Peter L. Email & Phone Number

Malvern, Pennsylvania, United States

Careplots provides ‘Real World Evidence’ product and services designed to evaluate the performance of healthcare services, prescription drugs, and medical products such medical devices from ‘Real World Data’. The framework examines clinical efficacy and economics effectiveness of these types of products and services, enabling organizations to enter more favorable value/ outcome based arrangements.● Co-Practice and Operations Lead, focusing on Real World Data and All Payer Claims Database systems● Nurtured C-Level relationships with healthcare research organizations to drive analytic and data products roadmap● Provided data management, data analysis and advanced analytic services for the healthcare analytics community; Health Care Cost Institute, NORC at University of Chicago, Westat, and Coleridge Initiative

Led enterprise wide data and information strategy, governance, control, and policy development. Other responsibilities include leading data scientists and engineers in operationalizing and maintaining a big data and analytic solutions for both large healthcare and government statistical agencies.● Developed workflows and access policies to the virtual research Data Center catering to both academic and business communities in compliance with NIST/FIPS/HIPAA security protocols ● Led Knowledge Discovery, Technical Architecture, Project Management and Delivery in the Advanced Data Solution unit● Define Data architecture & management, Integration architecture, Governance & delivery models and frameworks covering structured, semi-structured and unstructured data domains for academic, healthcare research, and federal statistical agencies● Developed analytic & technology roadmap for All Payer Claims Database (APCD) initiatives ● Developed data management framework for external data enrichment processes with emphasis on scalability, high availability, and privacy / security● Implemented various analytic capabilities for the healthcare communities using IBM/ Truven Health Analytic’s MEG, Milliman MedInsight Health Waste Calculator, Johns Hopkins University’s ACG risk grouper and HCI3/ Altarum Prometheus ECR● Designed & Developed Preventive & Quality Measure reports for public health consumption● Defined Data Stewardship/ Data Governance Framework● Drove adherence to established Policies, Standards, Procedures, Guidelines and Controls● Designed and documented complex business data transformation rules around various clinical risk grouper integration.

● Responsibilities included developing product roadmap and managing technology resources to deliver leading programs aimed at providing actionable business insights to payers/Insurers and at-risk provider groups. ● Led Knowledge Discovery, Technical/Data Architecture, Project Management and Delivery in the Data Management and Business Intelligence practice areas for various clients● Provide Technology stack modernization recommendations ● Manage large BI and Data Warehousing engagements● Successfully engage C-level executives from existing and prospective clients ● Developed product & technology strategies around population health management applications● Responsibilities include managing (client, technology resources, business processes, and personnel) and leading programs aimed at offering strategic business technology transformation, with the focus of providing actionable business insights through innovative technologies.● Collaborate with Product Platform teams to drive enhancements to current offerings and/or identify new product development opportunities● Owned end to end architecture for cloud based analytic software as a service (SaaS) offering that catered to health plans and provider groups. Architected and delivered software as s service platforms for healthcare analytics. ● Worked closely with medical advisory board in designing the information and analytic framework which included predictive modeling, risk scoring utilizing HCC, CDPS, and ACG risk groupers to identify cost and quality outliers for case management and population health management programs. ● Performed capability assessment and guidance to executive leadership on new technology adoption and transformation to achieve business objectives

● Provided technical roadmap and strategic direction for various public health information management/ infrastructure programs like HIE and EMR/EHR implementations● Served as senior staff of the Office of Public Health Law and Analysis (OPHLA) in the Health Commissioner’s Office ● Provided leadership and strategic direction for public health informatics program, particularly those at the interface between public health and health care● Strategized and led health data acquisition discussions with internal and external community health leaders in an effort to better monitor hypertension, adult immunizations, and cancer screenings. ● Designed and architected a scalable analytic framework for integrating and sharing various health and healthcare data which included the department of public welfare, city wide academic hospitals, and regional ambulatory health centers including federally qualified health centers (FQHC)● Facilitated strategy, design, and development of a division wide capability map with conceptual business process landscape● Collaborated with key executive stakeholders and health IT leadership to define enterprise architecture principles, standards and guidelines for the Office of Information Technology (OIT)● Outlined current and future vision enterprise architecture, including traceability from business and IT strategies to suggested appropriate and cost effective technologies● Assured enterprise application integration by selecting tools, specifying shared data and code resources, defining interfaces and data-flows, and monitoring progress. ● Provided technical roadmap and strategic direction for various public health information management/ infrastructure programs like HIE and EMR/EHR implementations

