Keith Gopez Email & Phone Number

Bordentown, Nj, Us

New York, New York, United States

Princeton, New Jersey, United States

Newark, New Jersey, United States

- Lead critical business and technological efforts related to new rules and/or enhancements- Drive the integration of various functional areas for optimal operational efficiency and optimized business model-Ensure traceability of business objectives through the entire project lifecycle- Accountable for partnering with internal business owners and external vendors to implement new capabilities, new partners, modifications to existing relationships and functions- Leverage existing technology by identifying opportunities to systematize manual processes and interventions.- Define future state business processes as it relates to rolling out new initiatives and/or enhancing existing process.- Analyze to determine strategies, best practices, and present recommend solutions to leadership

- Lead for all provider data, application support and data model - Conducts detailed research and data profiling- Develop interim and long-term solutions for implementation of new processes- Provide both function and technical requirements for both BRD and TRD development- Responsible for Feed development and accuracy- Production support for frontend and backend processesAccomplishments and Process Improvement- Developed complex solution for implementation of Value Based Hierarchy for large scale providers.- Developed and managed 3rd party data integration to support the Consolidated Appropriations Act and CMS mandates for provider data.

• Support the governance of Provider data by driving standards, metrics, and building partnerships across all functional areas.• Develop strategies and processes for implementing, sustaining and retiring quality data.• Defines and institutes governance policies and procedures within the Domain • Manages data and resolve data quality conflicts and exceptions• Implements and oversees standards, technical quality and consistent approaches in data presentation planning, generation, review, approval and delivery• Technical team lead and provider data model expert• Responsible for application enhancements, system testing, feed design, SQL performance tuning and complex queries • Responsible for ensuring implementation of the Informatica Master Data Management (MDM) solution meets business needs. Participated in data modeling, testing and Data StewardshipReceived an award for Process Improvement• Developed a solution using a complex algorithm for the automation of network assignment. The solution allowed for scalability without increase to support structure that managed over 3 million affiliations within minutes.

- Responsible for analysis and understanding of medium to complex issues- Coordinates analysis necessary to identify viable solution alternatives- Create and coordinates the creation of technical documents and high-level solution designs- Coordinates the development, testing and implementation of system specifications.- Responsible for Feed development and accuracy- Production support for frontend and backend processesAccomplishments and Process Improvement- Developed robust inventory tracking database- Developed a contract management application that systemically identified providers who were eligible/ineligible for special contracts. Improved claim payment and improved contract assignment efficiency by 400%

• Developed algorithms for analysis and created Business Rule Documents• Data mining for data integrity issues between source system and claims system.• Created automated script builder for reconciliation of providers that were incorrectly configured with Horizon’s claim system

• Application development for proprietary system(PPMGEN) for automated reports using Visual Basic and PL/SQL• Provide Performance and Operation Review Metrics and Ad Hoc Reports • Communicate with Engineers to expedite orders and report order inventory

Lyndhurst, Nj

• Created business requirement and design documents for Dynamics AX development• Performed data analysis, system testing and route cause analysis• Maintain vendor trade agreements, item pricing, customer and vendor accounts in Axapta.• Create analytical tools using SQL, Access and Excel. E.g. Vendor Customer Expediting, and Inventory Forecasting and Cost Analysis

Berkeley Heights, Nj

• Reporting for insurance statistics and performance analysis• Created ad hoc queries/reports using SQL, Access, and FoxPro for data extraction• Provided data mapping for system migration from legacy system(FoxPro) to SQL using DTS• Performed data analysis, system testing and data clean up to ensure data integrity• Used Rational Robot to automate data entry and system testing based