Consultant working for Projé committed to providing technical and business solutions for national healthcare organizations. My current role is providing services to Louisiana Blue, leading inter-plan migration & modernization project teams to adopt solutions that support national accounts and their out of market members. New capabilities strengthen value-based operations, improve claims & service administration and enhance direct provider communications and data services.

Led internal teams, external vendors, and partners (BlueCross BlueShield Association, enGen (HMHS), Amerigroup, eviCore, Availity, Sapphire Digital, Smart Data Solutions, and Magellan Health) to implement systems and processes that improved business operations, provider relations, and member outcomes.Managed multiple complex projects simultaneously across the following domains: - Operations (Claims, Incoming Service Center, Appeals, and Customer Service) • Enterprise workflow / imaging platform implementation for all incoming documents, correspondence and paper claims • Migrations to new vendor platform and decommissioning of legacy systems- Health Services (Care Management, Behavioral Health, and Provider Relations) • Integration of care and utilization benefits management vendor solution • Insourcing of entire Behavioral Health Management practice from an outsourced vendor- Member and Provider Experience (EDI and Digital Product Design) • Integration of enhanced modern Provider Finder & Medical Care Cost Estimator tools into plan’s Member Account Portal and Member Mobile App • Deployed new portal for Providers to submit, check status of and obtain outcome letters for pre-service claim appeals- Government Markets & Mandates (Medicare, Medicaid & BlueCross BlueShield Association) • BlueCard Modernization Program releasing new portal, enhanced client reporting data features and inter-plan real-time messaging • Transparency in Coverage Rule (TCR) and Consolidated Appropriations Act (CAA) features rollout empowering members with timely and accurate provider and care cost information

Oversaw large custom development program for enterprise-wide user-access provisioning and entitlement review applications; directed project to centralize administration of 234 applications, gaining operational efficiencies and an improved adherence to Audit and Compliance general computing controls; provided leadership and direction to a team of 8 Analysts

[Consultant on location at UnitedHealth Group] Directed a team of 12 Business Analysts to deliver functional enhancements for a clinical care and disease management application that had over 3,000 active users at 35 clinical sites. Responsible for product delivery for UnitedHealth Group’s government business segment, managing product deployments in New York, Washington, and Tennessee. Additional release management responsibility for the product team, following rigid 6-week iterative release cycles.[Consultant on location at Thomson Reuters]Custom website portal development for legal research clientele. Role involved mentoring associate analysts, prioritizing product features, project scheduling and release management.

Consultant on location at client sites (Carlson Wagonlit Travel, Capella University & BlueCross Blue Shield of Minnesota).

Client Engagements:- Minnesota Department of Revenue - Iterative development project for a new online business registration platform- Best Buy - Process and systems analysis to support business operations- Jostens - System enhancements to accommodate the introduction of new product lines

Provided professional IT service for Twin Cities clients in the following areas:- Project Planning & Management - Business & Technical Analysis- Business Practice Management- Application and Database Development

Staff Sergeant (E-6 Rank) & Master Fitness TrainerC Company, 2nd Battalion, 135th Infantry Regiment34th Red Bull Infantry Division