Keith A. Thomas Email & Phone Number

Linwood Nj

IT consulting services specializing in Medicaid & Medicare Managed Care.In 2016 contract with Fluidedge Consulting was renewed to continue supporting TMG on the implementation for New York and support for Illinois encounters. In November 2014 and continuing for all of 2015 under contract with Fluidedge Consulting, returned to TMG to provide additional assistance with the implementation of their Medicaid Encounter Reporting system using Edifecs RRM encounter reporting system. Responsibilities included; design, analysis, developing project plans, setting priorities, testing and writing business requirements for Illinois, New York and Texas. Products included Medicaid only and MMP plans. Contract extended 3 times.In 2013 consulted for 6 months with TMG Healthcare plan on the design and development of a Medicaid encounter reporting system.

Absecon, New Jersey

Directed team of managers responsible for Applications Development, Quality Assurance and Database Management (SQL Server). Technical lead for HEDIS reporting and annual audit. Integration applications such as daily 834 enrollment and 837 encounter data reporting.

Manage, coordinate and implement a broad range of projects, programs and system integrations in direct support of Medicaid and Medicare programs.Manage staff of 8 programmers and SAS developersTechnical lead for interfaces on Claims In-sourcing projectDevelop, maintain and enforce programming policies, procedures and standards.Interface with internal and external customers to define, develop and implement projects in support of corporate goals. Introduced new development tools which enabled quicker development and better reporting as well as bringing in house outsourced programming processes that provided substantial annual savings as well as reducing development timeframes.Technical lead for HEDIS reporting and annual audit. Received excellent remarks for IS portion on annual audits.

Lead a team of 7 direct reports (5 managers) with overall responsibility for a staff of 30Five Major areas of responsibilities, 1. EDI Systems and Extranet Applications, 2 Medical Management Systems (MEDecision), 3 Data Warehouse Systems, 4. Application Development, 5 Document Management Systems (MACESS).Successfully implemented and intigrated the company's first EDI transactions (837) as well as the company's first extranet eligibility and claims status checks.Responsible for daily operations of over 10 major products, including determining root causes, implementing permanent fixes and development of long term product strategiesCoordinated projects with outside businessesDeveloped and administered software development polices and procedures and software management and migration procedures.Coordinated migration from a legacy system to client server which required hiring, training and learning the new systemParticipated in business strategy planning activities for the organizationMechanized process to track, report and analyze production problems. As a result we were able to track and trend problems which improved productivity and reduced errors.Lead a team that created a production manual for use by IT staff and auditors.Recognized by leadership for my ability to manage detailed processes and maintain focus on objectives

Wrote programs on an Advanced Pick system running under SCO/UNIXCreated and maintained telemarketing applicationsDeveloped an application to replace a Dbase accounting application resulting in cost savings for the companyWorked with various mortgage applications running under Novell and UNIX

PROJECT MANAGER 1992 - 1994Served as liaison between CRC and DuPont staffManaged staff of operators, programmers and application programmers responsible for 24-hour system supportProvided design, program and system supportMaintained and developed quality assurance processesManaged project development and cost controlsNegotiated service and support contractsResponsible for hiring and training new employees; Implemented software and operating system software upgrades; Designed and lead new project implementationsCreated standardized reusable modules which reduced development time and delivered a higher quality productSYSTEMS MAPROGRAMMER / ANALYST 1988 - 1989

Responsible for file and system management, central polling, ordering and inventory controlCreated automated distribution system and implemented new A/P

Wilmington, Delaware

Wilmington, Delaware

Wilmington, Delaware

Masters, Master Of Business Administration

Graduated with a Tech MBA / Computer Science

Bs, Management, Accounting

Academic, Business/Accounting

Activities and Societies: Member of yearbook staff and played the alto saxophone in the marching bandAssisted in the business office.