I know what you’re feeling, Payers. I’ve experienced the challenges with you firsthand and felt the pain of change and complexity, and we came through, and thrived, because we had the right team and partners. We weren’t afraid to ask difficult questions, and we weren’t afraid to take calculated risks to make the right things happen. The dream team is coming together again, supported by an innovative giant at the forefront of digital excellence—AHEAD. I am beyond thrilled to be back working with so many talented individuals. We’re going to do amazing things with our Facets clients as well as Payers looking for solutions to the toughest mandates and business challenges. I’m looking forward to redefining what’s possible with you.

Responsible for leading the Business Engineering, Shared Services, and Quality Assurance teams to provide platform governance, consulting, support, product configuration, and operational reporting for BCBSLA's Facets claims engine, MS Dynamics CRM, and IPD workflow applications.• Managed technical team and budget within Operations to ensure business-focus of crucial technologies, while developing deep relationships with IT partners to ensure seamless integration with other enterprise systems. • Team restructuring to align critical response teams and enable holistic ownership.• Initiated collaboration via creation of executive-led Bridge sessions to build relationships between all divisions.• Championed purchase and implementation of Facets Workflow as part of a new enterprise workflow initiative. • Led Facets optimization efforts to increase Facets feature use, increase efficiency, and reduce customization.• Ensured enterprise project governance through seat on the enterprise Project Approval Committee (PAC). • Served on the Blues Strategy Group on TriZetto (BSGT).• Continued leadership of national consortium of Blues Plans, the BSGT Accelerated Development Initiative (BADI), in partnership with Cognizant/TriZetto to drive enhancements to core Facets. • Designed and initiated the BADI succession and transition strategy, which was unanimously approved by the governing BSGT board.

Responsible for creating and leading the Facets Center of Excellence to drive and deliver strategic direction and overall governance – as well as holistic technical and operational support – of the Facets transaction engine supporting the Consumer Direct and Small and Mid-sized Group strategic business units. • Built relationships with strategic business units and cross-functional areas to facilitate a high level of cooperation in support of the shared system. • Successfully maintained the Facets system and associated custom development, including implementation of vendor upgrades, enhancements, and patches. • Communicated with C-suite and Operations leadership during weekly Operations Council meetings and special sessions as directed by the CEO.• Established agile release-management team and strategy ensuring early adoption of required functionality. • Optimized the Facets claims system in support of corporate goals, which, among other wins, resulted in first pass rates in the 90% range. • Organized and lead multi-organization national teams to resolve and implement key strategic, business, or technical needs in response to ACA Health Care Reform and Health Insurance Exchange (Marketplace) requirements.

As a senior consultant and then manager, participated in and led Facets implementations and optimization efforts for high-volume clients: CareFirst BCBS (Implementation, Custom Development, and Upgrades): 2008 - 2010Facets 4.71 Upgrade and Subsequent Projects, Program Manager: 2009 - 2010• Promoted to TriZetto Program Manager for CareFirst.• Created SOWs, staffed, budgeted, and planned efforts, and saw them through to successful completion on time and on budget with excellent quality. • Instrumental in creating a proof of concept to optimize their product • Interfaced with C-suite and Operations leadership during weekly Operations Council meetings. Facets 4.51 Implementation, Technical Delivery Manager: 2008 - 2009• Assessment of over 1,000 requested interfaces and extensions—and delivery of 25 deemed necessary for business continuity and accuracy—for the Claims, Customer Service, Provider, and Enrollment areas.• Interfaced with C-suite and Operations leadership during weekly Operations Council meetings. PHP Shared Services (4.21 Implementation): 2007 - 2008Systems analyst and project manager/team lead on long-term Facets implementation project. Included end-to-end responsibility for the creation of required extensions and interfaces: • Printing documents through ABF (invoices, commission statements, EOPs, EOBs and checks. • Inbound and outbound eligibility and NACHA-compliant banking files. • General ledger transactions. • Externally priced claims and inbound encounters processed through Facets external claims database (XC) into core Facets.MVP (Optimization Project): 2006Created proof of concept to optimize use of new benefit summary and detail feature available in Facets 4.51.

Managed a team of analysts and developers in the creation of cutting-edge interfaces and systems designed to help BCBSSC meet the needs of its constituents, including corporate time-reporting system, a membership desktop portal, a NOC interface, and several .NET interfaces and applications designed to help the Customer Service and Desktop Support teams better meet the needs of members and providers.