Nick Radov Email & Phone Number

New York, Ny, Us

Los Angeles, Ca, Us

Managed Cost Estimator product development to enable CAA compliance for self-insured employers including API and web application for network provider search and rate calculation.

Coral Gables, Florida, Us

Product Manager for payer solutions and electronic prior authorization using HL7 Da Vinci Project standards. Planned product roadmap. Wrote features and user stories for Scrum teams. Collaborated with designers on UI and workflow. Acted as primary contact for external partners including payers and payer-market vendors.Led FHIR API conformance initiative.Trained colleagues on interoperability standards, USCDI, and CMS/ONC regulations.

Eden Prairie , Mn, Us

Senior staff on the Enterprise Clinical Data and Platforms Architecture team. Wrote white papers to advise senior leaders on interoperability strategy, industry trends, and federal regulations. Contributed to Regulatory Affairs comment letters to CMS and ONC on multiple Notices of Proposed Rulemaking (NPRM).Program manager for the Enterprise Interoperability Workstreams. Coordinated standards adoption and standards development organization engagement across all UnitedHealth Group.Advised multiple program teams on interoperability best practices in utilization management, prior authorization, EHR/EMR integration, clinician workflow, health information exchange (HIE), consumer engagement, consumer devices, and regulatory compliance.HL7 organizational key member. Represented company in HL7 V2, CDA, and FHIR standards development. Elected co-chair of the Infrastructure and Messaging (InM) work group.HL7 Da Vinci Project Operating Committee member. Made technical contributions to multiple Implementation Guides for improving payer / provider value-based care interactions. Presented at HIMSS and other industry events. Collaborated with key EHR vendors: Epic, Cerner, Veradigm (Allscripts), Meditech, Athenahealth.Designated CARIN Alliance member. Elected to DirectTrust Standards Advisory Board. Contributed to the Direct Messaging standard.Member of the Patent Review Board. Reviewed patent submissions for novelty prior to filing.Member of the Academy of Technology for special projects and transformational initiatives.

Minnetonka, Mn, Us

Product Manager for the EMR Integration Services Layer (EISL) which acts as a secure FHIR-based gateway between external provider systems and internal corporate systems. Integrated with labs including Quest Diagnostics, LabCorp, BioReference. Integrated with EHRs. Linked clinical data to X12 claims data.Product Manager for internal clinical data acquisition pipeline for HEDIS / Stars quality measures and healthcare economics.Successfully trained colleagues for HL7 certification: V2 Messaging, CDA, FHIR

Eden Prairie , Mn, Us

Managed local and offshore agile Scrum teams for Optum Data Exchange (ODX) products delivered through multi-tenant SaaS model on private cloud infrastructure. Products enabled high-quality, low-cost healthcare by securely sharing patient records with all authorized providers.Collaborated with Product Managers to set scope, priorities, and schedule for product releases.Supervised tier-3 technical support teams following Kanban to fix defects.Led implementation of Scaled Agile Framework (SAFe).Instituted code reviews and static analysis tools to improve code quality.

Implemented Scrum methodology across all health information exchange products.Led Surescripts eRx integration and certification.

Responsible for our internal software development platform including frameworks, libraries, and third-party middleware.

Built custom client/server and web applications for multiple clients using Microsoft tools including: VB/VBA, Access, SQL Server, IIS.

Master Of Business Administration (M.B.A.), Managing Innovation And Technology

Bachelor'S Degree, Engineering

High School