Application Development Manager
Current• 16 years at Blue Cross Blue Shield of Michigan leading a team of developers that provide Utilization Review with all its auditing software needs (building new, supporting existing and automating auditing processes). With our in-house developed software, Utilization Review performs about 2k audits/year recovering more than $70M/year. Important achievements include:➢ Increased the audits performed from a few hundred to a few thousand annually➢ Reduced audit support staff by more than 25 FTEs due to software automation➢ Increased audit recovery dollars from $20M to as high as $150M➢ Major projects include:o URSA(2007, 2009), audit system for Professional, Non-Hospital and Outpatient auditing claimso WebURSA(2011, 2013), Web audit system for Pharmacy, Hospital Inpatient audit programso DataMart (2009), Audit warehouse for better audit management reporting and leadership analyticso WebCaseFile(2009), audit document archiving system, keeping all audit document organized and accessible o WebRecovery(2010), Audit recovery tracking, a financial applicationo Rollup (2015 Rewrite), Inpatient claim processing and Prospective payment calculation Technologies include:Visual Studio .Net (ASP.NET, VB.NET)Cold FusionSQL Server, SSISMS Office (Access, excel,...)Skills:Project Management, Requirement gathering, Analytics, Reporting, Release management, leadership, vendor and product evaluation/selection.
