Ivan Sison Email & Phone Number

Chicago, Illinois, United States

Chicago, Illinois, United States

• Blue Health Intelligence (BHI) is an independent licensee of the Blue Cross Blue Shield Association (BCBSA) that helps healthcare organizations gain insights to inform strategic decisions, support value-based care, and.
• Synthesized and developed content for executive team presentations including progress on OKRs, project health updates, contracting status, and strategic initiatives for BCBSA portfolio.
• Directed and managed a portfolio of 20+ projects to transfer project ownership, resulting in a 50% reduction in project transition time by implementing a standardized transition process.
• Executed the vision and rollout of a centralized Knowledge Base (KB) prototype, fostering knowledge sharing among 30+ teams and enhancing operational efficiency.
• Established career ladders for consultants, data analysts, and data scientists providing clarity on career progression and fostering team development.

Chicago, Illinois, United States

• Cross-functional lead for programs, products, and solutions for BCBSA and BCBS plans. Start-to-finish ownership of daily operations and project execution including contracting/scoping, business requirements, study.
• Managed the solution lifecycle for the annual evaluation of BCBS ACO/PCMH value-based care programs for data pipelines, methodology, analysis, reporting, and feature enhancements.
• Consulted and collaborated with clients to evolve the High-Cost Claimant (HiCC) solution of predictive analytics (HiCC scores, cost amounts) to integrate into case management workflow.
• Directed and advised clients for Episode Grouper product launches by defining delivery phases aligning on scope, resources, priorities, development effort, and testing plans.
• Developed/executed Go-to-Market deployment plan for Cost Transparency solution with compliance for CMS shoppable services and delivery of complex cases and associated services.
• Oversaw the semi-annual production refreshes of cost estimates for the Blue Axis Cost tool by managing and reviewing work of data analysts, clinicians, developers, and data engineers.

Chicago, Illinois, United States

• Evolent Health is a healthcare technology company that offers payer and provider solutions including Evolent Care Partners, New Century Health, and Evolent Health Services with approximately $1,352 million in annual.
• Managed the Health Plan Services team implementation of issue tracking in JIRA to enable a single centralized view for prioritization, escalation, resource balancing, and resolution.
• Documented business unit SOPs and established the process and framework for the Process Governance Committee to maintain SOP inventory and review and approve SOP requests.
• Instituted operational data run quality assurance process to ensure consistent and timely quality checks are performed for weekly/monthly refreshes of client production portals.

Chicago, Illinois, United States

• Led a team of eight Service Delivery Managers to serve as client advocates and cross-functional leads to support agile development of the Vision product (physician portal solution). Removed roadblocks, set priorities.
• Directed the monthly delivery of provider scorecards overseeing operational processes for data acquisition, data integration, data quality, measures reporting and client issue resolution.
• Championed and advocated client needs and requirements to incorporate in the ongoing development of the Vision product and included in product sprints and releases.
• Instituted standard process for issue prioritization and escalation across Client Operations stakeholders and development resource teams to align on resolution timing expectations.
• Tested and validated the migration of the Vision product platform upgrades with old vs. new use case comparisons for functionality, data completeness, and data accuracy.

Northbrook, Illinois, United States

• CVS Caremark is a pharmacy benefit manager, that works with employers, health plans, unions and state and local governments nationwide to manage prescription plans that help control costs while ensuring access. CVS.
• Directed analytics team to develop outcomes and metrics reporting for Diabetes Pilot (“Pharmacy Advisor”) which highlighted the program impact of 40% increased gap closure rate.
• Delivered operational reports and performed annual reviews including cost savings and ROI reconciliations for employer populations to show impact of disease management programs.
• Developed MinuteClinic savings and utilization studies of MinuteClinic users vs. nonusers which showed annual decreases of 8% in medical costs and 14% in ER visits.
• Received Disease Management “Extra Mile Award” for providing exceptional analytic support for client reviews, pricing & underwriting, and outcomes reporting content for RFPs.

Mba, Marketing, E-Commerce

Bs, Management