Larry Hoffman Email & Phone Number

Saint Paul, Mn, Us

Apple Valley, Minnesota, United States

Providing IT solution delivery, business architecture, product innovation and agile leadership consulting services within the healthcare, health insurance, property & casualty insurance and residential construction industries.

Eagan, Minnesota, United States

Leveraged agile and operational leadership as well as product innovation skills to transform how Prime delivered its pharmacy network products to the market.* Led Agile teams deploying data driven automation to fuel innovation and simplify operations.* Managed operational teams, integrating them into the change plan to streamline adoption.* Designed real-time AI tuned pricing engine optimizing value of upstream and downstream contracts, driving materially increased annual customer value and improved Prime profits. * Delivered automated (insurance + discount networks) shopping experience which provided the lowest out of pocket cost to members while still crediting deductibles (significant member savings).* Orchestrated new AI fraud detection product (material new revenue and customer value annually).* Architected Medicare pricing solution increasing price accuracy with CMS from 87% to 99%. Improved accuracy enabled 5% bonus payments + increased rebates on gov. contracts.* Oversaw delivery of light touch pharmacy audits reducing annual operating costs by a material amount.* Championed best practices for Agile planning, budgeting, monitoring and rapid value delivery.* Managed the Network Solutions department with 65 resources and an annual budget of $10M.

Eagan, Minnesota, United States

Leveraged business architecture, agile leadership and technology integration skills to operationalize a critical partnership agreement with our largest competitor, allowing Prime to offer competitive Cost of Goods Sold to the market.*Architected closed loop integration from ESI’s commercial pharmacy agreement system through Prime’s pricing, adjudication, analytic solutions and back to ESI for analytics, audit and invoicing.* Directed the build, test, deployment of the solutions (pushing 150M pricing updates weekly) and migration of all commercial members with zero disruption and within 90 days of the agreement.* Within 90 days of Commercial Go-Live, delivered parallel solutions for our entire Medicare book. * Combined solutions covered 30M members lowering cost of goods by 10%, producing significant annual savings to customers/members and increased revenue for Prime.* Won 2020 Individual President’s Award for my leadership.

Eagan, Minnesota, United States

Leveraged business architecture and product innovation skills to help senior executives define and deliver new/improved products to market, taking advantage of annual the enterprise investment budget.* Owned the Enterprise Analysis methodology and led the intake function/team.* Requested by name by top executives to solve high priority business problems.* Designed Safe Harbor pharmacy rebate response for acting CEO’s presentation to Congress.* 2019 President Award runner up for leading the work on the Safe Harbor response.* Architected solution/plan to deliver market leading Point of Sale Rebate product.* Drove strategy and planing to transform data into a value generating product.* Defined clinical capabilities to improve Prime’s market leading Cost of Care solution portfolio.* Managed operational quality plan for COO to improve member experience with our products.

Eagan, Minnesota, United States

Leveraged technology integration and product innovation skills to develop and manage the strategic vision to transform how Prime delivered its clinical review services to the market ($20M roadmap).* Simplified product design with intelligent base + configurable smart features to make it easy to adopt, quick to implement, efficient to operate and low effort to use.* Delivered integration with the point of care solutions to make it fastest in market.* Designed automation to produce 20% lower operating costs ($10M annual savings).* Led a team of six-sigma process analysts to optimize the workflow.

Leveraged portfolio leadership and product innovation skills to define and drive the annual change agenda for our COO and our Chief Clinical Officer (CCO).* Define program/portfolio management operating model and best practices (planning, monitoring, measuring, adjusting, balancing, communication, risk management).* Partner with the COO and CCO to define annual business objectives, strategies and key metrics.* Facilitate kaizen events with their leaders to define business problems, new market opportunities, capability gaps, and operating risks producing the annual plan/road map ($20M investment).* Led team of 15 Program/Project Managers and Business Analysts to drive execution.* Created enduring framework (still in use today) and led annual $5M IT Security investments.* Managed large scale SAP implementation and Enterprise Data Warehouse development.* Defined/owned Enterprise Program Office services, best practices, standards and tools around Portfolio, Program and Project Management.

*Developed and marketed a central Business Intelligence solution to position IT as a strategic partner. Lead a team of five to evaluate and implement the BI technical architecture along with the enterprise data architecture and an effective data governance program. Lead a team of six to incrementally build out this foundation via business value driven projects which will revolutionize how data is managed and information consumed at Federated. This multi-million $ program will deliver a high quality/integrated central warehouse along with performance designed data marts to support analytics across the enterprise (static reports, dashboards, OLAP/ad hoc reporting, data mining and predictive modeling). *Lead team of 8 to problem solve performance issues with the newly implemented claims electronic file application (built on a Service Oriented Architecture with a .NET presentation layer at the center of automated workflow, document management, Cobol/mainframe, Ivory and Java services) . Solutions identified and implemented resulted in reducing mainframe service units from over 250 million per day to below 120 million per day equating to over $750,000 annual savings in mainframe costs. Additional impacts of the solutions included reducing transaction times by over 70% while significantly reducing the load placed on major infrastructure components.*Lead team of 6 to reengineer the intake of claim documents into the newly implemented (and now performance tuned) electronic claim file application. The implemented solution allowed claim handlers to view and approve incoming documents within context while reducing the time spent on handling incoming claims mail by ~50%.

Lead residential construction team through the design and build process of seven custom homes up to $1 million in value each. This included managing all aspects of customer relations, sub contractor bids/work, daily scheduling, materials acquisition and all financial matters.

Lead the Fairview Red WingY2K initiative directing the activities of over 40 project managers who were overseeing more than 240 projects with tight deadlines and potentially serious health, financial and legal ramifications. The successful project upgraded software/hardware, tested and documented Y2K verification for key medical devices, billing/administrative systems and infrastructure components of all 10 Fairview Red Wing health organizations.

Lead efforts to complete Y2K certification of the core P&C insurance systems responsible for processing and rating $800 million in annual policies/premiums. Thorough analysis and testing revealed several critical but obscure errors in the infrastructure, which would have caused a two-month delay in policy/claims processing and potentially $150 million in lost premiums.Lead cross-functional team to develop a Self Insured Work Comp program. The project successfully enabled us to attract larger clients generating nearly $9 million in revenues during the first year alone.Completed extensive analysis and coding for critical and complex P&C processing applications in a self directed team environment.