● Architected and designed analytic solutions for a large Integrated healthcare delivery system● Designed and deployed enterprise analytic framework for a large national health benefit management organization for National Business Group on Health.● Led the architectural design and implementation of an online treatment efficiency solution for a large cancer specialty hospital system for Cancer Treatment Centers of America● Led, managed and delivered a comprehensive online benefits intelligence application for the National Business Group on Health, market leader in the health and disability benefits management research ● Developed and deployed risk stratification model to compare oncology patients across different treatment facilities in terms of illness burden and severity and calculate and compare treatment efficiency based on CMS paid charges. ● Delivered an online analytical application utilizing S+, STATA, SQL Server, Microsoft SSRS Reporting Services and Tibco Spotfire in a secure HIPAA compliant data center● Implemented future state architecture to expedite delivery of new analytic solution offerings and services to market while meeting organization’s cost and risk reduction objectives● Managed technical resources and business subject matter experts across the organization to translate key strategic objectives into actionable and governable roadmaps and designs ● Improved the usability and data quality of the system by more than 50% over the previous system

● Played progressively larger role in managing project budgets with fellow managers and project teams for a large book of business within UHG● Led Ovations Medicare Supplemental business in stabilizing and rebuilding its IT and support resources ● Managed IT development and maintenance budgets along with overseeing key strategic projects including Medicare Improvements for Patients and Providers Act● Built and managed a team of 20 plus on-shore and off shore developers. Greatly improved attrition rate by creating performance aligned reward structure, career development curriculum, and rotating resource model ● Managed enterprise BPM projects for the Medicare Supplemental business.

● Managed a cross functional Innovations team responsible for identifying, conceptualizing and delivering solutions using cutting edge concepts for emerging Informatics trends, such as: Provider Performance Assessment, Electronic Medical Records- Personal Health Profile, Risk profiling and segmentation modeling, medical and drug outcomes, Evidence Based Medicine, disease surveillance and provided maintenance support for existing applications.● Collaborated closely with business units, specialized vendors, and consulting firms regarding industry emerging trends, corporate projects design and implementation and strategic planning work ● Managed a large EDW data warehouse with a team of architects, developers, and support personnel. ● Supported key strategic business functions of Medical Management, Provider Contracting and Performance Assessment, Clinical Quality and Outcomes, Disease Management, HEDIS, and Accounts Management 24x6 days a week● Designed, developed, and migrated to Active Enterprise Data Warehouse in Teradata● Participate in corporate Architecture Board Review meetings to ensure project conformance to enterprise standards● Defined business product roadmaps, priorities and release schedules in conjunction with health services, IT, and marketing● Led reengineering and business process improvement efforts for a case management solution● Responsible for developing enterprise architecture principles and standards● Developed Enterprise Data Management strategy● Developed Architecture Blueprints for migration towards Service Oriented Architecture● Tools & Technologies: Rational Rose

Highmark Blue Cross Blue ShieldLead client in designing and testing an underwriting/rating system in latest Oracle application. • Lead a team of developers and analyst in deploying a full life cycle SDLC methodology. • Organized a work flow management process during the various cycles of system and acceptance testing phases. • Assisted developers with overall system designs and database logic. • Managed a team of support analysts and provided database & test condition/data support. Pharmacia/PfizerLead Pharmacia in architecting and designing a robust and scalable Managed Markets Information Repository initiative. • Advised the data and the ETL team on the architecture of BusinessObjects. • Created work estimates for the ETL and BI development efforts. • Provided business solution for accessing/updating Pharmacia's managed market data mart. • Gathered business/report requirements from system owners and subject matter experts and translated them into technical design specifications. Oversaw the efforts of the data modeling team to ensure business specification compliance. • The system environment included Business Objects and Oracle 8i running on SUN Solaris 2.8.Anthem Blue Cross Blue ShieldAssisted Anthem East in their $7 Million Data Management Re-engineering data warehouse initiative. • Gathered business requirements from system owners and captured it into a comprehensive SDLC development toolkit. • Mentored junior developers and system users on the fundamentals of a data warehouse architecture.• Deployed a Program Integration Testing tracking system for capturing application discrepancy and resolution tracking in compliance with Anthem’s quality assurance practices. • Oversaw all final deliverables and client sign off documents.

Ms, Information Systems

Bs, Health Policy And Administration