Yyyyyy x. yyyyyy

Senior Management Executive Healthcare Sector

Healthcare Delivery ~ Managed Care ~ Clinical Analytics ~ EMR Software
Executive-Level Presentations ~ Project & Program Management ~ Product Strategy ~ BI Tools

         Seasoned clinical, administrative, managed care, research and health information technology experience.

         Adept at creating graphical interface designs, evidence-based clinical content and decision support algorithms, and workflow automation features to dramatically enhance end user communication and boost productivity.

         Proven success in full-scope product management for health analytics, business intelligence, clinical, and population management software applications

         Substantial expertise in program management for software implementations in acute, ambulatory, wellness, research and managed care settings; reliable design applications to ensure adherence to KPIs, accreditation standards and regulatory requirements.

         Work directly with senior-level executives to document business cases, strategic road maps, and implementation blueprints for enterprise-wide clinical software and clinical service-line performance improvement initiatives.

Health Integrated Inc., Tampa, Florida, 2015 to Present

Director, Medical Management Platform & Products

         Direct high-performance team of 11 in support of a two-year, $3.1M, iterative medical management software development and implementation project.

         Meticulously define software requirements for evidence-based clinical content, care gap identification and decision support protocols, event notification, clinical alerts and workflow automation procedures for appointment reminders, productivity reports and education materials.

         Effectively join forces with senior IT and Business PMO, administrative, medical, nursing, and engagement leadership teams to drive project efforts across company s five medical management product lines.

         Document and accurately maintain business and technical requirements based on quarterly findings from Health Economics and Business Intelligence, Analytics and Reporting business units.

Veredus Corp / WellCare Health Plan Inc., Tampa, Florida, 2014

Principal Consultant

         Established three-year strategic roadmap for a care management service delivery model and related medical management clinical application to support almost four million Medicare Advantage and Medicaid members across 12 States and 31 lines of businesses.

         Appointed as Business Solution Architect to delegate tasks to project team members and ensure timely launch of first phase of a newly licensed medical management platform.

Accountable Care Solutions (Aetna), Hartford, Connecticut, 2012 to 2014

Senior Business Program Manager

         Spearheaded clinical and technical program management for Accountable Care Solutions (ACS) encompassing business development, field operations, technology consulting, and seamless implementations.

         Championed engagement contracts with three major accountable care organizations resulting in a combined $18M spanning 24 months and three master service agreements.

         Delivered highly compelling presentations and software demonstrations to prospects top-level leadership.

         Held critical accountability for providing kick-off oversight for reporting to ACS and customer executive sponsors, PMOs, Chief Medical Officers, Chief Nursing Officers, Chief Information Officers, CFOs, COOs and CEOs.

         Influenced ACS business development by leading and conducting population health and technology capability assessments and masterminding a vast range of marketing materials and customer-centric solution designs.

Continued ►

Professional Experience Continued Yyyyyy x. yyyyyy Page 2 of 2

APS Healthcare Inc. (subsidiary of Universal American), White Plains, New York, 2012

Principal Consultant

         Orchestrated and delivered complex management consultative services to assist APS in defining business workflows and functional requirements for new software development in adherence to contract agreements for management of Medicare, Medicaid, and/or Commercial payer s populations.

Oracle Health Sciences Global Business Unit, Enterprise Health Care Analytics, Redwood Shores, CA, 2010 to 2012

Senior Product Manager

         As product owner and liaison between domestic and international product strategists, sales, and consulting teams, provided virtual and onsite support with business development and C-level relationship-building.

         Directed multiple software teams of 15-25 personnel in design, manufacturing, quality, and testing for three analytical / BI software solutions (Cohort Explorer, Operating Room Analytics, and Data Warehouse Foundation).

         Consulted with top leadership at Ascension Health Care System, Moffitt Cancer Center, and Ochsner Health Care System to identify their current business problems as well as functional and design requirements.

