Andre Barroso Email & Phone Number

- IT Strategy, roadmap, team building, interim\virtual CIO\CTO\CAO\CDO, Population Management, SaaS, Cloud, EDI, HEDIS, RCM, data analytics, architecture, ML\AI. - Experience with all LOBs (Medicare, Medicaid, Fully Insured and ACA)

 Led all IT functions, including software development, data engineering, datascience, business intelligence, clinical systems, RCM, outreach, infrastructure andbudgeting (around 70+ colleagues and $12+Million budget) Established roadmap, strategic vision for next 3-5 years Designed cloud environment and data architecture Vendor and outsourcing management and selection Responsible for care programs algorithms, member selection, new contracts andpartnerships, RFPs, merge and acquisitions, opportunity analysis and overall datademocratization. Main point of contact for all data and technical needs for existing clients(Healthplans ~40 across US and PR) and prospective (Led all initial data exchangeand requirements) Led all technical aspects on new EMR, CRM and RCM platform selection processand requirement definitions. Designed and created a new self-service SaaS Population Health Managementproduct licensed to large Medicaid organizations (>700k members) that includedmembership, clinical, finance, claims and HEDIS integration and analyticalcapabilities Interfaced with all other functions (OPS, Clinical, Finance) at the executive\strategicand management\tactical levels, providing operational and business guidance

Franklin, Tennessee, Us

 Responsible for HHS risk modeling and value reporting. Demonstrated an averagerisk score lift of 4.5 across multiple plans via chart review and in home assessments Built the BI department from the ground up (10 colleagues) Architected and implemented an enterprise data warehouse, dashboards and clientreporting capabilities (Power BI, SharePoint, PerformancePoint, Tableau, SSRSreporting) as a new product offering to multiple clients generating around $500k ofrevenue per year Introduced Agile framework throughout all development units (Software, reporting,Machine Learning and ETL) Helped guide the development of multiple ML models for targeting ACA, Medicareand Medicaid members for in-home assessments, house calls, retrospective charts,etc., allowing for better utilization of scarce provider resources and engagementattrition Developed an enterprise MPI and data aggregation of multiple lines of business intoan internal data warehouse for unified reporting across all business units Integrated predictive model and patient historical information into clinician workflowsin real time.

Franklin, Tennessee, Us

 Reporting directly to the CEO, was responsible for managing business intelligencetechnology, custom and vendor based application portfolio, including integrationarchitecture and development, data management, information delivery, andprogram/project management execution with 50 health plans and ACOsnationwide. Led strategic planning and project execution for the organization BIinitiatives Designed and led development of a custom Sales and Marketing, Coding andInvoicing system, which generates $35 million in revenue per year, with documentmanagement capability, to track Patient Assessments from beginning to end in 40markets (outbound calls, coding, financial and workflow reporting, data and Image extracts to Health Plans (XML, PDFs) , provider scheduling and credentialing) Led the design and development of an iPad-based comprehensive healthassessment tool which reduced in over $1.1 million per year the cost of manualtranscription operating expenses based on forecasted home-based assessmentswhich also serves as an audit tool for our Health Plan partners Transformed IT into a strategic business partner developing a technology strategyto support the business. The IT team became fully integrated within the variousbusiness units and is viewed as a value-added rather than a cost center Defined corporate data warehouse strategy, obtained funding and initiated projectsto construct a data warehouse in support of an executive dashboard and businessoperations Utilized a cross-functional IT Steering Committee as well as proactively engagingother members of senior management in the development and execution of ITstrategic plans to optimize the use of Information Technology. This has resulted inthe development of on-going strategic IT Plan that governs and aligns theInformation Technology initiatives with the organization strategy and optimizes ITresources

Franklin, Tennessee, Us

Amarillo, Texas, Us

- Responsible for managing the business intelligence technology and custom and vendor based application portfolio, including integration architecture and development, data management, information delivery, and program/project management execution with 50 health plans and ACOs nationwide. Led strategic planning and project execution for the organization BI initiatives- Designed a custom Sales and Marketing, Coding and Invoicing system, which generates $35 million in revenue per year, with document management capability, to track Patient Assessments from beginning to end in 40 markets (outbound calls, coding, financial and workflow reporting, data and Image extracts to Health Plans (XML, PDFs) , provider scheduling and credentialing)- Led the design and development of an iPad-based comprehensive health assessment tool which reduced in over $1.1 million per year the cost of manual transcription operating expenses based on forecasted home-based assessments which also serves as an audit tool for our Health Plan partners- Transformed IT into a strategic business partner developing a technology strategy to support the business. The IT team became fully integrated within the various business units and is viewed as a value-added rather than a cost center- Utilized a cross-functional IT Steering Committee as well as proactively engaging other members of senior management in the development and execution of IT strategic plans to optimize the use of Information Technology. This has resulted in the development of on-going strategic IT Plan that governs and aligns the Information Technology initiatives with the organization strategy and optimizes IT resources

- Developed Data Mining and predictive models (End-of-Life, Hospital Admissions, High Cost, Diagnosis Patterns, Chronic Conditions, Re-admissions) focused on increasing quality of life and cost reduction leveraging Neural Networks, Decision Trees, Clustering an Logistic Regression algorithms- Led all integration efforts between Inspiris and all Health Plan clients and partners- Designed various OLAP database models and dashboard leveraging Performance Point/SharePoint with added mapping and reporting integration used by the Executive Team, business unit owners and clinical team leads- Led a department with 5 direct reports, various indirect reports and consultants, from Senior Developers to Project Managers- Developed Corporate Reporting environment using SSRS technology and .Net reducing the need for file based reporting (crystal reports)- Developed Company's Intranet and Mobile Intranet (Blackberry devices). Both provided Procedure and Diagnosis look ups, Drug Listings, Member and Provider Search and various custom applications running on MS SQL Server or MSDE Engine.- Created custom 837 EDI professional and institutional extracts from EzCap® and other EHR systems sent to the various contracted Health Plans and clearing houses- Developed programs to interface with Health Plans contracted with the Company - format data to be transmitted via EDI – capture data from custom applications and EZCap® - i.e. Encounter Data files (HCFA 1500, UB92, ANSI, HL7 and other custom formats)- Created Member Profile application used by the company’s nurses remotely (off line) to track information on members (diagnosis, medications, special needs, contacts, etc. - full application with synchronization capabilities via VPN/Aircard- Developed various custom applications used internally by the Company using many different technologies (.Net, C#, VB, VBA, MS Access, MS SQL, .WML)

Patents And Trademarks

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