Consulting engagements:- Program Manager for VA Community Care Network Program at Triwest Health Alliance- Senior Project Manager – ZeOmega / Jiva Population Health Project at Presbyterian Health System- Senior Project Manager – Informatica / Tableau Data Visualization Project at Phoebe Putney Health System- Testing Program Manager at Blue Cross Blue Shield of Michigan - Implementation Program Manager at Priority Health Plan - ICD-10 Program Manager at Blue Cross Blue Shield of Michigan - Virtual Credit Card Implementation Project Manager at Emdeon Inc - ICD-10 Program Manager at Blue Shield of Idaho- Vice President of IT at Superfood, Inc- Director of IT and Program Manager at Lovelace Health Plan See engagement details below.

Program Manager for the build and implementation of the U.S. Department of Veterans Affairs (VA) TriWest Healthcare Alliance contract to administer VA's Community Care Network (CCN) for the 13 state Region 4 territory. Under the CCN contract, TriWest will be responsible for building and maintaining a network of community health care providers, paying claims, and providing customer service. Other optional functions include appointment scheduling and comprehensive care coordination, including case management and disease management services. The geographic area it will be serving includes the following 13 states: Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, New Mexico, Oregon, Texas, Utah, Washington, and Wyoming.- Program Manager for CCN IT Contract Implementation- Manage and participate in the build and maintenance of project plans, risk registers, action items, decisions register, meeting plans, program roster- Build a program team consisting of IT architects, business analysts, project managers, subject matter experts, IT developers, project coordinators, EPMO liaisons and administrative personnel.- Design, hire, organize and implement an Agile environment for the CCN Program consisting of scrum of scrum orchestration manager, scrum masters, agile coach and multiple scrum teams across all IT departments.- Ensure that agile concepts and practices are integrated in a quality fashion to provide daily stand-ups, requirements gathering, sprint planning, sprint grooming, team retrospectives, cross-team inter dependency management and real-time agile coaching. - Identify and manage the inventory of all CCN IT deliverables for multiple phases of the contract implementation.- Work closely with Enterprise Project Management Office to ensure that all IT artifacts and deliverables are delivered in a timely fashion to meet contractual obligations.- Provide timely status reporting of all CCN IT activities to senior management

• Contracted through McCormack Consultants. I successfully built a ZeOmega project plan with 1,824 tasks to guide the project to success.• Created a Jiva Project Communication Plan for the Technical Team.• Ideated and implemented Agile Daily SCRUM process for the Jiva Technical Team.• Instigated “Just in Time” project & RAID management concept that categorized meeting minutes and populated the project plan and RAID log at the end of each meeting.• Planned and Facilitated ZeOmega Jiva Data & Analytics Executive Subcommittee and the associated Business and Technical Work Groups.• Planned and Facilitated ZeOmega Jiva Data Migration Executive Subcommittee and the associated Business and Technical Work Groups.• Planned and Facilitated ZeOmega Jiva Data Interface Executive Subcommittee and the associated Business and Technical Work Groups.• Created and Executed a Weekly ZeOmega Jiva Technical Team Status Update Meeting• Planned and Facilitated ZeOmega Jiva Technical meetings to address: SSO, System Security, Enterprise Architecture Requirements, Interface Staging and ETL System, Corporate MDM Identity Management Solution, Mailroom Integration, FAX Integration, Business Workflow SIPOCS, Interface SIPOCS and VPN establishment.• Completed several training modules toward Zeomega JIVA Technical Certification.

• Contracted through HighPoint Solutions Inc. I successfully project managed the startup of an Informatica / Tableau installation and creation of Tableau dashboards.• Created a project plan for the planning and execution of installation of Informatica, Power Center, Power Exchange, Informatica Data Quality and Tableau and the creation of Tableau dashboards.• Custom built a Risk Log, Action Item List, Issues List and Decisions Log.• Worked with the customer to compete team on-boarding activities: local systems access, badges, build of project SharePoint site, etc.• Created a risk analysis of installation report and presented it to the HighPoint Project Practice Lead.• Built a customized meeting minute’s template, weekly status report template and stakeholder list for both Phoebe Putney and HighPoint.• Constructed a historical dashboard library on the Phoebe Putney SharePoint site and loaded all historical dashboards into it.• Attended and sometimes led information gathering sessions from all major areas of Phoebe Putney working closely with Phoebe Putney project manager to collect appropriate information for the project.

