Brandon Spicer Email & Phone Number

Louisville, Ky, Us

Louisville, Kentucky, Us

 Developed strategy, led contracting, and owned relationships with large dialysis providers and multiple key partners in kidney space. Recognized as leader in Medicare Advantage space due to Kidney Care strategy Created value-based contracting model to create $150M+ in value across continuum. Vetted 12 different kidney care solutions to evaluate varying care models and fit with organization. Selected and contracted with 6 different companies over 14 months while establishing deep relationships with CEOs and senior executives with key partners. Shifted key partners to value-based contracts that delivered savings below baseline performance. Created relationships across the Humana enterprise to develop advocates for regional and national program including Senior Vice Presidents, Market Presidents, Regional Vice Presidents, and Medical Directors. Led cross-functional team in development of key performance indicators, reconciliation of actual to baseline results, and negotiation of settlement. Created models focused on underwriting margin to deliver financial results Evolved strategy to include other co-morbid conditions that would provide value to patient and Humana including Oncology and Cardiology.

Louisville, Kentucky, Us

 Managed multiple clinical vendors including Disease Management and Utilization Management with $79M budget in total and 3.0+ ROI. Served as operational leader for contracted services with initiatives resulting in $20.4M in additional savings with Disease Management vendor alone. Served as informal leader for peers and deliver on management level tasks including: Development of and publication of monthly department dashboard. Development of clinical vendor Life-cycle process with focus on Performance Management. Created Key Performance Indicators (KPIs) and Utilization Metrics to monitor on monthly basis and drive results. Held vendors accountable with formal corrective action plans for KPIs that were below target two consecutive months. Delivered insights to business owners and leadership stakeholders and drove initiatives to improve programs. Developed End to end process for Disease Management vendor for use in identifying gaps and implementing process improvements. Procured $5M in additional spend to support further expansion of Disease Management program by delivering Cost-benefit analysis and supporting story.

Louisville, Kentucky, Us

 Served as co-leader and trusted with defining and setting direction for team. Created detailed process map to support new vendors and changes to existing vendors, as well as on-going management activities. Created organizational design recommendations and staffing plan to support inventory of vendors and increased engagement. Managed HEDIS and Quality IT budget requests totaling $6.3M including presenting scope and benefits to VP for support in executive summary format. Negotiated with IT on Technical Design assumptions and costs and consulted business leaders on appropriate approach. Created dashboard template and monthly publication schedule. Presented monthly dashboard to senior leaders. Created clinical vendor summary that captured complete inventory of clinical vendors including budget, expenses, metrics, and time demand. Established and created metrics inventory for all vendors.

Louisville, Kentucky, Us

 Developed new end-to-end team to define, design, develop, test, and implement CareHub solutions for provider and member-facing clinical systems. Delivered high-value products including the Humana Member Summary and Care Alerts on Eligibility and Benefits queries. Selected and recruited highly capable and professionally mature teammates to support needed skills in design, project management, and software testing. Created new hybrid role for associates in Design and Project Management that was adapted across teams. Developed multi-year roadmap to deliver projects every quarter through 2013. Served as liaison to customers for IT budget requests totaling $3.4M and fostered cost/benefit explanations. Created new relationships across the enterprise including Claims, Provider Connect, Digital Marketing, Provider Engagement, Provider Contracting, Customer Service, and multiple IT areas. Kicked off monthly forums for Provider-facing enterprise teams and bi-weekly stakeholder teams for prioritization and review

Louisville, Kentucky, Us

 Led 3 teams totaling 13 Design Leads including 3 managers who worked with clinical leaders to understand business needs and design innovative technical solutions with the User Experience the top priority. Developed detailed business requirements and solution design to become Solution Specialists. Created a new culture for the team to be Product Owners instead of short-term Design Leads. Increased Design team participation in the Technical Design, Development, Testing, and Implementation of solution.

Louisville, Kentucky, Us

 Transformed team into effective and respected unit through coaching and repeated success. Delivered highly visible enterprise projects such as ATLAS/QSM and Provider Portal re-design. Served as Manager for 11 Testing team members and provided guidance for a leader on the Production Support team in a clinical software systems environment. Evaluated Vision & Scope documents to provide effort estimates and plan for long-term resource needs. Contributed to authoring of software requirements to ensure clarity and completeness for testing scenarios. Collaborated with Systems Integration Testing Team to share information that led to overall testing success. Provided oversight for quarterly UAT cycles, post production validation, and break-fix testing. Developed team members by providing consistent feedback and focusing on associate engagement. Managed resources across multiple projects and releases.

Louisville, Kentucky, Us

 Led implementation of $18M clinical management software system. Partnered with IT Project Managers and leaders to resolve risks and overcome barriers. Created detailed task-level project plans to organize cross-functional teams. Assisted in development of test plans with Test Lead and Testing Manager and ensured all defects were resolved during User Acceptance Testing. Developed joint rollout plans and procedures with IT for three separate software releases. Secured business resources and commitment from leadership to meet tight deadlines. Managed scope and change control to allow flexibility of business needs without hampering project goals. Collaborated with vendor to resolve defects and process change requests in timely manner. Delivered verbal status reports to stakeholders and executive leaders in weekly Steering Committee meetings.

Des Moines, Iowa, Us

 Served as IT Manager for team of 10 IT Professionals. Teamed with Account Management staff to serve as contact for clients and participated in client meetings. Consulted with business leaders, users, and IT team through entire project life cycle. Championed written and verbal reviews of associates and made merit decisions. Responsible for all technology purchases (hardware and software) and negotiated support agreements. Assisted in disaster recovery planning and member of Quick Response Team. Acted as site contact for Sarbanes-Oxley compliant change management process

Master'S Degree, Information And Communication Sciences

Bachelor'S Degree, Management Information Systems