillary PPO delivery efforts, totaling roughly $10-$15M per year in labor alone. * Responsible for ensuring successful SOX and audit conclusions for the HMO IT organization. * Direct oversight of nearly a dozen IT Delivery Leads, each engaging on roughly 6-10 projects simultaneously. * Portfolio includes wide-ranging delivery efforts across Member/Group Enrollment, Billing/Finance and Claims Editing/Processing. * Delivery… Show more * Responsible for approximately 60% of HMO IT and all Ancillary PPO delivery efforts, totaling roughly $10-$15M per year in labor alone. * Responsible for ensuring successful SOX and audit conclusions for the HMO IT organization. * Direct oversight of nearly a dozen IT Delivery Leads, each engaging on roughly 6-10 projects simultaneously. * Portfolio includes wide-ranging delivery efforts across Member/Group Enrollment, Billing/Finance and Claims Editing/Processing. * Delivery models include SCRUM, Kanban and Waterfall pending on project variables and 3rd party integrations. * Over 99% rate of on-time, on-budget delivery across full portfolio across a given calendar year.

• Technical Delivery Manager, FACETS Integration & Data Warehouse

  • Aug 2017 - Mar 2021

  Southfield, Michigan * Responsible for approximately 60% of all Blue Care Network IT delivery efforts, totaling roughly $10-$15mil per year in labor alone. * Direct oversight of nearly a dozen IT Delivery Leads, each engaging on roughly 6-10 projects simultaneously. * Portfolio includes wide-ranging delivery efforts across Member/Group Enrollment, Billing/Finance and Claims Editing/Processing. * Delivery models include SCRUM, Kanban and Waterfall pending on project variables and 3rd party… Show more * Responsible for approximately 60% of all Blue Care Network IT delivery efforts, totaling roughly $10-$15mil per year in labor alone. * Direct oversight of nearly a dozen IT Delivery Leads, each engaging on roughly 6-10 projects simultaneously. * Portfolio includes wide-ranging delivery efforts across Member/Group Enrollment, Billing/Finance and Claims Editing/Processing. * Delivery models include SCRUM, Kanban and Waterfall pending on project variables and 3rd party integrations. * Over 99% rate of on-time, on-budget delivery across full portfolio across a given calendar year.

• IT Senior Process Specialist, FACETS Integration (transition to Direct Employee)

  • Feb 2016 - Aug 2017

  Southfield, MI * Monitored key project indicators for approximately 40% of all Blue Care Network IT Delivery. * Managed IT delivery processes/practices specifically within the integration development space. * Included establishing, measuring and communicating standardized metrics to upper management verifying adoption and compliance to these activities.

• Delivery Lead - NHCR DevOps (contracted Consultant)

  • Jul 2014 - Jan 2016

  * Completed key Enrollment deliverables within NHCR as overall program needs diminished in size. * Transitioned to a delivery leadership role responsible for completion of operational enhancements associated with outstanding NHCR open enrollment conclusions. * All major operational needs resolved by late 2015 for long-term viability of the system changes made for the NHCR program.

• Program Manager, National Healthcare Reform (contracted Consultant)

  • Feb 2011 - Jun 2014

  * Successfully led delivery of all National Healthcare Reform solutions implemented under a budget ranging from $2.5M to $8M annually. * Included integration with the Federal Exchange for member enrollment, enhanced billing capabilities to support subsidized membership within BCN core systems and claims-related processing to support enhanced government mandates. * Project size was roughly 60 FTEs on average split across ~4 teams. Extensive 3rd party system integration and risk management.… Show more * Successfully led delivery of all National Healthcare Reform solutions implemented under a budget ranging from $2.5M to $8M annually. * Included integration with the Federal Exchange for member enrollment, enhanced billing capabilities to support subsidized membership within BCN core systems and claims-related processing to support enhanced government mandates. * Project size was roughly 60 FTEs on average split across ~4 teams. Extensive 3rd party system integration and risk management. * Program followed a mix of waterfall and iterative techniques/practices.



Pillar Technology

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Agile Coach, Delivery Lead

  • Feb 2009 - Feb 2011

  CLIENT: Quicken Loans (~1 year duration) * Provided team-level agile transformation coaching that helped kickstart internal agile techniques throughout organization. CLIENT: Mercedes-Benz Financial (~8 months) * Successfully delivered iOS mobile application optimizations focused on Canadian localization, Apple universal application compliance and additional payment estimation functions. CLIENT: Gale Cengage Learning (~ 2 years) * Created initial "reference" approach describing… Show more CLIENT: Quicken Loans (~1 year duration) * Provided team-level agile transformation coaching that helped kickstart internal agile techniques throughout organization. CLIENT: Mercedes-Benz Financial (~8 months) * Successfully delivered iOS mobile application optimizations focused on Canadian localization, Apple universal application compliance and additional payment estimation functions. CLIENT: Gale Cengage Learning (~ 2 years) * Created initial "reference" approach describing first steps toward an Agile transformation at Gale. * Successfully augmented an in-flight project containing all un-trained personnel with initial Agile transformation measures. Project was delivered on-time, on-budget and within scope which resulted in further roll-outs across the organization. * Subsequently delivered 3 new products as Delivery Lead/Agile Coach/ScrumMaster. INTERNAL: * Created a training workshop focused on Agile project delivery, value management and work breakdown. * Hosted several 1-2 day workshops focused on the topics outlined above. Show less

