Directed and managed overall work efforts of a project team to fully onboard/implement newly acquired clinics on the OptumRX operational infrastructure and applications. Developed and managed the capital and operational budgets for each acquisition. Made decisions and recommendations to the executive committee on how to minimize costs and maximize quality while meeting deadlines to meet revenue goals. Collaborated with department managers and technical resources to assign project resources and assets. Managed the technical implementation of CISCO network and voice system cutovers and fiber installation into new acquisitions and existing clinics. Managed the data migrations and conversions of electronic health records from newly acquired clinics in the OptumRX (EHR) platform.

Led an IT implementation strategy to stand up a fully operational IT business support unit. Reviewed contracts and SOWs, managed deliverables, maintained inventory of IT assets, created project plans, managed portfolio of enterprise strategic projects, created/delivered executive dashboards, executive presentations, and managed capital and operating budgets.Maintained alignment between the internal project team and external resources while providing leadership and direction for the team of EDI and software developers, EDI and business analysts, IT managers, and contractors.Lead contributor for disaster recovery/contingency planning sessions and requirements, data gathering sessions for unit to include run books, architecture, diagrams, data sheets, vendor contact lists etc. for submission to CISSO and regulatory bodies..

Provide strategic IT roadmap planning to create tactical plans for execution to optimize the Health Plans IT infrastructure and operational effectiveness for the suite of applications, support operations, and technologies required to create tactical plans for execution to optimize and support the Health Plans operational effectiveness. Advisor/partner to health plan executive leadership for technology business process management (BPM), benefits administration, claims processing, capture and imaging, authorizations & UM, capitation, workflow management, and billing across all LOBS (Tricare US Family Health Plan, New Mexico Medicare, New Mexico Health Insurance Exchange, Texas Health Insurance Exchange, Texas Medicaid).Advises on options, risks, costs versus benefits, and impacts on end-user products and services, business processes and system priorities and leads stakeholder (internal and external) business planning and strategy meetings.Directs the integration of vendors for pharmacy, coordination of benefits (COB), vision and behavioral health. Represents the health plan as IT contact for government agencies (DoD, CMS, HHSC, TDI) and ensure compliance with applicable laws/regulations/requirements Works with health plan and IT executive leadership to appropriate solutions required to support the health plan’s short-term and long-term business goals/strategy and align with IT strategyDrives/leads the health plan data integration effort in support of the population health management program and ACOS. Key member of Medicare Shared Savings Program (MSSP) steering committee regarding data acquisition and governance. Leads diverse team of 12 direct reports with diverse skills sets ( interface engineers, data analysts, project managers , business analysts)

Program managment of state wide, regional and local disease management projects for Medicaid, Medicare, CHIP, and Health Exchange for health plans in several states.Lead new disease management implementations, healthcare network expansions projects, and healthcare delivery projects for the Medicaid/Medicare/CHIP populations .Establish trusted partner relationships with C-Suite and executive leadership at health plans to expand the health, wellness and disease management footprint in Book of Business, manage P & L, build upon the company's brand and cultivate corporate relationships.Analyze healthcare legislation and trends in healthcare delivery to determine opportunities to expand/renew, reduce cost and improve on KPIs. Develop leadership plans to identify profitable prospects for managed care contracts, and strategies to maximize existing accounts’ market share/revenues and profits.Scoped projects, established project plans and schedules, develope timelines, negotiate resources and manage related tasks, facilitate meetings and communicate status to stakeholders .

• Led the implementation and delivery of Computerized Physician Order Entry (CPOE) software projects and MU software upgrade projects using AGILE methodology to over 100 sites nationally.• Developed template to capture current state of revenue cycle at client sites to identify gaps and opportunities in the conversion to electronic processes which resulted in the development of a revenue cycle review service to the portfolio of service offerings.• Developed operational, implementation and integration methodology and processes to integrate vendor-partner applications (EV Stat, Pepid, Isabel, eRX(Sure Script).• Managed key vendor relationship with EV STAT analytics and predictive modeling vendor to monitor contract license fees, roadmap planning, and contract performance. • Reviewed product documentation and collateral with Sales, Marketing, Product Management, Product Development and partner vendor to launch EV STAT to client base. • Facilitated training for client managers and sales teams on new product pricing, demos, client facing communications and implementation/delivery process.• Scoped/defined projects, established project plans and schedules, developed timelines, negotiated and assigned resources and tasks, managed risk, facilitated meetings and communicated status to stakeholders and developed C Suite project communications.

• Managed the implementation and delivery of EKG and cardiology information system network integration projects nationally. • Reviewed contracts and SOWs, managed deliverables, managed project plan, maintained issues list for resolution and escalation, managed and monitored tasks, schedules, and cost. Communicated project status stakeholders.• P & L of portfolio of projects and revenue forecasting for revenue/earnings calls.• Maintained alignment between the internal project team and external resources while providing leadership and direction for clients for the project.

• Managed a diverse portfolio of clinical, biomed, HR, and admin projects using Waterfall methodology.• Member of IT Governance Council to review and prioritize enterprise projects.• Managed vendor relationship to ensure vendor delivery of contracted deliverables, and monitoring of performance guarantees for Biomed Replacement Program (GE, Siemens, and Hologic).• Helped develop formal PMO methodology for newly established PMO.• Reviewed contracts and SOWs, managed deliverables, managed project plan, maintained issues list for resolution and escalation, managed and monitored tasks, schedules, and cost. Communicated project status stakeholders.• Managed project budget/costs to contract.• Completed LEAN for Healthcare certification.• Earned PMP certification.

• Oversight and day to day operations management of the enterprise core clinical and business applications (Radiology Information System, Picture Archiving Communication System, and Great Plains Medical Billing System) and 4 direct reports (Applications Administrators).• Managed the Fuji Medical System vendor relationship as the business process owner to continuously assess service level agreements to ensure we had the right metrics in place to achieve business goals. • Developed timely, transparent, metric results to executive leadership regularly ensuring the metrics reported are a true reflection of what the business teams are actually experiencing.• Oversaw the development of standard operating processes, upgrade planning, and provider network rollouts.

• Managed the full SDLC of the Picture Archive Communication System (PACS).• Managed all departmental IT assets, radiology systems, and vendor on site engineers.• Managed the General Electric Medical System contract and vendor relationship as the officially designated Contracting Officer (by Corp of Engineers) with oversight of the operational and service delivery performance of the vendor’s contract.• Performed quarterly audit and statistical analysis of system logs to determine compliance with contracted performance system uptime guarantees.• Submitted findings to Contracting Headquarters to impose financial penalty for failure to meet system uptime guarantee and implemented Quality Improvement Plan to address deficiency and monitor compliance.• Co-authored RFP for Regional PACS system (5 state area) as part of Dept. of Defense DINPACS Contract.