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25 years of experience in information technology with demonstrated success aligning IT Strategy with business objectives and goals. Expertly skilled at developing strategic roadmaps and other enterprise architecture artifacts which conform to Center for Medicare and Medicaid Services (CMS) Medicaid Information Technology Architecture (MITA) 3.0. Strategic and tactical thinker whose attitude and friendly approach helps bridge the gap between the business users and technical staff with a passion to create a vision and set of abstractions that works across the entire IT landscape. Areas of expertise include:• Healthcare/Medicaid Programs • NASPO ValuePoint Provider, Claims, TPL Procurements • Medicaid Modernization (Legacy systems: Gainwell, Accenture, Conduent, Optum) • CMS MITA 3.0 Certification, State Self-Assessment (SS-A), Advanced Planning Documentation (APD)• System Development Life Cycle (SDLC)• Master Data Management (MDM) • Service Oriented Architecture (SOA)• Data Warehousing• Data Modeling • Software Development Management
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Senior Vice PresidentProcom Consulting, Inc. Nov 2021 - PresentAlpharetta, Georgia, Us -
National Medicaid DirectorProcom Consulting, Inc. Aug 2017 - Nov 2021Alpharetta, Georgia, UsFlorida Agency for Health Care Administration (AHCA) Strategic Enterprise Advisory Services (SEAS) Enterprise Architect providing the expertise needed to develop the technical standards and define strategic roadmap solutions for the Medicaid Enterprise Systems (MES) in accordance with the US Center for Medicare and Medicaid Services (CMS) Conditions and Standards, including Medicaid Information Technology Architecture (MITA) 3.0Georgia Department of Community Health (DCH) – December 2018 to PresentEnterprise Architect providing expertise and guidance needed to create procurement requirements for a multi-state initiative know as National Association of State Procurement Officers(NASPO), develop the strategic roadmap for the Medicaid Enterprise Systems Transformation (MEST) initiative and develop strategic projects for all phases of each module implementations.Alaska Department of Health and Social Services (DHSS), Division of Behavior Health (DBH) – October 2019 to PresentEnterprise Architect providing expertise and guidance needed to leverage advanced technologies such as Software as a Service (SaaS) to transform the Medicaid Enterprise System (MES) into a Service Oriented Architecture (SOA) which conforms with Center for Medicare and Medicaid Services (CMS) Conditions and Standards.
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PresidentPg Alliance Nov 1997 - Aug 2017Lead Enterprise Architect/Data Model Manager
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Lead Enterprise Architect/Data Model ManagerTexas Medicaid & Healthcare Partnership, Austin, Tx Nov 1997 - Aug 2017UsLead Enterprise Architect defining the technical architecture for a post-mainframe MITA compliant ecosystem. Key player in evolving the legacy system into a more robust Service Orient Architecture (SOA) and identifying and strategically aligning technical changes within the industry to current and future system enhancements. Successfully managed teams of 6-50 technical staff while additionally working on critical system enhancements. This system was used as a model for the current Gainwell Interchange System.Major Milestones:Mainframe to Client/Server Architecture Project (1997-2003)Lead architect for a 100M project, and a first of its kind, client/server architecture for a Medicaid system. Worked with the upper management of EDS (now Gainwell) and the State of Texas to define the technical requirements based on business needs. Leveraged knowledge and experience from other industry leading architectures to identify and implement the new key architecture. This project was considered a complete success by the client. The architecture is still the backbone of the current system and was used as the model for the Gainwell Interchange system.Insurance Company to Fiscal Agent Project (2004-2005)Key architect in redesigning the entire financial system from an insurance company business model to a fiscal agent business model. To achieve this goal a more robust real-time payment system was designed. This project streamlined the entire financial process and was considered a complete success by the client. This architecture has been used by other companies in the industry to design their financial systems. -
Lead Enterprise ArchitectTexas Medicaid & Healthcare Partnership, Austin, Tx Nov 1997 - Aug 2017UsMajor Milestones Cont:NPI Project (2006-2008)Lead architect responsible for designing the project roadmap for all changes needed within the system.Lead and mentored a technical staff (30-50) on a multimillion dollar project which drastically changed the way Texas Medicaid identified a health care provider. The Feds mandated that all health care providers be identified by a National Provider Number instead a state provider number. The provider number is used as a key in about 85% of the system, so this change affected all aspects of the business. Identified risks in the alignment of scarce senior technical staff to the multitude of changes in the system and realigned staff to mitigate this risk. Identified communication flaws between technical staff and other parts of the organization and created communication and authority guidelines. Helped identify, align and mitigate issues with other ongoing and future projects. Coded some of the more complex solutions. Not only was this project considered a complete success by the client, it came in under budget.Medical Transportation Project (2009-2010)Lead the technical staff (10-15) on a successful project which brought an entire new business segment into the existing system thus saving the State millions of dollars in dual system costs. Identified and aligned new system functions with existing system functions to allow for a seamless transition. Architected the technical roadmap changes necessary to complete the project. Advised senior management on estimating project timelines and technical staffing requirements.
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Computer Consultant/ TrainerTexas Instruments Jan 1993 - Oct 1996Dallas, Tx, UsMember of an advance team that would quickly create a working industry specific application to present to the client. Facilitated Joint Application Design (JAD) sessions and used data modeling techniques to define solutions for the clients. Taught/mentored the client’s employees on how to use the Cool Gen tools to design and build applications. This tool was one of the first to model the business first then apply those business requirements into a technical solution. -
Computer ProgrammerBlue Cross Blue Shield Of Florida Jan 1992 - Mar 1993Jacksonville, Florida, UsMember of a team of 5 programmers assigned to the first client/server software development at Blue Cross and Blue Shield. Catapulted into a leadership role due to innate ability to quickly understand new concepts and identified strategic patterns quickly. Led the team working on an advanced system software tool known as Information Engineer Facility (IEF) which later became known as Cool Gen. This was the first time Blue Cross was introduced to information management as a strategy. Presented the project to other companies such as Eckerd Drug and CSX as a proof of concept for the new design techniques.
Mike Griffiths Skills
Mike Griffiths Education Details
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Eckerd CollegeGeneral
Frequently Asked Questions about Mike Griffiths
What company does Mike Griffiths work for?
Mike Griffiths works for Procom Consulting, Inc.
What is Mike Griffiths's role at the current company?
Mike Griffiths's current role is SVP at ProCom Consulting.
What is Mike Griffiths's email address?
Mike Griffiths's email address is mi****@****mhp.com
What schools did Mike Griffiths attend?
Mike Griffiths attended Eckerd College.
What skills is Mike Griffiths known for?
Mike Griffiths has skills like Data Modeling, Sdlc, Sql, Requirements Analysis, Database Design, Data Warehousing, Ms Project, Crystal Reports, Pl/sql, Business Process Improvement, Sql*plus, Unix.
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