Greg Risley Email & Phone Number

Saint Paul, Mn, Us

Saint Paul, Mn, Us

Managed strategic IT and business projects from inception to completion, including project planning, budgeting, resource allocation, and risk management for medium size health insurance company.PBM implementation with over $1 billion in claims filedLed multiple projects to ensure health plan is compliant with provisions of the Inflation Reduction ActUtilization and Care Management SaaS platform implementation, led major version upgrade, and developed processes for client Product Owner

Built and managed implementation team that was scalable and able to deliver high volume implementations as well as highly complex implementations with strategic customers and beta products. Partnered with the product team on product rollouts from inception to completion. Operationalized new product offerings by developing sales collateral, standardized project plans, implementation guides, and support guides. Developed automated claims refund process saving 200 labor hours per month.Cultivated collaborative relationship with a large client’s Virtual Health operations group, which directly led to the resolution of claims processing issues that resulted in the payment of $300,000 in outstanding claims.Developed new member experience in application that enables them to have a virtual doctor visit even when insurance eligibility cannot be verified due to system downtime.

Mendota Heights, Mn

Led multiple projects critical to Blue Cross Blue Shield of Minnesota’s Medicare and Medicaid lines of business, ranging from bringing new products to market to migrating entire Medicare IT and business functions to 3rd party platform. Managed operations and technical projects to bring new Medicare Advantage PPO and Medicare Supplemental products to market.Managed strategic projects for senior executives as well as Marketing, IT, Product and Operations business units.Coordinated with senior leaders and big 4 management consulting firms on strategy and competitive intelligence projects with the goal of protecting the company's 45% market share at risk due to government mandated plan closures.

Greater Minneapolis-St. Paul Area

Led secure network services integration projects with EHR vendors, strategic hospital systems and pharmacy chains. Completed integration projects with over 200 hospitals, 3 national pharmacy chains, and 8 EHR vendors. Specialized in managing projects with strategic customers and beta implementations.Negotiated trading partner agreements with executives from key technology vendor partners to establish joint roles and responsibilities for product implementations, cutting project completion time by 25%, increasing profits customer satisfaction scores.Developed sales support collateral for each product line, including automated project timeline tool allowing sales executives to quickly auto-populate a high level delivery timeline while meeting with customers to set proper expectations.Created implementation guides for each product line, enabling customers to perform more integration work while asking fewer clarifying questions, decreasing customer education and support hours, shorter project durations and delighting customers.

Greater Minneapolis-St. Paul Area

Managed multiple work-streams of an enterprise-wide Epic electronic medical record implementation as part of a $20M client engagement. Spearheaded national firm initiative to collect and analyze senior consultant professional development data.Directed cross-functional team in designing workflows, performing system build and configuration and determining needed integration with legacy systems for therapeutic, diagnostic and procedural departments at the University of Michigan.Managed team of 3 project managers, gathering requirements and building clinical orders, ordering transmittal logic, and user security, as well as performing functional and bulk testing.

Greater Minneapolis-St. Paul Area

Directed team of 17 clinicians, analysts and consultants to implement 5 clinical applications with yearly budget of $7.25M as part of $120M enterprise-wide Epic electronic medical record installation.Delivered EpicCare Inpatient, ASAP, Willow, HIM, and Stork application projects, on time and on budget.Led team in designing workflows, performing Epic build and determining needed integration with legacy systems for hospital-based therapeutic, diagnostic and procedural departments.Directed activities of 8 physician-champions assigned to Epic program, tasking with clinical content review and training and mentoring inexperienced analysts.

Greater New York City Area

Managed 6-person team to implement EpicCare Ambulatory electronic medical record in medical school faculty practices as part of $35M enterprise wide implementation.Created change management communication process and tools, enhancing physician satisfaction though advance notifications of upcoming EMR system changes. Developed one of the first programs in the nation that enabled medical school students to utilize an EMR system as part of their training.

Greater Minneapolis-St. Paul Area

Managed implementation of Epic's operating room management software in 7 hospitals, as part of $249M enterprise-wide electronic medical record implementation. Developed and implemented change management strategy that achieved rapid staff adoption of new systems, leading to a 2 week reduction in onsite "at-the-elbow" support.Instituted “Adaptive Design” process, contributing factor in Allina Health System being awarded 2007 HIMSS Davies Award for national leadership in electronic medical record systems.

Greater New York City Area

Directed staff of 40 in dermatology, Mohs surgery, plastic and reconstructive surgery departments, as well as all blood-drawing units. Managed departmental operating and capital budgets. Coordinated with television and print media outlets for news stories featuring clinics I managed.Spearheaded facility wide Joint Commission training program, resulting in 100% ratings for all inspections.

82Nd Airborne Division - Fort Bragg, Nc

Led squad of 9 paratroopers in the 325th Airborne Infantry Regiment. Responsible for planning and execution of all squad missions and training.

Mba, Business Administration And Management, General

Master of Business Administration

Bachelor Of Science, Environmental Science