Samir Shah Email & Phone Number

Chicago, IL, US

Lead a diverse team of developers and testers to drive the implementation of Enterprise applications.Orchestrated the assembly of dynamic development teams spanning various technological domains, including MS Power Platform, Full Stack Development, and Web development tools.Pioneered the rapid migration of legacy applications crucial to Account Managers.

Springfield, MA, US

Led the Enterprise Applications team, orchestrating the upgrade of the Claims Management system. Collaborated closely with executive leadership to articulate business requirements and ensure timely delivery to address organizational needs.

Frisco, Texas, US

• Strategically collaborate with the Executive Team to formulate system-wide strategies, drive planning processes, and facilitate decision-making for innovative business solutions leveraging technology.
• Direct and oversee strategic initiatives spanning Provider Contracting, Credentialing, Customer Service, Data Analytics, and Vendor integration across the enterprise.
• Provide visionary leadership for the development, implementation, and maintenance of information technology and information security functions within the company, aligning with organizational objectives.
• Conceptualized and executed groundbreaking marketing strategies in Healthcare data analytics, focusing on Care Coordination within the ACO space, KPI development for the ACO marketplace, Pricing and Network performance.
• Foster collaboration with operational leaders to identify, develop, implement, and support technology initiatives throughout the business, driving operational efficiency and excellence.
• Spearheaded the implementation of solutions in compliance with the No Surprises and Transparency Act (NSAT) regulations, ensuring seamless adherence to legislative requirements.

Frisco, Texas, US

• Led enterprise wide build out of EDW, Data & Analytics, Data Governance and Business Intelligence program
• Provided vision and design for a robust, flexible, scalable business intelligence (BI) warehouse/system, unique to the payor industry, to service all business units
• Promoted and evangelized the use of data derived insights to support strategic planning and day-to-day decisions, emphasizing the need for the creation and use of metrics/KPIs

Chicago, IL, US

• Defined platform strategy and execution roadmap to drive continued market growth
• Partnered with external vendors (Accenture) to define sourcing model strategy to enable cost effective and timely delivery of key initiatives
• Lead the team to develop an industry leading black-box rating engine (URE) supporting accurate and reliable generation of rates for Small Group and Individual business
• Defined vision and built a solution strategy in the Private exchange for Group business opportunity, resulting in group sales increase, contributing directly to revenue growth
• Led strategic initiative to evaluate and define business and technology strategies to comply with the Affordable Care Act (ACA) to meet new regulatory requirements
• Drove the introduction and adoption of SOA architecture and Center of Excellence

Chicago, IL, US

• Drove the rollout of an enterprise Sales Management Platform for the small group health insurance business that reduced time of initial quote to sold from 60 days down to 3 days
• Implemented enterprise Sales Management Platform for the BC/BS plans of Oklahoma, Texas, and New Mexico, consolidating three underwriting teams into one
• Developed and integrated a rules-based renewal engine and process to automate 85% of policy renewals generating $7B in annual revenue
• Moved development of assets to a more cost efficient model, saving $2.3M on the project

Chicago, IL, US

• Developed a training program for the Mainframe team, overseeing its delivery on Java and allocating resources to business analysis, development, and production support roles
• Collaborated with 15 customer areas and managed budget of $60M to deploy end-to-end platform in under 4 years to consistently meet SLA of 99.9% annually since 2010
• Built the Business Acquisition Project Management Office (PMO) to define strategy and process to develop an integrated enterprise workflow platform to automate the quoting, processing, and management of health.
• Collaborated with leadership to create vision, set direction, define projects and deliverables, and build operating infrastructure for new Business Acquisition PMO organization
• Recruited and hired team of 12 FTEs to include project coordinators, business strategists and production operations support specialists
• Designed, developed and implemented Fort Dearborn Life’s Quote Web enabling 400+ brokers to reduce quote generation time down from 40 days to 6 days, improving quote accuracy, brokers’ satisfaction, and reducing.

Recruited to build and lead internal team in enhancing and supporting critical Patient Management System.* Built a dedicated IS team, established software development processes and best practices, and led the implementation of key functionality to automatically submit HCFA 1500 claim forms.

Earned promotion to senior consultant within 2 years of hire to lead the design and implementation of solutions for clients.* Led the design and rollout of an on-line Patient Management System to support the launch of Em3 organization and enhance the management of workers’ compensation cases. * Collaborated with the United States Marine Corps’ logistic.

Master'S Degree, Computer Science

Bachelors, Engineering