• Contracted through HighPoint Solutions Inc. I successfully program managed multiple projects for the Senior Director of the Information Technology Testing Office.• Led a team to Six Sigma Lean Process Mapping of all Base Support Testing Applications identifying: automation opportunities, redundancy, duplication, decision points, delays, re-work loops, PHI audit ability, inclusion of additional controls and metrics, opportunities for standardization and best practices inclusion. Deliverables: MS Visio Business Process Flow Diagrams for all Base Support Applications. • Led teams to identify requirements to modify work flow systems for the intake of testing requests from the business for Performance Testing and Testing Data Requests. • Utilized Lean DMAIC techniques to guide a team of 12 managers and directors through a highly collaborative process to optimize and manage resource capacity and efficiency in BCBSM’s Information Technology Electronic Data Interchange (EDI) departments. • Collaboratively custom designed and populated a Skills Assessment Tool to collect all relevant employee titles, skills, technology platforms, business knowledge, systems knowledge, etc. across 6 IT EDI departments.• Expertly led management team to create standardized departmental process flow diagrams including HIPAA Transactions and departmental work drivers. • Championed the team to identify $913,500 savings per year going forward across all 6 IT EDI departments.• Constructed a 180 task project plan to manage ITTO Strategic Business Transformation projects to: implement test automation, implement testing efficiency, implement test resource optimization and build an Enterprise Testing Tool.• Participated in an Agile Team developing functional enhancements to a TCAM Test Monitoring System.

•Priority Health is a $2.18 billion a year health insurance company serving over 715,000 members and processing claims with Trizetto FACETS.• Worked with the project team and constructed a 396 task project plan that included the synchronization of data across VITAL, Clear Coverage Outpatient and FACETS Development and Test environments while executing multiple cycles of unit, code review, SIT and UAT testing.• Project plan included the upgrade of the VITAL UM system and the installation of the Clear Coverage system and integration of the VITAL UM, Clear Coverage and Trizetto FACETS systems to provide automated Authorizations.• Crafted a detailed Scope Document for the installation of Clear Coverage Inpatient system.• Actively participated on an Agile team managing the development and unit testing of over 49 interfaces between VITAL, Clear Coverage, FACETS and AIM systems.• Using PMI standards constructed a project Risk Register and Issues Log.• Managed a HighPoint team consisting of a VITAL SME, Clinical SME and a project manager.

• Blue Cross Blue Shield of Michigan is a $23 billion a year health insurance company serving 4.5 million members in Michigan and 1.5 million members in other states, with a network of 153 hospitals and more than 30,000 doctors processing claims with NASCO and FACETS.• Contracted as a Senior Manager through HighPoint Solutions to BCBS Michigan as ICD-10 Program Manager.• Successfully program managed multiple business and technical teams to complete a 7-year, $43,000,000 ICD-10 remediation effort.• Managed the ICD-10 testing of 57 external vendor systems, 27 internal mainframe systems and 21 internal distributed application systems.• Successfully completed full ICD-10 end to end testing with 98 major hospital facilities.• Completed ICD-10 remediation across 41 Blue Cross Blue Shield of Michigan departments.• The project tested 61 million claims with the top 35 electronic clearing houses. • Built and executed a 696 task ICD-10 integrated business and technical project plan.• Managed an unexpected 18 project portfolio to complete over 10,000 hours of labor in 12 weeks and met or beat every project deadline.• Established a highly collaborative ICD-10 team of 87 local and 80 off shore team members.• Utilized HighPoint Solution's ICD-10 Appliance master data solution that creates a single business process management layer with centralized rules, mappings and is pre-populated with ICD-9 and ICD-10 CM and PCS codes and GEMS and Reimbursement mappings.• Mitigated ICD-10 claims for Facility, Professional, Dental, Medicare, Supplemental, Medicaid, Medicare Advantage, Bluecard, PPO, and HMO lines of business.• Personally project managed the ICD-10 remediation of the BCBSM Subrogation System and ICD-10 Appliance transition to base business.• ICD-10 remediation quality was so high that it drove the overall Operational Claims First Pass Rate to greater than 99%.

