Daniel Gracious Email & Phone Number

• Health Services (Aug 2008 – Present)
• IHealth Project: Project initiator and general facilitator and driver; enhance the company’s existing claims payment process with iHealth’s claim editing services and associated process improvement. The result is.
• Contract Mgmt System: Acquired requirements; performed due diligence and vendor product reviews; maintained vendor relationships; facilitated meetings and presentations, built internal support for contract; drove.
• Dept SPOC with IT for managing upgrades of enterprise wide solutions and systems.
• Wrote multiple ad hoc reports to support dept operations and project momentum.

• Behavioral Health (May 2008 – Aug 2008)
• Claims & PR: Resolved many incorrect claim payment issues; calmed irate providers and rebuilt relationships and trust; got claims paid correctly and quickly and resolved the underlying problems resulting in more.
• Software Tools: Rewrote code to fix functionality and pull accurate data making the tool useful increasing the flow of accurate data and member satisfaction and decreasing call time and anxieties. Wrote and refined.
• Web: Responsible for the delivery of all web content and maintaining regulatory requirements.
• Telecom: Responsible for insuring the daily and Holiday change over of 50+ exts to different call centers. Collaborated on a seemless conversion of 50+ extensions from L3 to ATT.
• Customer Service: Oversaw the efficient operations of a 14 person CS dept receiving calls from providers and members.

• Information Technology (Aug. 2005 – May 2008)
• Architected the project solution to move all Finance monthly billing functions for our 1.2MM member PDP program to Oracle Financials increasing the accuracy of and reducing the work effort to maintain the A/R.
• Developed and deployed ahead of schedule an automated A/R write-off process in PL/SQL inserting 21k+ adjustments into the A/R system relieving Finance of doing this manually.
• Capitation Stabilization Project: managed the transition of running the monthly capitation cycle from Finance to the IT-Ops department. Derived requirements, developed the SQL, and managed the personnel who implemented.
• Billing System Subject Matter Expert: was instrumental in reducing monthly billing time from 42 days to 3 days.
• IT Project Manager for the monthly billing of 1.2M+ PDP members. Derive and implement billing setups. Support Finance in all billing config and data issues across all LOBs.

• Information Technology (Aug. 2005 – May 2008)
• Supported and maintained the enterprise wide core application (Perot’s Peradigm/Diamond); including system setup, new functionality implementation, bug fixes, data issues, upgrades, user questions and issues for 3400+.
• Entrusted as Data Integrity Specialist: sole person responsible to analyze and complete production data correction requests for all company areas including Provider Config, Claims, Finance, Enrollment, and IT. On a.
• Lead an effort to completely reconcile and audit the billing for all Connecticut members

• Full accounting services; Auditing; Income, Sales, Payroll Taxes; Full Charge Writeup; Corp and Personal Income Tax Preparation

• Developed and maintained web and non-web based client/server healthcare claims adjudication products utilizing JAVA, JDBC, HTML, JSP, SQL, and Oracle 8i databases
• Gave presentations to the CEO, COO, CTO, and Board of Directors
• Technologies: JAVA, JSP, C++, HTML, Oracle, SQL, CORBA, WinRunner 4.0, PVCS, Unix, Client/Server, Apache and Tomcat Servers, Crystal Reports, and Jbuilder 4.0

• Complete financial and operations management responsibility of a 12 million dollar 3 division 11 location 88 employee corporation including: profitability (total and margins), sales (total and mix), inventory (turnover.
• Comprehensively reengineered business processes for quality and productivity improvements
• Derived and implemented employee compensation, motivation, and benefit packages to attract, retain and reward high performing talent; increasing performance, reducing turnover
• Cultivated and maintained all vendor relationships; negotiated, reviewed, and monitored all service, product, equipment, financial and banking contracts; reducing costs, increasing ROI
• Reviewed performance versus budget analysis with store managers; cooperatively devised and presented adjusted proactive business plans; oversaw and assisted implementation of operational changes; tracked progress and.
• Implemented inventory tracking; reduced inventory by 50% and shrinkage by appr 96%

• Designed, developed, and documented an automated engineering environment
• Developed, supported, and documented high speed digital design methodologies

• Responsible for both software development and hardware integration
• Designed, developed, tested and integrated real time software utilizing modular and structured programming techniques. Optimized software improving algorithm performance
• Modified on-site hardware and firmware of a functional processor to integrate to the customer’s system

Mba, Operations & Finance

Juris Doctorate

Bsece/Cs, Electrical And Computer Engineering W/ Computer Science