Background:

• During the past 15 years, I worked extensively in business intelligence, informatics, analytics, data architecture, data integration, data profiling and data modeling, with 10 years of emphasis in the healthcare industry. My responsibilities consisted of analysis, design and development of solutions to address financial, clinical, operational and administrative needs, and I interacted directly with C-Level Management CEO, CFO, CIO, CTO, CMO and various technical/business audiences.
• I am a hands-on technical leader with over 20 years of advanced IT experience, and a broad range of responsibilities including business development, product development, solution architecture, system design/development and training/knowledge transfer. I have proven abilities to lead and motivate individuals while forming cohesive team environments, and I have exceptional verbal and written communication skills.

Experience:

Confidential

Technical Director, Business Intelligence/Healthcare Practice

Responsible for pre-sale, marketing, design, implementation, delivery and support of custom Business Intelligence/Analytics solutions in the healthcare industry. The solutions addressed financial, clinical, administrative and operational needs, and leverage technologies from: QlikTech QlikView , Business Objects, Microsoft, Oracle Erwin, ModelRight, MySql/InfoBright and Talend ETL . Examples of the solutions include:

Medicaid / Administrative Service Organization ASO

Analysis, design and delivery of various business intelligence services for a newly formed ASO, located in Connecticut.. The solution enabled the ASO to process and manage claim data and perform various levels of analysis related to cost, utilization, care management, chronic disease management and population analysis. Responsibilities consisted of data governance, data modeling, development of informatics/analytics, development of an enterprise data dictionary and development of subject based data marts. I worked directly with the CEO, CIO and CFO

Managed Care Organization MCO

Analysis, design and delivery of a business intelligence solution for a progressive MCO, located in New Jersey. The solution enabled the MCO to manage financial, clinical, operational and administrative information, and consisted of an enterprise data dictionary, an enterprise data warehouse, optimized datamarts and canned/ad-hoc reports. The MCO was interested in becoming an Accountable Care Organization ACO , and this solution was a critical first step. I worked directly with the CIO and CTO.

Large Hospital Network

Analysis, design and delivery of an enterprise business intelligence blueprint for a large hospital network, located in Vermont. The hospital network faced many challenges including silos of data, duplicate data, inconsistent data and the lack of clear and consistent data definitions. The delivered solution addressed: data quality, data integration, master data management, and data warehousing. I worked directly with the CMO, CIO and CTO.

Independent Practice Association IPA

• Analysis, design, implementation and delivery of a business intelligence solution for a large IPA, located in Massachusetts. The solution enables the IPA to analyze various topics claims/encounters, claims/pharmacy, admissions, clinical activity, patient/member demographics and provider demographics in an integrated and consistent manner. Source systems/data includes: Provider Credentialing Cactus , Claim Feeds BlueCross/BlueShield of Massachusetts, Harvard Pilgrim, Tufts and Clinical Feeds eClinicalWorks . I worked directly with the CIO and CFO.
• Featured speaker at the AHIMA 2011/ National Symposium Salt Lake City, Utah
• Topic: In Pursuit of Analytics/Best Practices for Healthcare Data Integration
• Featured speaker the NJHIMA New Jersey / HIMA 2012 Quarterly Symposium
• Topic: Healthcare Informatics and Healthcare Data Governance

Confidential

Technical Director, Business Intelligence/Healthcare Practice

• Responsible for the design, implementation and delivery of custom Business Intelligence/Analytic solutions in the Healthcare Industry. The solutions address financial, clinical, quality of care, patient safety, demographic and administrative needs, and leverage the latest tools from QlikTech QlikView , Talend ETL , Sybase PowerDesigner and IQ and MySQL InfoBright . Examples of the solutions included:
• Revenue Cycle/Cash Acceleration: uncovered issues causing denials, rejections and other payment delays
• Contract/Payment Management: facilitate more accurate payments by government/commercial payers
• Quality Metrics: enhance the ability to manage key quality and outcome performance indicators
• One of the solutions I developed was OEMed by Eclipsys as their Revenue Cycle Dashboard

Confidential

Co-Founder, Business Intelligence/Healthcare

• Responsible for the design, implementation and delivery of custom Business Intelligence/Analytic solutions and technology for the Healthcare Industry. The solutions addressed financial, clinical, operational and administrative needs. Activities included:
• data modeling: optimized data models for healthcare analytics financial, clinical, operational, administrative
• data integration: designed/developed customized interfaces to various hospital information systems
• data management: optimized data storage solutions to improve ad-hoc querying
• data analytics: customized informatics financial, clinical, operational, administrative
• Leveraged the latest tools from QlikTech QlikView , Talend ETL , Sybase PowerDesigner/IQ and MySQL InfoBright , to create repeatable, auditable and reliable processes.
• Technology/Solutions were integrated in the RSM McGladrey Healthcare Practice

Confidential

Technical Director/Lead Architect , Healthcare Division

• As a technical member of the Sybase Healthcare Division, I worked with engineering, technology partners and key clients, and I was responsible for business development, system architecture, product development and solution support. Sybase offered numerous healthcare IT products: HIPAA/EDI Sybase/EDI Server , HL7 Messaging Sybase/Impact Server and Healthcare Data Management HIPAA Data Repository . The Sybase Healthcare Division developed solutions for payors / insurance companies commercial/government , hospitals rural/mid-sized/large , labs and clinics.
• Recipient of two Gartner Healthcare IT awards
• 2006 Advance Mobile Solution for Chronic Disease Management
• 2005 Provider Kiosk for Enhanced Lab System Integration

Confidential

Technical Director, Software Development

• OneHealthBank.com, a venture capital funded, internet startup with a patented solution that optimized the financial relationship between providers, patients and payers. The solution enabled providers doctors to determine patient obligations co-pay/deductible and payer obligations insurance claims at the point of care. I reported directly to the founder, and lead a team of 20 technical resources consisting of system architects, database administrators, developers, quality assurance/testers and technical writers. Technologies included Java/Servlets/J2EE WebLogic , database management Oracle and Internet technologies HTML/JavaScript/IIS/Apache
• Technology/Solutions were sold to RealMed.com in Indianapolis, IN

Confidential

Co-Founder / Technical Director / Technical Recruiter

High Density, a 15 person consulting company, provided technical solutions/services to various industries including telecommunications, financial, pharmaceutical, entertainment and government. Responsibilities included business development, system architecture, database administration and client/server solutions. Technologies consisted of Microsoft C/C , Visual Basic, SQL/Server , Oracle database , PowerBuilder

Confidential

Technical Director / Technical Recruiter

SMI , a 100 person consulting company, provided technical solutions/services to various industries including communications AT T , financial Merrill-Lynch and pharmaceutical J J . Responsibilities included staff development, business development, system architecture, networking and client/server solutions. Technologies consisted of Microsoft Windows/NT Server, C/C , Visual Basic, SQL/Server , Oracle database , networking Novell/Banyan Vines and PowerBuilder.