• Program Manager / Project Manager the implementations of the Emdeon Virtual Credit Card product for the largest revenue potential Emdeon customers.• Managing client issue resolution for Emdeon products: Virtual Credit Card (VCC), Electronic Funds Transfer (EFT), Explanation of Benefits (EOB) and Print.• Introduced RAID (Risks, Assumptions, Issues and Dependencies) process.• Built implementation plans for project, development, testing, go-live and post implementation monitoring and support.• Utilized Six Sigma DMAIC methodology to deliver business process improvement for implementations.

• Completed an ICD-10 impact assessment across 48 departments at Blue Cross of Idaho Health Plan utilizing custom designed data collection tools.• Reconstituted the ICD-10 Executive Steering Committee and the ICD-10 Core Team.• Modified and got executive approval of the ICD-10 project charter and scope. • Built an ICD-10 detailed project plan.• Designed a project team strategy utilizing program, workgroup and functional level teams.• Built 17 project teams with team leads and subject matter experts from IS and the business utilizing over 100 internal employees. • Identified over 900 high-level tasks for ICD-10 remediation requiring over 42,000 hours of internal labor using a custom-designed impact assessment methodology.• Identified 16 critical path milestones for ICD-10 success and metrics to monitor: budget, schedule, issues, decisions, risk readiness, available labor and meeting participation.• Utilized MS Publisher to push project schedule tasks to SharePoint desktops of every ICD-10 project task owner.• Planned for ICD-10 remediation for 48 Blue Cross of Idaho departments including: claims payment, provider services, medical quality management, systems remediation, reports remediation, policies and procedures, systems testing, medical management, special investigations, risk adjustments, training, ICD-10 cross-walks, customer service, provider contracts and EDI.• Skillfully lead teams to define functional remediation strategies and create detailed plans to identify critical path milestone goals, methodologies, tools, artifacts and timelines.

Superfood Inc.: A dynamic Internet Marketing firm specializing in the sale of Superfoods to the public through a highly specialized website.• Managing all corporate projects (PMO) and providing project management when needed.• Dynamically leading a project team in a startup Internet Marketing Company to create an IT strategy leveraging cloud server hosting, WIFI, Google Apps, Google Webmaster tools, Magento e-commerce and extensions, MySQL, outsourced onshore and offshore programming.• Monitoring and managing all IT systems and infrastructure.Lovelace Health Plan: Owned by Ardent Health systems and offers Commercial, Medicaid and Medicare health insurance to over 200,000 members in New Mexico. Ardent Health System has 7 acute care hospitals, a health plan, a multi-specialty physician group, a national medical laboratory with $1.8 billion in revenues and 7,745 employees.• Worked with the COO to establish a new PMO for Lovelace.• Program Manager for a major corporate project to expand Lovelace Medicare product into Oklahoma that involved the creation of a project plan and coordination of 21 Lovelace internal departments.• 5010 Program / Project manager: Created 450 task project plan for HIPAA 5010 Remediation project.• ICD-10 Program / Project manager: Wrote a project plan for ICD-10 Remediation project.

Universal American is a family of 15 insurance companies providing Life, Annuity, Medicare Advantage, Medicare Part D and HMO health plan coverage, traditional insurance products and Third Party Administration Services to over 1.8 million members that generate over $5.7 billion in annual revenue.High- performance managed multiple project & program managers, three teams of mainframe & server application developers, multiple India offshore teams, multiple consultant teams and business subject matter expert teams. • Project managed corporate team of 60 professionals to successfully complete major IT project to support the sale of one of our companies for $130 million which involved 10 months, over 12,000 labor hours and teams from IT, Offshore India, Finance, Commissions and Actuarial departments and development of over 200 custom programs with zero defects.• Successfully lead multiple project teams to convert 3 purchased companies from their 6 General Ledger and Accounts Payable systems to a single common G/L and AP system in 18 months, requiring over 40,000 labor hours, multiple onshore and offshore contractors and several business teams from within our company. • Conceived and executed strategic and project plans for application systems for conversions / upgrades / enhancements / daily production / new product introductions, Web, and special corporate projects driving significant cost savings and enhanced functionality within a $21 million budget.• Spearheaded project management, application development, reporting, and daily system operations to provide policy administration, commission payment, claims payment, G/L, Accounts Payable, Profit and Loss, Reinsurance, Billing, Collections and Licensing & Certification for all 15 UAC companies and 15 external companies for whom we provided Third Party Administration services.development environments.• Left UAC due to sale of my division (CHCS) to offshore India company.

