Ben Litwin Email & Phone Number

Somerset County, New Jersey, United States

Key Accomplishments:• Premium Billing – Built new system that processes >$1 billion per year, reducing processing time and improving accuracy by more than 90%, while enhancing stability (virtually no down-time)• Improved CMS quality rating from 2 to 4 and NYS star rating from 2.5 to 5 by implementing proactive reporting processes• QNXT – increased auto adjudication rate from 85% to 95% by redesigning interfaces and implementing a monitoring process for >10 million claims per year• Encounter Submissions – Increased revenue by over $2mm per year by designing and implementing improvements to the submission processProduct Owner and development manager for the following products: • Data Warehouse (built with SQL Server (SSIS/SSRS), including a number of ETLs)• Reporting Tools and Executive Reporting Suites covering star ratings, risk score optimization, FWA (Fraud, Waste, and Abuse), and financial, clinical, and regulatory requirements• Business Intelligence (Sisense), Analytics, and Data Visualization • Premium Billing• Encounter SubmissionsPerformed analysis, designed architecture, managed development team (hands-on), implemented, and oversaw integrations: • Claims• Care Management• Data Warehouse• CMS (Federal) / Maximus (State)• Provider Data• Member Data Managed vendors and implementations (including data migrations and ongoing integrations) for a number of vendor products, including: • Salesforce / Silverline – Care Management and Enrollments• Cognizant QNXT and RelayHealth MCO – Claims Processing • IMA Case Trakker – Case Management• Edifecs – Encounter Submissions• PPI – Encounter Submissions and Billing• 1Up – Interoperability• Patient Patterns – Assessments and Nursing Home System Integration• HealthTrio – Provider Portal

Long Island City, Ny

Project Lead for a firmwide Identity and Access Management system that included HCD (Highly Confidential Data). • Managed a team of 7 onshore and offshore developers• Built a new .NET / SQL Server solution to replace 15 decommissioned Lotus Notes applications

Long Island City, Ny

Lead Developer for a PeopleSoft EPM implementation that covered GL, HR, budgeting, and projections data. • Developed databases, designed ETLs, provided support and partnered with QA• Prepped data for BI systems (Cognos / Actuate)• Created reporting suites for senior management, regulatory, and external usersDeveloper responsible for automating GL postings for a Broker Dealer system. • Developed in Java, WebSphere, and Oracle• Integrated external feeds as XML filesDeveloper responsible for automating creation of quarterly and annual financial statements for a web-based portal. • Developed using WebSphere portlets in J2EE, XML, and JDBC