Michael Richmond Email & Phone Number

White Plains, Ny

Lead IT, Quality, Office Administration, Appeals and Grievances, Provider Services and Member Enrollment. Direct internal and outsourced IT professionals and Quality Management team members. Developed education, incentive and operational improvement strategies for HEDIS, STAR and HCC/Risk Score programs. Executed network upgrade, systems and job monitoring solutions, disaster recovery revitalization, migration to cloud services, and creation of IT policies and procedures. Led successful corporate office move and data center consolidation within tight timeline resulting in monthly savings of $45k. Developed proprietary Appeals and Grievance system significantly improved incidence of complaints. Finalist for 2012 Excellence in Adaptive Case Management Award by the Workflow Management Coalition and KM World Magazine.

Greater New York City Area

Consolidated / executed migration planning for leading health plan; eliminating multiple processing systems, and standardizing process and technologies across regions. Analyzed and aligned enterprise call center technologies and service operations for one of the largest US payers. Developed technology consolidation roadmap for leading US pharmacy benefit manager delivering projected savings of $25M+.

Wappingers Falls, Ny

Managed infrastructure and software operations staff; managed desktop support services to employees across across 3 office locations. Implemented production support management controls for 24 hour operations. Managed day-to-day software development projects and related team that serviced more than 18M lives across multiple health plans. Reimplemented multi-million data center environment and upgraded iGel thin client / Citrix environment to grow remote employee capacity.

Greater New York City Area

Implemented multi-site systems architecture to support business continuity and flexible staffing. Secured government approval from Centers for Medicare and Medicaid Services for PSO license. Developed IT policies and procedures, staffing model transforming IT organization. Obtained $6M in corrected and ongoing monthly revenue from CMS.

Elmwood Park, Nj

Managed design and implementation of all ETL stages. Developed operational procedures; data validation and user inquiries / support processes and grew professional team. Directed implementation of web-based executive information system for 120 senior leadership users; yielding $260M in cost reductions. Led 150-user corporate financial reporting and analysis system. Streamlined data and incorporated metrics from nationwide offices and multiple acquisitions.

Greensboro/Winston-Salem, North Carolina Area

Received multiple awards for patient-focused web applications: Award for Best Health / Healthcare Content from eHealthcare; Best Care / Disease Management site from Strategichealthcare.com; Best Internet Application in Disease Management from Disease Management Association of America. Recipient of first annual Accordant President's Award for leadership and performance.

Business AnalystProject ManagerSenior Financial AnalystFinancial AnalystGroup Underwriting Rep, Oxford Health Plans