Amerigroup Corporation provides Medicaid and Medicare services in Florida, Georgia, Illinois, Maryland, New York, New Jersey, Ohio, Texas, Virginia and the District of Columbia to over 1,000,000 members using a network of over 35,000 providers and more than 350 hospitals. Amerigroup’s 2004 gross revenue exceeded $1.8 billionSpearheaded three departments of application developers, configuration quality assurance analysts and operation analysts to provide project management, application development, system conversion assistance, database development, reporting, data analysis, and quality assurance of all provider contract pricing and claims configuration of AMISYS, FACETS and TXEN claims payment systems that were HIPAA and Sarbanes Oxley compliant. Enabled collaborative teamwork in overall project management. Applied Six Sigma and best practices methodologies. Provided strong communication of progress to all internal and external executive stake-holders.• Managed a Conversion Project of over 500 databases, reports and data extracts converted from the AMISYS to the Facets system platforms requiring over 5,000 hours of labor.• Project managed a system development project that created a security application to monitor and report security across AMISYS, TXEN, Facets and multiple databases to ensure appropriate user profiles and security permissions for Sarbanes Oxley compliance.• Lead a project team to custom develop a workflow system to manage the Quality Control • Created and managed multiple project plans and resources to support 22 projects across Health Plan Services Division including custom developed applications for provider and claims tracking.• Increased the productivity of the Claims Division by 35% by spearheading a project to identify and document the poor on-line system response time which led to an upgrade of the AMISYS system with drastic increase of system performance.• Left Amerigroup due to intensive recruiting by UAC CIO.

The Scott & White Health System (7,700 employees, $700 million) includes a hospital, 14 clinics and a Medicare HMO with 187,000 members.Responsible for all information technology delivery including: project management, programming, computer operations, systems configuration, networking and systems. Directed all installation / upgrade / support of the following core systems: LAWSON, ORACLE, MS SQL, MPE/IX, GEOACCESS, IMAGE, CRYSTAL REPORTS and CLOVERLEAF. • Directed 47 PMO corporate projects to include detailed project plans and executive reporting to be within budget and on schedule.• Successfully managed $16 million dollar budget. • Project managed a project that built the Corporate Data Warehouse using MS SQL.• Managed the PMO that built and launched our corporate web site using IBM Websphere and IBM Interwoven.• Directed successful project to do a major upgrade of our core business system.• Instigated new technology acquisition and project management protocols • Moved to MCSI Electronic Data Interchange (EDI) clearing house bringing $20,000 annual savings.• Spearheaded paper reduction project, which converted over 900 paper reports to electronic reports and cut IT printing costs in half.• Left Scott & White after successful integration of Health Plan IT into Hospital IT.

The Sierra family of companies ($1.2 billion, 4,000 employees, 1.1 million members) includes: health maintenance organizations, 18 clinics, health and life indemnity insurance, behavioral healthcare services, workers' compensation, third-party administration for self-insured companies, hospice and home health programs and military health services.Responsible for $14.3 million budget covering managed care, clinics, home health, hospice, finance, HR, payroll and corporate systems including: ALLSCRIPTS, MEDITECH, IDX, ERICSO FACETS, MACESS, CRM and ORACLE FINANCIALS, CHARTSCRIPT, PYXIS, Trilogy CRM and RADIOLOGY. Provided consulting, project management, daily production support and programming for all upgrades, system selections, custom enhancements, systems development and daily systems support for 83 corporate systems serving 5,000 employees and 1.2 million members. • Directed 24 major corporate projects through my Project Management Office to be within budget and on schedule. • Spearheaded major project to custom development a Home Health and Hospice application to provide management of clinical systems (IDX) to support 18 clinics and a 120-physician group. • Managed projects for major system upgrades of ERISCO FACETS, MACESS and ORACLE FINANCIALS (HR, payroll and materials management) Systems. • Successfully completed $39 million conversion project from Trident to ERISCO FACETS for 320,000-member HMO.• Managed Offshore India team of 2 Program Managers, 6 project managers and over 150 programmers.• Instituted System Development Life Cycle (SDLC) process.• Completed project to identify Federal HIPAA requirements on our Health Plan.• Reduced staffing by 54% (from 84 to 36) and maintained SLAs. • Successfully administered a $14.3 million budget. Provided $732,000 in cost savings in the first quarter of 2001. • My position was eliminated in cost-cutting move for eminent sale of Sierra Health Services.

