Director Of Development
CurrentLeads web, data warehouse, and Pega software development teams that deliver high-quality software products and services for our health insurance business. Interacts with all levels of technical and business resources, vendors, state and federal government to meet operational and strategic development needs.New applications include:• Secure web portal that makes enrollment, claims, and other HIPAA data available to providers, members, employers, and brokers • Pega application used by staff to streamline appeals & grievances business processes and meet regulatory requirements (increased STARS rating from 1 to 5) • Push communication platform integrated with data warehouse that allows messaging campaigns to be set up via configuration. Supports letters, email, text messages, robocalls, and customer service calls. Persistent focus on data warehouse that supports critical operational data and reporting needs of claims, enrollment, provider, finance, and other departments. Incoming and outgoing data exchange with healthcare industry partners and customers. Data deliveries and reporting to comply with federal and state regulations and programs. Increased focus on development and hosting best practices. Introduced agile project methodology, robust automated application monitoring, high availability architectures, improved application security through static and dynamic code scanning, formalized root cause analysis, incremental delivery, beta tests, and new Software Engineering job ladder.Technology: Trizetto Facets, QNXT, SQL Server, SSIS, EDI 270, 820, 834, 835, Cognos, .NET, C#, IIS, Umbraco, SAML, Twilio, Veracode, Pega, Windows Server, Linux, SolarWinds, Jira.Programs: ACA FFM, Arkansas Works (Medicaid private insurance), CSR, EDGE, RADV, HEDIS, CPC+, APCD, IRS 1095, IRS 1099. Internal Customers/Partners: Enrollment, Claims, Care Management, Finance, Provider Relations, Customer Service, Sales, Communications, Actuary, Compliance, Security, Privacy.