SUMMARY:

• Confidential was previously vice president of systems, #2 information technology executive for one of the largest nonprofit regional healthcare insurance plan.
• In the last 18 months, Confidential was asked by the executive management team to lead the individual marketplace sales and multicultural marketing, leverage innovative technology and data analytics to grow the individual book of business for the company.
• Confidential possess deep expertise in Healthcare business and IT strategy development and alignment.
• Proven track of record with major Healthcare clients to drive implementable solutions to reduce business and IT spend / expenses, transform business processes, and streamline IT organizations.
• Develops strategy and drives execution across the entire healthcare value chain from consumer to payer & provider, care coordination continuum and community healthcare engagement.
• Optimizes strong sales and technical expertise to lead the account strategy, sales effort, and delivery teams in client solution identification, financial impacts, and the design and implementation of multi - phase projects.

EXPERTISE AREA:

• Healthcare Solution
• Complex Program & Project Management
• Information Analytics
• Operational & Organization Transformation
• Business Process Reengineering
• Business and IT Strategy Development & Alignment
• P&L Management
• Global Sourcing
• IT Leadership/Management

PROFESSIONAL EXPERIENCE:

Confidential, New York, NY

Vice President of Sales and Multicultural Marketing

Responsibilities:

• Directed & focused development of data analytics on customer segmentation, member cohort engagement analysis, campaign results, retail locations performance optimization and provider network performance alignment.
• Executive champion of Salesforce.com implementation. Led and implemented Salesforce.com as a customer relationship management tool (CRM) across the sales team, marketing team and customer service team.
• Developed customer 360 view to enable the tailoring of member experience, the identification and optimization of prospect customers for campaigns, the deployment of digital tools, and the outreach of members in need of health risk assessment, closing quality gaps and upcoming renewals.
• Developed overall sales and marketing strategy for individual book of business of market sales. Worked with other executive leaders, partnered and aligned strategy with product and provider network team
• Achieved and exceeded membership growth target, and improved membership growth in communities and neighborhoods where provider delivery groups who has higher performance and efficiency,
• Established the community marketing program, identified key community based organizations in target neighborhoods, and developed planning and programs to foster partnership and growth.

Confidential, New York, NY

Vice President

Responsibilities:

• Partnered with business executive leadership, developed and delivered 3 Year Information Technology transformation strategy and roadmap and its alignment with enterprise business strategy
• Managed ~50% of the IT Confidential budget (50M) and was able to reduce year over year 5-10% annually
• Led the IT delivery and the improvement of project delivery and prioritization process for the enterprise capital projects (annual spend 80M-120M)
• Re-organized the IT application department, aligned skillset, resources and measurements with end to end business process, transformed overall IT operating model from order-taker to business partner. Also identified areas that represented commodity vs core vs differentiating, developed and executed cost effective IT global sourcing model
• Established IT relationship management organization interfacing with business functional leaders, responsible for defining project and enhancement work roadmap and prioritization, partner with business to create multi-year business capabilities needs and joint metrics for measurement.
• Worked with business leadership, developed business outcome measurement for IT team to measure
• Drove IT-led innovations to transform business outcomes (Mobile and social capabilities)

Confidential, New York, NY

Consulting Partner

Responsibilities:

