Obtained Life, Accident and Health Insurance license.License included Whole Life, Term, Group, Variable, Annuities and Accident and Dismemberment (AD&D), Disability Income, Medicare Advantage insurance. Review of Social Security, Retirement Plans, Insurance Underwriting and Policy Issue, Nevada Laws and Ethics Pertinent to Insurance. Building network of licensed Life, Accident and Health Insurance producers. insurance business sales and agency development.

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Obtained Life, Accident and Health Insurance license.License included Whole Life, Term, Group, Variable, Annuities and Accident and Dismemberment (AD&D), Disability Income, Medicare Advantage insurance. Review of Social Security, Retirement Plans, Insurance Underwriting and Policy Issue, Nevada Laws and Ethics Pertinent to Insurance. Building network of licensed Life, Accident and Health Insurance producers.

• Designed, developed and integrated Electronic Health Record (EHR) provider clinical dashboard enhancing patient care delivery.• Developed Current Procedural Terminology (CPT) Time Tracking feature enhancing revenue cycle reimbursement. Delivered a cost savings of $15k per month• Generated Continuous Glucose Monitoring (CGM) product requirements and user interface for Abbott FreeStyle Libre and Dexcom products. Increased Remote Patient Monitoring (RPM) capabilities and outcomes for chronic care patients.• Provided Continuous Quality Improvement (CQI) dashboard for RPM programs including clinical quality metrics, patient enrollments, and overall program performance. Program prevented increased patient hospitalizations.• Created clinical texting Short Message Service (SMS) product feature designed for clinical care managers, payers and providers. Resulted in continuous care for 100k Medicaid patients and delivered a cost savings of $500k.• Developed strategic product roadmaps integrating market research, competitive analysis and data analytics. Documentation enhanced agile software development efficiency and effectiveness.• Coordinated closely with sales and marketing teams to ensure they had the resources needed to succeed.• Monitored industry developments closely to stay ahead of emerging trends and technologies. Developed strategies to drive product growth and optimize customer experience.• Collaborated with engineering teams to define product features and functionality. Ensured compliance with regulatory standards during all stages of the product lifecycle.• Managed cross-functional teams to ensure successful product launches. Engaged with customers to understand their needs and develop solutions accordingly.

• Total Cost of Care initiative identified payment integrity (PI) costs and gaps in service for Administrative Services Only (ASO) clients. Enhanced integrated cloud computing and reporting metrics delivering annual cost savings of $4B to $6B.• Coordinated the discovery and design of configurable rules-based machine learning (ML) solutions for prior authorization and level of care (LOC) decisions. LOC efficiency was increased while decreasing the cost of care by $70M annually.• Developed Pharmacy Provider Portal Product. Expanded product features for 3,600 pharmacists addressing click-to-call functionality, electronic remittance advice (ERA), prior authorization, fraud, waste and abuse (FWA). Pharmacy Provider Portal Product efficiency was increased 25% while decreasing the cost of care by $125M annually.• CentriHealth individual health record (IHR) machine learning (ML) project combined fragmented EHR and payer claims data. Project increased patient outcomes, clinician efficiency and decreased the cost of care by $100M annually.• Developed future state commercially viable Workers Compensation Pharmacy Bill Review System. System transformation increased process capabilities and created additional annual market revenue of $110M.• Specialty Pharmacy and Call Center transformation project enhanced patient call tracking and case management. Project enabled a multi-channel approach proactively informing patients about Rx status and refills. Project increased Net Promoter Scores (NPS) and was estimated to decrease the annual cost of care by $75M.• Independent Practice Association (IPA) Risk Bearing Entity (RBE) project transformed OptumCare from Fee-For-Service (FFS) model to assuming financial risk for the provision of healthcare services. Developed IPA framework to build a shared savings agreement resulting in an annual cost savings of $50M.

• Designed, developed, and managed project planning for the implementation of the Team Care Model for 11 Southwest Medical Associates (SMA) ambulatory clinics utilizing the Allscripts platform.• Managed 30 project teams collectively responsible for co-location, incentive plans, physician empanelment, scheduling, clinical staffing, finance, marketing, lean operations, change management, and training clinical staff.• Managed project budget of $7M. Project standardized the delivery of care through the team care model and realized a cost savings of $100M annually.• Participated in strategic meetings to discuss upcoming initiatives and develop actionable plans for success. Built positive working relationships with key internal stakeholders through proactive problem solving.• Demonstrated leadership skills to manage project resources and cultivate strong customer relationships. Led cross-functional teams in the definition and delivery of complex projects on time and within budget.• Analyzed project risks and developed risk management plans to mitigate delays. Monitored progress against established goals to quickly identify potential issues or changes in scope.• Actively managed, communicated, and tracked project changes to ensure successful implementation. Documented all project activities, deliverables, and reports for future reference.

• Implemented and optimized medication electronic automation dispensing systems from McKesson, Cardinal Health and OmniCell in acute care hospitals nationwide.• Managed technology solutions for over 20 technical healthcare projects resulting in client cost savings greater than $5M. Directed MEDITECH electronic health record (EHR) clinical and pharmacy build, optimization, and implementation projects for acute care hospitals.• Managed 10 pharmacists on the pharmacy order set build team developing 152 pharmacy order sets for Go-Live. Ensured compliance with HIPAA regulations during all stages of development and implementation projects.• Participated in customer meetings as an expert consultant providing guidance on how to best utilize MEDITECH applications. Researched new technologies that could be used in conjunction with MEDITECH applications for enhanced productivity gains.• Provided training and support to end users on the use of clinical MEDITECH applications.

SOFTWARE DEVELOPMENT Artificial Intelligence (AI), Machine Learning (ML), Natural Language Processing (NLP), Application Programming Interfaces (API) – FHIR, Smart on FHIR, HL7, REST, Automation, Cloud Computing - Amazon Web Services (AWS), Microsoft Azure, Containerization, Data Lakes and Pipelines, DevOps, Extract, Load, Transform (ELT), Extract, Transform, Load (ETL), Microservices, .NET Platform, Programming Languages, Software Development Life Cycle (SDLC), Software Specifications, Version Control, Waterfall - Planning, Analysis, Design, Development, Testing, Deployment, MaintenanceAPPLICATION PLATFORMSAllscripts Practice Management (APM), AMC Health - CareConsole Clinical Information System (CIS), MyCare Virtual Mobile App, Cardinal Health – Pyxis, Epic Systems - Electronic Health Record (EHR), CentriHealth - Individual Health Record (IHR), Cisco - Interactive Voice Response (IVR), McKesson – AcuDose Rx, MEDITECH - Electronic Health Record (EHR), Omnicell – Pharmacy Automation, SalesForce - Customer Relationship Management (CRM), Tableau - Business Intelligence (BI), TriZetto Facets – Claims, Revenue Cycle Management (RCM), Zynx - Evidence Based Order Sets (EBOS)TECHNOLOGY TOOLSAdobe - Acrobat, Creative Suite, Experience Manager (AEM), ADP - Automatic Data Processing (ADP), Apple - macOS, iOS, Atlassian - Confluence, Jira, Collaborative Work Management - Monday, Slack, Smartsheet, Google - Android, Workspace, Microsoft - Office Suite 365, SharePoint, Visio, Access, Teams, Windows, Structured Query Language (SQL), ZOOM