Executive in Program Management, Product Management, Account Management, Client Services, Data Analytics, Clinical Information Systems, Revenue Cycle in Building Strategy, Roadmaps, Budget & Forecast and Transforming Organizations with successful delivery record.
HIGHLIGHTS: Passionate, results-focused go-getter offering extensive expertise driving strategy, business analysis, building leadership teams and delivering strategic programs meeting & exceeding organizational goals with high quality. Love to take on challenges and solve them.
15+ years of Leadership experience. Managed leadership teams in IT and Business domains in Healthcare, Regulatory, Financial and Pharmaceutical industry. Executive authority for $100 Million Budget & Staff. We experienced in managing cross functional teams.
Managed several Medicare / Medicaid Initiatives. Well experienced in working with CMS.
Successfully managed EHR Programs for multiple hospitals and providers, Revenue Cycle, Clinical Information Systems, Big Data, Clinical Analytics, Business Intelligence and Practice Management Systems, Claims platforms (Medical and Pharmacy).
Well experienced in HITECH Act, ARRA, Accountable Care Act (ACA), ACO, Healthcare Exchanges, Meaningful Use, EDI, Clinical Adoption, HIPAA Transactions, EOB, Revenue Cycle, Pharmacy Benefits Management, Specialty Pharmacy, ICD-10, HIE, MACRA programs.
Coach, mentor and team-focused executive. Inspire and build strong leadership teams to peak levels of performance. Powerful communicator and influencer across PMO, Client Services, Account Management, Application Development and Quality management teams. Achieved 98% score in the vital signs in employee engagement and satisfaction.
Sr. Principal / Sr. Director - EPMO | Clinical Analytics | Compliance | Software Dev.
January 2013 -
Brought on board to build and drive OptumRx Clinical Services Department with a leadership team of Project / Program Managers, Directors, Architects and Business / Systems Analysts to deliver clinical programs for OptumRx. Implemented 30+ clients for OptumRx and 20+ combined accumulators functionality for multiple carriers. With successful delivery of OptumRx Clinical Programs my role expanded to drive HealthCare Reform followed by ICD10 and Medicare & Retirement portfolio which are highly visible with accountability to drive revenue by successfully delivering the programs. • Successfully built OptumRx Clinical Services department and delivered all the programs on budget with High Quality. Delivered critical clinical programs, HEDIS, STARS efforts. Successfully drove the HealthCare Reform Program impacting multiple state offerings with no issues. • Delivered ICD10 Regulatory Program early and on budget. This is a critical Accountable Care Act deliverable which needs to meet the deadlines set by Centers for Medicare and Medicaid. Delivered this effort ahead of time for the Organization and on budget. This is a $300+ Million effort impacting 400+ applications. • Medicare & Retirement Portfolio Delivery: Managed $100+ Million UHC Medicare & Retirement portfolio. Program Include UHC Portals, STARS, Big Data / Data Lake, Customer Service, Clinical and Benefit Administration. Well experienced in evaluating the vendors and working with vendors. • Organizational Transformation: Accountable for Business process improvement efforts to transform the organization implementing processes for Business Analysis, Architecture, Budget Forecasting, Demand management to have needed resources for successful delivery of programs with SDLC and Agile / Scrum Methods.
View more Profile
Oct 2018 - Nov 2018
Participated in a
"Amazon-Berkshire-JPMorgan Health Ventures - Impact on the Future of Employee Benefits"