• Process Consultant, Senior Business Analyst

  • May 2007 - Nov 2008

  CLIENT: Nationwide Financial * Provided on-going support and direction for incorporation of tailored agile-blend SDM processes, techniques and principles. (story breakdown, story detailing, estimation, sprint planning, etc) * Specifically focused in the areas of project management and business analysis. * Business requirements associated with two major multi-million dollar Nationwide projects delivered on-time and on-budget. CLIENT: Great American Insurance Company * Led… Show more CLIENT: Nationwide Financial * Provided on-going support and direction for incorporation of tailored agile-blend SDM processes, techniques and principles. (story breakdown, story detailing, estimation, sprint planning, etc) * Specifically focused in the areas of project management and business analysis. * Business requirements associated with two major multi-million dollar Nationwide projects delivered on-time and on-budget. CLIENT: Great American Insurance Company * Led activities to establish a release/configuration management process tailored to the needs of GAIC. Improvement of this process has led to reduced time to market via delivery of projects on-time, on-budget. * Work required detailed evaluation/analysis of the current IT environment and processes to engineer a strategy for transformation that allowed for positive change. CLIENT: On-Star * Led business analysis activities and documentation for an Onstar project being run within a SCRUM model. INTERNAL: * Worked to innovate the BA/PM practice space as it relates to the areas of Portfolio value management and project delivery. * Included creation of educational materials/presentations designed to teach and provide a detailed overview of BA/PM practices in an Agile setting. Show less



Ford Motor Company

• United States
• Motor Vehicle Manufacturing
• 700 & Above Employee

• Systems Design Analyst (Ford College Graduate Program)

  • Oct 2005 - May 2007

  Held several positions with progressively more responsibility for a major project within Ford Motor Company replacing over two dozen legacy systems. Developed the initial analysis & design around the porting of a major research engine to a production-ready system. Later, acted as a leading SDA for both DB2 MF and J2EE to help integrate the system with new business processes being developed. Required comprehensive knowledge of automotive marketing/sales and operations business processes and… Show more Held several positions with progressively more responsibility for a major project within Ford Motor Company replacing over two dozen legacy systems. Developed the initial analysis & design around the porting of a major research engine to a production-ready system. Later, acted as a leading SDA for both DB2 MF and J2EE to help integrate the system with new business processes being developed. Required comprehensive knowledge of automotive marketing/sales and operations business processes and their interactions with the new system. Played a major role in restructuring the A&D team to increase collaboration and reduce the risks/uncertainties common in large IT/business projects. This included the introduction of Agile methodology techniques to the RUP methodology.

• Business Analyst (Ford College Graduate Program)

  • Feb 2005 - Oct 2005

  Created business requirements in consultation with business SMEs for a major project in Ford Motor Company under RUP methodology. In addition, completed detailed financial reports to analyze the long-term viability of a number of firms vying for a contract from Ford Motor COmpany. Utilized extensive use of corporate finance skills/knowledge related to market conditions and overall corporate risk evaluation (annual report evaluation, etc).



Ford Credit Company

• United States
• Banking
• 100 - 200 Employee

• Enterprise Release Analyst (Ford College Graduate Program)

  • May 2004 - Jan 2005

  Dearborn, MI Learned the fundamentals of managing production environment IT problems at Ford Credit Company over a three-month period. Acted as a project lead for a Six Sigma green belt project and received certification. The project focused on improving communication between problem management and the various application support groups.

• IT Financial Analyst (Internship)

  • May 2003 - Aug 2003

  Performed financial analysis to determine ROI on Ford's collaborative solutions tool suite which included review of a Plumtree-based intranet portal. Utilized various corporate finance skills related to NPV/IRR analysis and cost accounting.



South Bend Medical Foundation

• United States
• Hospitals and Health Care
• 100 - 200 Employee

• Software Developer (Internship)

  • May 2001 - Aug 2002

  .NET/Perl software developer for several projects within the company as a summer intern.



Crown International

• United Kingdom
• Industrial Machinery Manufacturing
• 1 - 100 Employee

• Software Developer (Internship)

  • May 2000 - Aug 2000

  C/C++ software developer as a summer intern.