Mark Hafner Email & Phone Number

Indianapolis, Indiana, US

• Product Owner, Consumer Health Insights Product (2016 – present)
• Accountable for execution/delivery of product roadmap capabilities; directed activities of broad team (comprised of IT, analyst, project management and Scrum Master) via Agile project methodology
• Coordinated portfolio execution of data science-driven predict analytic models; ensure delivery and integration effectiveness
• Strategic and tactical alignment and integration accountability to ensure product and initiative objectives are fulfilled
• Product roadmap co-owner; product and project budget development and management
• Personally oversee innovation opportunities such as social determinants of health data and use cases, cross-channel and real-time consumer health impactability initiatives, behavioral science application.

Chicago, IL, US

• Reported to VP of Operations. Canopy was a dynamic, entrepreneurial environment and was ranked the #7 fastest growing software company by Inc. magazine.
• Designed and developed client support services organization associated with all company product offerings (FSA, HRA and HSA administration) including: new client (employer group) implementations, claims administration.
• Supported RFP responses and contributed to product development direction. Created standard cost models, capability assessments, and driving continual improvement efforts across the portfolio of client services.
• Managed team of up to 20 analysts including off-shore staff. Created standard cost models, capability assessments, and driving continual improvement efforts across the portfolio of client services.
• Accountable for enterprise client Service Level Agreement reporting. Initiated and drove improvement efforts in non-compliant areas in collaboration with business and system capabilities.
• C-level appointee as key acquisition point of contact to preserve relationship with high-profile clients following the sale of subsidiary from Fiserv to Canopy. Successfully retained clients.

Milwaukee, Wisconsin, US

• (Fiserv business unit was acquired by Canopy.)
• see Canopy listing (above) for duties.

Dayton, OH, US

• Reported to CIO. Member of Senior Management team for a major Medicaid plan with over 600,000 members and $1 billion in revenue. Translated corporate strategies into actionable and measurable initiatives; provided.
• Managed team of configuration analysts logic driving approximately $600 million in annual payments; achieving all accuracy and timeliness objectives spanning provider payments, provider network agreements, utilization.
• Planning and execution liaison with senior leadership of all business areas; depth of knowledge in healthcare information, transactional data, systems integrations, key business metrics.
• Key role in establishing an IT Governance process to structure the overall process and financial assessment for IT project investment decisions. Managed full lifecycle of select key corporate initiatives.
• Demonstrated exceptional ability to achieve goals around key business metrics (e.g., automatic claims adjudication rate improvement from 72% to 87%).
• Managed contract and vendor relationship with Trizetto; installed product suite included Facets, NetworX, CareAdvance and Workflow.

• Managed configuration of payment and benefit logic through system conversion (Diamond to Facets) and release process.
• Supported new business design and implementation process during the open enrollment activity peak. Introduced best practices improved processes and tools, and enhanced documentation to ensure quality and accuracy of.

London, GB

• (Canopy acquired HeathNet, a local health plan, which had been owned jointly by the area's largest hospital systems)
• Completed a variety of claims, medical management, benefits, pricing, network management and financial projects involving modifications to the configuration of the Facets system.
• Led configuration and IT remediation efforts related to enterprise claim audit continuous improvement function. Researched root causes of errors and oversee full execution of all enhancements (IT, contract terminology.

• Managed engagements in the following areas:
• Payer Clients – assessment of managed care system implementation (Diamond) and operational processes; medical utilization/cost PMPM savings around specialty costs; business processes risk model for a major payer.
• Provider Clients – implementation of the McKesson physician practice management system; managed care contract and revenue cycle assessment for hospital-owned physician group; requirements definition and vender.

Hartford, Connecticut, US

• As a core project team member for a top corporate initiative to modernize enterprise claims payment systems, led RFI/RFP and vendor assessment phase; contributed to strategic vision, requirements gathering, enterprise.
• Developed enterprise-wide standard and payment identification scheme to enable accurate operational implementations and business analytic.
• Led integration of disparate enterprise (provider) data within a strategic provider data platform. Contributed to development of enterprise data and process models.
• Managed the client health benefits implementation during a time to four-fold growth (member growth from 300,000 to 1.2 million and revenue from approximately $350 million to $1.4 billion). Significantly reengineered.

Charlotte, North Carolina, US

• Ensured compliance with quality standards for purchased semiconductor products with a Department of Energy complex. Maintained Q-level (top secret) government clearance.
• Selected for enterprise Total Quality Management pilot spanning the multiple departments and disciplines.

Mba, Management

Bs, Electrical Engineering, Computer Engineering