• Developed the core administration platform transformation solution and IT and Business Process Outsourcing offering for major healthcare insurance companies, PBMs and provider organizations.
• End to end solution includes 1) initial assessment with client business and IT leadership to identify major challenges, future product and company directions, total cost of ownership of the operational and technology platform, business process re-engineering opportunities to develop a multi-year transformation strategy and its business case and roadmap 2) Solution evaluation: Partner with multiple vendors, Confidential research and legacy transformation using Service Oriented Architecture (SOA) practice to assess client’s business capability needs and the ability to integrate and innovate, identify optimal solution based on client’s situation 3) Multi-year program delivery: Including establish program office and governance structure of the multi-year program, change management process, business process re-engineering and requirements, solution design and configuration, system integration and testing, and post production optimization and ROI benefits capturing.
• Responsible for solution offering pre-sales activities, target clients, client presentations, contract negotiations, engagement start-up activities, managing client executive relationships and oversee practice delivery for many multimillion large programs.
• Responsible for solution offering pre-sales activities, target clients, client presentations, contract negotiations, engagement start-up activities, and managing client executive relationships;
• Established a global staffing plan for a testing competency utilizing a multi-delivery center approach to address time zone, 24x7 support, and client interaction. The test competency is designed to provide the subject matter expertise support to the client utilizing Confidential ’s custom built assets.
• Developed Member 360 solution offerings targeted for major healthcare insurance companies
• Solution offering provides the capability to allow payer to 1) track their consumers (Current and prospective) from cradle to grave regardless plan changes, 2) integration of other channel data such as web, mobile, social, EMR, marketing demographic data, and 3) develop actionable based analytics to enable business leadership make intelligence business decisions and customer operations to improve customer experience at every touch point. (Example, product cross sell, change out of network provider utilization to par, care gap alert, retention target, etc)
• Responsible for solution offering pre-sales activities, target clients, client presentations, contract negotiations, engagement start-up activities, and managing client executive relationships
• Responsible for sales and solutions development, leveraging global sourcing models for legacy transformation, service oriented architecture (SOA) and application delivery and outsourcing opportunities
• Directly responsible for meeting the annual individual signing target (20M), and exceed the target on a consistent basis.
• Successfully led and positioned legacy transformation services as a big Confidential strategic differentiator, closed many major opportunities such as Nisource,1.9 Billon dollar contract won, Led the application services component of the deal, valued at 400M, positioned Legacy Transformation and SOA as a key differentiator
• Responsible for negotiating the contractual agreement, staffing, budgeting, profit/loss, project planning and the overall delivery management of analysis
• Solutions directly responsible for an average savings of 20% - 40% in client IT spend over the term of the contract (average contract 3 - 5 years.);
• Developed customized solutions which included re-badging client resources and leveraging Confidential ’s global delivery centers;
• Oversaw many of the large legacy transformation engagements in the practice, managed over 10 account management/engagement leads. Established offshore delivery center, increased headcount from 50 - 500+ to support the large legacy transformation project delivery
• Responsible for driving the sales and delivery for the eHealth Solution (Formally known as NexxtHealth). Responsible for business planning, financial cost cases, sales activities, client presentations, contract negotiations, engagement start-up activities, managing client executive/management relationships, monitoring engagement quality, and follow-on sales activities.
• Successfully managed the NexxtHealth asset commercialization program using Confidential software technologies
• Closed over 20M opportunities over 2 years, enabled Confidential to gain many follow on large outsourcing and technology opportunities for these healthcare clients.
• Managed the overall NexxtHealth program execution and delivery (Managed multiple program managers and engagement leads)
• Developed an integration management team consisting of Confidential and client employees to implement and manage project phases;
• Successful client references for deployed sourcing models.

Confidential

Senior Director/Vice President of Application Development

Responsibilities:

• Managed a large application development shop consists over 100 resources and successfully led the implementation and development of eHealthcare portal solution. The eHealthcare portal solution won the Confidential association innovation award of the year.
• Reported to SVP of operation, led all the technical sales effort and closed multi-million dollar portal product contracts other health plans for Confidential
• Designed & implemented software development process & methodology using best practices of Rational Unified Process (RUP) and Agile ( Confidential Programming)
• Defined and provided thought leadership on Enterprise Application Framework using Object Oriented Design (OO) to increase reuse and reduce development time and cost. Significant development cost savings and time to market performance improved year over year.
• Managed IT Confidential budget of 50M. Evaluates, manages and optimizes IT capital project needs, its ROI and infrastructure lights on spend

Confidential

Technology Principal

Responsibilities:

• Managed technology delivery for the New York regional office, responsible for major start up internet solution launch such as Intralinks, CoreMarkets, etc
• Implemented Rational Unified Process and Use case driven design approach as part of the delivery methodology
• Led solution and selling of the technical component of the deal, won many eBusiness start up market place design and launch work

Confidential

Communication and Messaging - Vice President/Program Manager

Responsibilities:

• Managed the design and implementation of the Corporate Intranet
• Defined and implemented the Software development lifecycle (SDLC) standards, processes and procedures for the company
• Managed a development team of 40 developers, led the design and development a new corporate credit system that enabled 100 plus worldwide credit officers to use.