Raymond B. Email & Phone Number

Raleigh-Durham, North Carolina Area

Using my experience in Data Analytics and Programming to develop applications and processes to improve the Medicare Advantage and ACA submissions processes. Have developed processes that improve Chart Review(CR) and Prospective Programs processing and validation as well as creation of process to submit supplemental data to CMS for both RAPS and EDPS. Experienced in analyzing Claim and CR data and meeting CMS requirements for submissions. These processes reduce the number of submission errors as well as improving the ability to quantify and evaluate CR vendors. Experienced in developing reporting and providing analysis of large volumes of data.

Telecommute

Raleigh, Nc

Experienced leader responsible for managing the Healthcare Practice at Qualex Consulting Services, Inc. This includes determining areas of focus within the healthcare industry well as looking at potential new areas of focus. Responsible resource allocation, personal and professional improvement of my staff. Responsible for maintaining an efficient and high quality consulting staff of consultants. I maintain involvement in technical reviews of consulting engagements as well as developing strong relationships with our existing and potential clients. strong areas of focus for our group are managed care reporting:(providing flexible and responsive insight into our clients healthcare data), and data governance for healthcare, providing our clients with a solid platform to benchmark and validate data as well as report on data quality.

Responsible for managing the Healthcare Practice within our consulting organization. This includes determining areas of focus within the healthcare industry well as looking at potential new areas of focus. Responsible resource allocation, personal and professional improvement of my staff. Responsible for maintaining an efficient and high quality consulting staff of consultants. I maintain involvement in technical reviews of consulting engagements as well as developing strong relationships with our existing and potential clients. One strong area of focus for our group is managed care reporting: providing very flexible and responsive insight into our clients healthcare data. Primary need at this time is in claim data reporting for both management reporting as well as actuarial staff support. Management of a team of skilled consultants using many types of software tools,

As the Business Development Manager for Qualex Consulting Services, Inc., I am responsible for generating opportunities with potential clients who have a need to better utilize their corporate information by transforming that data into business intelligence for decision making, reporting, and analytics, using the latest technology from SAS. Also responsible for the consulting staff resource allocation and general staff management. Responsible for overseeing the general operation of the consulting business. Skilled at building relationships with potential clients and maintaining strong relationships with our existing client base.

- Recruiting SAS consulting resources for clients- Managing projects and resourcers- Strategic Planning- Sales and Marketing

Part of team responsible for all BI Solution pre-sales efforts. Team was directly responsible for Software Sales successfully exceeding 2005 goals, while interacting with software development to assure product value and researching competitive position in BI MarketLed effort to develop readiness training specific for partners and internal staff. Specifically hands-on installation and configuration training.Developed Analysis Tools to determine BI Sales progress.Assisted in the development, testing, and positioning of SAS BI Dashboard Framework.Point of contact for Alliance Partners requiring assistance with BI Solutions

Responsible for development, training and standards for member of SAS’ Alliance Program.Developed Training programs for SAS 9 software using multiple media methods to increase awareness and meet unique training needs of partnerPlanned, designed and implemented PartnerNet, a web portal designed specifically to provide partners with a communication channel to share information, review marketing and product information, and view on-demand training.Supported Trade shows, SAS/Partner joint sales engagements and assigned technical resources to support partner needs.Designed, developed, implemented, and supported Partner Training and Support request and tracking system.Managed technical, administrative, and training staff in support of partners.Designed and delivered partner related reports and analysis to upper managementCalled upon by executive management to manage and/or be a member of cross-functional teams to improve inter and intra departmental processes

Responsible for successful implementation of technical software solution projects.Provided reporting to senior management on all project status.Experience at resolving issues between customers, sales, and development teams

Marketing and Operations efforts contributed to an increase in revenues and steady profits Managed full-time and contract resources using methods that maintained good margins, retained experience staff for allocation, and provided a buffer against fluctuations in consulting business.Managed contract negotiations, marketing efforts and pre-sales efforts while assisting with project management and application development efforts.As a member of the Executive Management Team, continually played a critical role in strategic and tactical planning.