Brian Diggs Email & Phone Number

Irving, TX, US

New York, NY, US

• Led teams that implemented multiple platform improvementinitiatives including Automated Testing Strategies (Unit Testing, TDD, BDD), CI/CD Practices, Production/Performance Monitoring, and.NET/SQL Best Practices
• Managed an Agile Team of Onshore/Offshore team of Developers, QA Testers, and Business Analyst
• Successfully managed multiple teams to implement a solution that converted a core pricing engine from a Batch Processing System to a Real-Time pricing engine using RESTful APIs resulting in faster TATs for pricing to.
• Managed the infrastructure conversion project to migrate testing, regression, UAT and production environments from Windows 2008 to Windows 2016 and.NET 4.0 to.NET Core applications

Irving, TX, US

• Managed daily operations for Claims, Enrollment, Member Services, Configuration and Complaint, Appeals and Grievances teams.
• Established strategic direction for the organization.
• Authored and implemented organizational Policies and Procedures for Medicare, Medicaid, Health Insurance Exchange and TRICARE (DoD) Health Programs.
• Evaluated contracts, negotiated services and pricing and led implementation teams for multiple vendors. Negotiated pricing for the Health Plans Claims/Clinical Auditing Software. Reviewed contract effectiveness post.
• Worked with IM department to develop Health Plan specific SLAs and trained IM and health plan associates to ensure that SLAs were met.
• Served as a voting member on Policy and Procedure, Quality Improvement, Delegated Oversight and Operational Oversight Committee.

Irving, TX, US

• Served as primary lead for the Health Plans ICD-10 conversion.
• Served as primary business and technical resource for Medicare, Medicaid, Health Insurance Exchange implementation. Gathered requirements and technical documentation and performed development, testing, quality.
• Developed Process Maps, Workflows and Desktop Procedures for the Health Plans.

Irving, TX, US

• Led a team of expert business analysts and developers to solve problems related to the Health Plans system conversion and helped solve problems by clarifying the real issues, understanding the business requirements and.
• Corrected processes and data scripting errors for Coordination of Benefits team resulting in $122k recovered.
• Coordinated a matrixed team of members from both the business unit and vendors to meet specified projected goals. Managed a team responsible for working with the business and vendors to gather requirements and execute.
• Worked with multiple vendors to ensure that operational deliverables were met.
• Collaborative experience across multiple levels of management and departments within the company resulting in vital technical and business insight during our transition to the corporate office.
• Worked across multiple business units to understand the needs of the Health Plan and translated those needs into requirements.

-Developed custom code using ASP.Net 3.5/4.0 technologies and the C# programming language to meet the specific requirements of each of our client’s projects.-Developed custom marketing strategies and used social networking tools (facebook, blogging, twitter) to help increase the amount of traffic each client received to their websites

Arlington, VA, US

-Led and managed requirements, code development, implementation, and maintenance on several database projects for multiple teams.-Utilized advanced SQL queries, VBA coding, MOSS, and a front-end/back-end database structure to develop a task and priority work tracking project management system-Developed inventory database to maintain Space Shuttle.

Masters, Management Information Systems

Bachelors, Computer Science