Health Central Inc. was a Health Maintenance Organization owned by 5 major Pennsylvania hospitals providing managed care for 80,000 commercial, Medicare and Medicaid HMO members in central Pennsylvania.Directed all activities to support AMISYS HP3000 mainframes, Novell and NT network, telephony, PC systems and help desk. Managed all application custom development, project management, work request system and change management. Directed all activities to support AMISYS HP3000 mainframes, Novell and NT network, telephony, PC systems and help desk. Managed all application custom development, Project Management Office, work request system and change management.• Successfully managed a project to upgrade all HP mainframe systems.• Conceived and executed a pended claims study/project that saved $300K annually.• Lead a project to customize over 600 AMISYS reports for claims, member services, medical management and finance.• Y2K Project leader for project creation and execution across entire company.• Managed projects to implement Net Wizard application push technology, Citrix Winframe remote communications, GEOACCESS, Goldmine prospect management.• Lead project to install Frank Solutions interactive voice response system for telephone authorizations and eligibility.• Managed projects to implement NEIC/NDC Electronic claims processing, intranet / internet / firewall, Inductive Knowledge Systems Data Warehouse, HPR Claims edit, Net Manager Internet interface to AMISYS system, MACESS Entrendex claims imaging, HP disk mirroring, Visual Cactus credentialing, mainframes release upgrade to AMISYS 9.43, upgrade of all hardware and software to Y2K compliancy. • Managed team of 40 application developers and 5 project managers. • Successfully managed a $4.8 million budget.• Company sold to larger company.

FamilyPlus Health Maintenance Organization was a wholly owned subsidiary of Eggleston Children’s Hospital providing health insurance for 70,000 commercial and Medicaid HMO members throughout Georgia.Hired and directed an entire staff of managers, project managers, programmers, analysts, network engineers, PC technicians, operators, telephony technicians and outside consultants in an HMO company start-up environment. Directed the selection and implementation of computer and telephony systems including: new TXEN MHS HMO systems selection, external interface development, new applications development, Internet development, Interactive Voice Response, electronic claims, electronic eligibility and design / installation of PC network and telecommunications. TXEN MHS, MACESS, GEOACCESS, HEDIS systems support. • Managed projects to install and manage Corporate systems for: electronic claims processing, electronic eligibility for physicians, claims and enrollment form imaging, interactive voice response, internet system, corporate WEB page, corporate Novell network, PC inventory, outsourced help desk, ancillary vendor inter-system data exchanges.• Successfully managed projects to deliver the custom programming of interfaces / reports / system extensions, “work from home” laptop environment.• Directed Year 2000 project team across the entire corporation. • Directed a project for the selection of new HMO and telephony systems, design of remote corporate offices including PC networks and telephony systems.• Conceived and directed a re-engineering project for corporate wide “new group process”, Provider File Maintenance and Physician Credentialing.• Company sold to larger company.

• International Product Manager, Austin, TX (1992 – 1994)Directed 27 international (Europe, Middle East and Africa) Product Managers to envision, plan, build and deliver advanced Client Server software in the areas of databases, graphics and programming language compilers. • Lead Technical Consultant for IBM Sales, Atlanta, GA (1988 – 1992)Technically consulted on complex system scenarios involving Client/Server, Open Systems, Networking, Training, Mainframes, AS/400s, RS/6000s, PCs, HP, DEC, SUN, Apollo, and Novell. •IBM Client/Server Product Planner, Austin, TX (1988)Architected and economically justified UNIX and Client/Server compiler, communications and database software products for the IBM RS/6000. • Mainframe Sales Representative, Austin, TX (1985 – 1987)Sold IBM software solutions and systems (3090, 43XX, 9370, S/38, S/36, Series/1, Datamaster and PCs), communications controllers (3274, 3745), printers and LANs to customers in engineering, scientific, distribution, manufacturing, finance, insurance, software development, transportation, real estate, construction, colleges, schools and government industries. • IBM Mainframe Systems Engineer, Austin, TX (1982 – 1984) Evaluated, configured, recommended and installed 14 mainframes running DOS/VSE, VM and MVS in one year. • IBM Programmer, Austin, TX (1979 – 1981) Installed, modified and documented financial applications under MVS and VM operating systems using PL/1, Assembler, COBOL, FORTRAN, and APL programming languages.