Rob Harmon Email & Phone Number

Sydney, NSW, AU

Bethesda, Maryland, US

US

• Directed the Enterprise Program Management Office with accountability for execution, tools, standards, reporting, and financial management.
• Managed a diverse project portfolio (both IT and Non-IT) with multiple programs and a total budget in excess of $100 Million annually
• Facilitated strategic capability planning for an enterprise with over $9 Billion.
• Simplified and streamlined processes to take cost out and increase focus on value.
• Aligned project management processes to SDLC and Agile.
• Managed capital budgets, vendor relationships, and sourcing opportunities.

Jacksonville, Florida, US

• Developed and implemented innovative solutions to multifaceted problems leveraging expertise from multiple disciplines.
• Managed business relationships and led for multiple teams focused on remediation and prevention of provider, customer, and other enterprise quality issues. This included the collaborative prioritization of business.
• Increased the automation rate of the claims systems by 9% through resolution/mitigation of causal data quality issues. These changes included enhancements to end to end business processes with external vendors, and.
• Facilitated the development and implementation of a claims rework reduction program, which reduced rework by 37% within a business unit.
• Managed teams and vendors in multiple locations.

Jacksonville, Florida, US

• Facilitated medical cost improvement projects at an enterprise level.
• Managed business improvement plan in the Tampa Market to attain medical cost reduction targets in excess of $20M. This included renegotiating high cost hospital and physician group contracts.
• Managed a business improvement plan in the Pensacola Market, which resulted in a 20% reduction of medical costs through renegotiating all provider payment arrangements.Managed a business improvement plan in the.

Jacksonville, Florida, US

• Implemented provider payment infrastructure.
• Managed the first statewide implementation of Resource Based Relative Value Scales (RBRVS) fee schedules for physician services in the Florida Market resulting in over $50M in annual medical cost savings.
• Developed a stand alone hospital contract simulation tool to provide a real time information stream in support of hospital negotiations.
• Developed enterprise payment policies, standards, and business rules to govern physician payment arrangements.

Jacksonville, Florida, US

• Implemented quality, care and utilization capabilities.
• Developed a risk adjusted provider profiling and analysis capability to facilitate network composition and performance.
• Managed development of a quality management data system to monitor and evaluate provider network performance.
• Performed complex data analysis in support of quality improvement efforts.

Acted as the enforcement agent for hospital performance (readmission rates, inappropriate admissions, and adverse events such as nosocomial infections).Performed focused studies measuring quality improvements resulting from regulatory intervention.Utilized SAS, SPSSX, and PC-SAS to perform complex statistical modeling and analysis.

Master Of Science (M.S.), Risk Management And Insurance

Ba, Sociology/Political Science

Education record