Recruited by LaunchPoint to build the design, development, quality assurance and implementation teams and lead the full life cycle support of Discovery’s insurance post payment systems, databases and interfaces, for SaaS and full service models. Led team of 4 direct reports and 30 in-direct reports, onshore and offshore. Collaborate with various business units to identify requirements, develop effective and efficient design solutions and deliver a quality product• Implemented a data analysis process to ensure the client’s data is fully understood and that mapping into the DHP proprietary system is accurate. Developed the Client Implementation Guide for new clients to use in development of extracts.• Led the implementation of 40+ new clients, processing billions of claims annually. Partnered with clients to understand Discovery file requirements, obtain and verify accuracy of data, and write custom specifications to convert data into Discovery standard format. • Led the onsite implementation for SaaS clients; Blue Cross Blue Shield of Nebraska and Paramount Health Insurance• Saved over $300,000 annually by proposing, designing, developing and implementing a QR barcode imaging solution for processing incoming mail.• Saved over $80,000 annually and increased revenue by proposing, designing, developing and implementing an ECRS (CMS Electronic Correspondence Referral System) screen scraping application. • Designed, developed and implemented a Work Queue application that assigns cases to each specialist, utilizing the security of the specialist. This ensures that the cases with the highest recovery potential are getting worked first.• Designed, developed and implemented the MSP Premium Restoration application. The design provides the capability of implementing clients very quickly, within days of receiving the client’s Eligibility files and their CMS monthly MSP and MMR files.

• Designed training programs for new members of TM Floyd & Company’s ITS testing center

Managed the systems analysis and testing phases for the transactional systems, databases and interfaces utilized by the 39 Blue Cross Blue Shield Plans to process out of area claims. Collaborated with the business to identify requirements, develop effective and efficient design solutions and deliver a quality product. Aligned technology investments with business goals. Accountable for 4 direct reports and 20 in-direct reports. • Saved $400,000 and released the applications 6 months early by developing an alternative solution for an enhancement to remove 120+ unused fields from the primary database. • Saved $30,000 by negotiating an agreement with the Software Engineering team and the Business team. Served as facilitator to increase their understanding that a requested documentation enhancement was not required. • Reduced production defects 74% by injecting a new positive attitude and energy into the work environment that encouraged employees to take pride in their work as they were recognized for their accomplishments.• Selected to participate in the Corporate Mentoring Program, mentoring a new Director from the business area.

Recruited by Primax to direct the design, development, testing, implementation, and support of highly transactional systems, databases, interfaces, and portals for this healthcare recovery organization. Aligned technology investments with business and client goals. Directed cross-functional team of 7 direct reports and 40 in-direct reports, leveraging onshore / offshore delivery model with an annual budget of $6 million. Established relationships with clients to enhance overall customer satisfaction and retention.• Strengthened the identification, tracking, verification, billing, and recovery of claims by the directing the architectural design and rollout of technology and business solutions for clients, encompassing Aetna, Cigna, UnitedHealthcare, Great West, Coventry, Carefirst Blue Cross Blue Shield, and Medical Mutual of Ohio. Annual recoveries exceeded $240 million in paid healthcare claims for 120+ clients.• Designed and implemented multiple web portals that were integrated with the main applications.• Achieved corporate initiatives for cost reductions by establishing and managing efforts of offshore development and testing teams in Guatemala. Recruited and trained team of 13 in systems processes, and best practices.• Saved $500,000 annually by collaborating on a team charged with defining and executing strategy to outsource 90% of mailroom and imaging operations that enabled the consolidation of office space.• Restored profitability, within 90 days, by modifying the applications implemented for the State of South Carolina Medicaid business that had not been profitable for 2 years. Evaluated situation; developed and implemented project plan; and oversaw the upgrade of hardware and development of software modifications.

Directed team in the full system life cycle development process testing and support of custom Health Claims Payment System for 15 TPA companies. Defined requirements for automation, integration, implementation, and problem resolution projects for customers and business users. Managed technical and account management team of 15 direct reports and 135 in-direct reports with an annual budget of $10 million.

Led the design, development, testing and implementation of custom claims processing systems for Blue Cross Blue Shield clients; West Virginia, National Capitol Area, Indiana, Maine, and New Jersey.