Office of Information Technology, Emory University Healthcare System, Atlanta, Georgia, 2007 to 2010

Project Manager / Business Systems Analyst

         Expertly leveraged PMO methodologies and tools to steer project lifecycle from concept to implementation for an enterprise-wide Conflict of Interest web application within Emory.

         Led both Emory and Georgia Technology Institute of Healthcare s software development teams in engineering and deploying a web-based portal for client, staff and medical researcher interfaces.

         Strategically formulated workflow processes, policies and procedures to facilitate 20 biomedical-psychosocial assessments, biometric testing, scoring, risk stratification, and web-based analytic and reporting modules.

         Gathered and documented business requirements and rules to integrate assessment findings with biometric test results from Emory s electronic health record.

Quality First Healthcare Consulting Inc., Jacksonville, Florida, 2005 to 2007

Associate Consultant

         Effectively teamed with Central Florida County health department's executive leadership to analyze their services and optimize community safety-net health programs available for eligible beneficiaries.

         Co-wrote Ascension Health Institute proposal resulting in a matching grant award of $250K to conduct a two-year ER-based, care coordination program for uninsured and underinsured patients.

Managed Care Support Office Southeast, Jacksonville, Florida, 2003 to 2007

Director, Population Health & Medical Management

         Structured, aligned, mobilized and supervised newly-department supporting a regional health care system comprised of 365,000 TRICARE Prime, Standard, and For-Life eligible beneficiaries.

         Standardized policies & procedures for acute care facility, seven primary care practices and five specialty clinics.

Prior background includes roles as: Associate Director, Family Medicine Dept. and GME Residency Program, Staff Nurse, Training Coordinator, Performance Improvement Coordinator and Surgical Technologist.

Master of Science in Administration (Health Services), Central Michigan University, 2001

Bachelor of Science in Nursing, University of New Mexico, 1995

Registered Nurse State of Florida Basic Cardiac Life Support Certificate for Health Care Professionals

Nurse Executive Advanced Board Certified (NEA-BC), American Nurses Credentialing Center

Certified Professional in Healthcare Quality (CPHQ), National Health Care Quality Board

Oracle Cohort Explorer, Oracle Operating Room Analytics, Oracle Data Warehouse Foundation, EMR (Cerner, PowerChart, EpicCare, ConnectCare, NextGen Ambulatory, CliniComp Essentris, Critical Care), McKesson, Care Enhance Review Manager, InterQual, Milliman, MedInsight, Allscripts ActiveHealth Management, Active CareTeam, ZeOmega-Jiva, CaseTrakker Dynamo, Mendicity, iTriage, WellMatch, zTableau, QualtMetrix, Johns Hopkins ACG, CMS GEMS ICD9/10, GPRO Web Interface, Microsoft Office (Outlook, Word, Excel, PowerPoint, Visio, Project, SharePoint)

Yyyyyy x. yyyyyy

DATE

HIRING AGENT NAME

TITLE

COMPANY NAME

ADDRESS

CITY/STATE/ZIP CODE

Dear__________________:

I am currently seeking a challenging career opportunity in a senior management capacity within the healthcare administration arena and am submitting my resume for your review. In advance, thank you for your time and consideration.

In addition to excellent academic credentials including a Master s degree in Health Services, I bring to you a significant background in cutting-edge clinical analytics, extensive talents in the complete spectrum of healthcare delivery, and proven expertise in managed care, process automation, business development, and IT project management. My unique clinical experience, as well as honed strategic planning skills would enable me to effectively transition into (INSERT NAME OF COMPANY) and garner immediate results. Additionally, I offer polished communication, presentation, business case development, and program management skills which are paramount in a senior leadership role.

As a proactive contributor to your company, I will prove to be a stellar leader committed to supporting you in achieving your goals through high-level managerial expertise, sharp technical acumen, and as natural flair for navigating successful engagements. I am confident that I am an ideal candidate for this role, and look forward to interviewing with you in the near future.

Sincerely,

Yyyyyy x. yyyyyy