Experience

PromptCare

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Chief Information Officer

  • Jun 2020 - Present

  Focused on establishing a business focused technology investment strategy that will yield increases in revenue, decreases in operational expenses, and better insights into care effectiveness. Focused on establishing a business focused technology investment strategy that will yield increases in revenue, decreases in operational expenses, and better insights into care effectiveness.



Blue Cross and Blue Shield of Kansas City

• United States
• Insurance
• 700 & Above Employee

• Chief Information Officer

  • Apr 2019 - Mar 2020

  Led 500-person business technology services organization supporting health plan operations, and seven primary care clinics providing healthcare services to 1 million members. Key accomplishments from this role include having created a business case and achieved board approval for integrating a new Pharmacy Benefit Manager (PBM) partner driving $300M+ in Rx savings; redesigning the medical management core technology functions with new platform capabilities creating a 20% medical cost savings for… Show more Led 500-person business technology services organization supporting health plan operations, and seven primary care clinics providing healthcare services to 1 million members. Key accomplishments from this role include having created a business case and achieved board approval for integrating a new Pharmacy Benefit Manager (PBM) partner driving $300M+ in Rx savings; redesigning the medical management core technology functions with new platform capabilities creating a 20% medical cost savings for the business; insourcing the Medicare Advantage and Individual business lines to create cost savings of $22M/year and revenue from risk adjustment scores of $16M/year, and deploying new Digital capabilities including a mobile platform. Completed large-scale B2B integration in 11 months involving multiple stakeholders. Launched Blue KC’s first mobile application and identified operational efficiencies leveraging automation producing 6% or $2.1M in annual savings. Show less Led 500-person business technology services organization supporting health plan operations, and seven primary care clinics providing healthcare services to 1 million members. Key accomplishments from this role include having created a business case and achieved board approval for integrating a new Pharmacy Benefit Manager (PBM) partner driving $300M+ in Rx savings; redesigning the medical management core technology functions with new platform capabilities creating a 20% medical cost savings for… Show more Led 500-person business technology services organization supporting health plan operations, and seven primary care clinics providing healthcare services to 1 million members. Key accomplishments from this role include having created a business case and achieved board approval for integrating a new Pharmacy Benefit Manager (PBM) partner driving $300M+ in Rx savings; redesigning the medical management core technology functions with new platform capabilities creating a 20% medical cost savings for the business; insourcing the Medicare Advantage and Individual business lines to create cost savings of $22M/year and revenue from risk adjustment scores of $16M/year, and deploying new Digital capabilities including a mobile platform. Completed large-scale B2B integration in 11 months involving multiple stakeholders. Launched Blue KC’s first mobile application and identified operational efficiencies leveraging automation producing 6% or $2.1M in annual savings. Show less



AIM Specialty Health

• United States
• Hospitals and Health Care
• 500 - 600 Employee

• Chief Information Officer

  • Nov 2016 - Apr 2019

  Led a 700-person organization comprised of technology, facilities, client integrations, and contact center operations support 65 clients and 54 million lives nation-wide. Key accomplishments from this role include having created the business case for and led the delivery of large-scale operational transformation, which included an investment structure of $92M over 20 months to support a $1.5B revenue plan. Built partnerships to enable new organizational process shifts to create new thinking and… Show more Led a 700-person organization comprised of technology, facilities, client integrations, and contact center operations support 65 clients and 54 million lives nation-wide. Key accomplishments from this role include having created the business case for and led the delivery of large-scale operational transformation, which included an investment structure of $92M over 20 months to support a $1.5B revenue plan. Built partnerships to enable new organizational process shifts to create new thinking and solutions. Improved client implementation cycles resulting in 16 client implementations in 2017, 28 in 2018 as compared to a total of 7 in 2015 – 2016 combined. Spearheaded and completed $35M platform modernization. Identified strategies for reusability across products and deployed new hybrid-cloud supporting new solutions and contact center operations. Show less Led a 700-person organization comprised of technology, facilities, client integrations, and contact center operations support 65 clients and 54 million lives nation-wide. Key accomplishments from this role include having created the business case for and led the delivery of large-scale operational transformation, which included an investment structure of $92M over 20 months to support a $1.5B revenue plan. Built partnerships to enable new organizational process shifts to create new thinking and… Show more Led a 700-person organization comprised of technology, facilities, client integrations, and contact center operations support 65 clients and 54 million lives nation-wide. Key accomplishments from this role include having created the business case for and led the delivery of large-scale operational transformation, which included an investment structure of $92M over 20 months to support a $1.5B revenue plan. Built partnerships to enable new organizational process shifts to create new thinking and solutions. Improved client implementation cycles resulting in 16 client implementations in 2017, 28 in 2018 as compared to a total of 7 in 2015 – 2016 combined. Spearheaded and completed $35M platform modernization. Identified strategies for reusability across products and deployed new hybrid-cloud supporting new solutions and contact center operations. Show less



AmeriHealth Caritas

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Vice President, IS Strategy and Shared Services

  • Jun 2014 - Nov 2016

  Served in a dual role within a Medicaid and Medicare Managed Care Health and Pharmacy Benefit Plan with a Retail Pharmacy supporting over 6 million underprivileged and/or elderly lives across 18 states. Key accomplishments from this role include having secured $5B in new revenue by partnering with key stakeholders to implement nine critical business capabilities, which created market competitiveness winning RFPs for Pennsylvania and Iowa. Improved Medicaid and Medicare revenue by reducing… Show more Served in a dual role within a Medicaid and Medicare Managed Care Health and Pharmacy Benefit Plan with a Retail Pharmacy supporting over 6 million underprivileged and/or elderly lives across 18 states. Key accomplishments from this role include having secured $5B in new revenue by partnering with key stakeholders to implement nine critical business capabilities, which created market competitiveness winning RFPs for Pennsylvania and Iowa. Improved Medicaid and Medicare revenue by reducing encounter error occurrences. Show less Served in a dual role within a Medicaid and Medicare Managed Care Health and Pharmacy Benefit Plan with a Retail Pharmacy supporting over 6 million underprivileged and/or elderly lives across 18 states. Key accomplishments from this role include having secured $5B in new revenue by partnering with key stakeholders to implement nine critical business capabilities, which created market competitiveness winning RFPs for Pennsylvania and Iowa. Improved Medicaid and Medicare revenue by reducing… Show more Served in a dual role within a Medicaid and Medicare Managed Care Health and Pharmacy Benefit Plan with a Retail Pharmacy supporting over 6 million underprivileged and/or elderly lives across 18 states. Key accomplishments from this role include having secured $5B in new revenue by partnering with key stakeholders to implement nine critical business capabilities, which created market competitiveness winning RFPs for Pennsylvania and Iowa. Improved Medicaid and Medicare revenue by reducing encounter error occurrences. Show less