Leading strategy and innovation efforts for value-based care platforms, including a team of business consultants and project managers focused on specialty risk financial operations.

•Led the business analyst team to harvest requirements for a strategically important finance transformation program at a large national health plan with the goal to automate both intercompany and external financial transactions and enable growth.•Partnered with the technology subsidiary of a national health plan to lead requirements gathering, scoping, and project planning for the deployment of a remote patient monitoring solution for providers.•Led the Care Management and reporting workstreams of a care and utilization management platform assessment to develop a detailed roadmap of 13 technology and process improvement initiatives for a regional health plan to increase efficiency and lower technology and labor costs.•Advised the Medicare Advantage division of a national health plan on solutions for the data transformation workstream of a core administration and care management platform replacement project to resolve roadblocks and bring a stalled delivery back on track for go live.•Led workshops and developed detailed impact assessments for Care Management, Utilization Management, and Finance reporting to prioritize, refine scope, define critical path, and provide solution recommendations.

•Case and Disease Management (CM/DM) software domain lead for multiple projects including a highly complex, long term client engagement with a healthcare payer serving over 3 million members.•Led teams configuration analysts, including both onshore and offshore staff.•Provided subject matter expertise and best practice guidance for CM/DM implementation, process improvement, and ongoing support activities on the CareAdvance Enterprise (CAE) care management software platform.•Led sessions to gather client business requirements and perform gap analysis for software implementation, process improvement initiatives, and new programs.•Developed, documented, and socialized end user workflows while educating client on application capabilities with effective presentation skills.•Designed holistic solutions with an eye to efficiently leveraging product functionality and lowering total cost of ownership.•Developed proofs of concept and complex CareAdvance configuration items to solve technical and business process challenges.•Responsible for training internal associates on TriZetto products, configuration, and consulting skills. •Worked directly with architects, engineers, developers, and configuration analysts to implement solutions on time and under budget.•Developed professional certification exam materials for the software suite’s professional certification program.•Promoted to Manager - Projects in 2021.

•Managed the operational relationship for hosted Facets, QNXT, CareAdvance, Elements - TriZetto Medicare Suite, and TriZetto Communication System payer clients exceeding $2.5 million annual hosted services recurring revenue.•Led Application Management Services to ensure delivery was on budget, exceeded contractual service level agreements, and drove client satisfaction.•Governance across all areas of hosted services including service, incident, and change management, as well as continual service improvement.•Managed all environments including updates, major/minor core code release, infrastructure changes, batch schedules and custom code.•Collaborated with markets, delivery, product, and consulting leadership to develop and implement strategic client business and technical roadmaps, planning and scoping new work efforts.•Developed positive business relationships through regular communication with client representatives from end users up to CIO.•Acted as central point of contact and primary escalation for client and internal resources, including System Administrators, SQL/Sybase Administrators, Network Engineers, Applications Analysts, and Batch Operators.•Successfully led IT support efforts to drive a red status client to green, including a 59% reduction in incident inventory.•Promoted to Senior Service Delivery Lead in 2017.

•Worked as CareAdvance Enterprise, TriZetto Communications System, and QNXT product consultant on implementation, upgrade, and optimization projects.•Configuration Lead for multiple implementation and upgrade projects, planned and managed activity for a pooled resource team. •Collaborated with business and technical teams to gather business requirements from client and configure system specifications by go-live date. •Developed and executed detailed testing plans to support software implementation. •Achieved the highest client satisfaction survey result of the year for a client implementation project checkpoint.•Awarded three TriZetto Power Star awards and a Quality Excellence Award for outstanding client delivery efforts.•Promoted to Consultant II after 15 months for exceptional product knowledge and client delivery track record.