Global Software Development | Solutions Architecture | Global Program Management (PMP)
Able to develop IT organizations based on the following 5 themes: Efficiency/Effectiveness, Predictability, Flexibility, Learning/Growth and Quality. Deep understanding of the technical discipline of Solutions Architecture (Business Process Architecture, Applications Architecture, Data Architecture, Technology Architecture). Cognizant of emerging technologies and their commercial applications. Deep understanding of the technical discipline of Software Development (designing, writing, unit and assembly testing, debugging and troubleshooting, source code maintenance and cyclomatic complexity reduction/modernization, etc.) using various languages (Java, C#, C++, COBOL, MUMPS, etc) and architectures (J2EE, .NET, SOA, Grid). A dependable, thorough and well-organized PMP who communicates effectively and proactively. Deep understanding of key initiative life cycles and processes. Culturally sensitive with the ability to establish credibility quickly.
Strategic Healthcare Executive
Deep understanding of the Health Care Payor / TPA domain. This includes: Marketing/Sales and Retention, Risk Acquisition/Actuarial/Underwriting and Rating, Enrollment (Individual, Small/Large Group), Benefit Administration, Provider Administration, Vendor Contracts, Fee Schedules, Claims (Load, Adjudication, Post-Adjudication, Payment), COB, Premium Billing, Pharmacy, Accounts Receivable, Medical Management (Utilization, Case and Disease), Capitation, General Ledger, Accounts Payable, Legislative/Regulatory, Compliance/Appeals, Quality Improvement (EQRO, URAC, HEDIS, etc.), Special Investigations (Fraud, Waste and Abuse) and Medicare/Medicaid/CHIP
Leader | Mentor
Visionary executive IT leader with ~19 years experience across diverse industries and market sectors. Extraordinary cross-functional management background and documented record of successfully implementing multi-million dollar technology programs, while increasing; sales, operating income, market penetration and customer service levels. Able to serve as a catalyst for positive change and provide leadership based on an inverted-pyramid philosophy, infusing organizations with customer-centric policies and service as the top priority. Strong leadership capabilities with a hands-on management style, a sense of urgency, and results-driven personality.