Proven, hands-on, product and services General Manager/Chief Operating Officer delivering client results profitably in a variety of healthcare and other commercial environments. Focused on how data and interoperability drive value in complex business ecosystems and in relationships with consumers. Experienced strategy leader leveraging an operational excellence track record to envision new product concepts, develop go-to-market plans and deliver revenue/profitability growth. Highly effective leading and empowering diverse teams in different sized organizations, from start-up (as employee #1 in a market) to large matrixed structures. Energetic key point of contact for clients to create partnerships and negotiate new deals and renewals.
M42 Consulting
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Founder | Professional Services And Client Success ConsultantM42 ConsultingConcord, Ma, Us
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General Manager Optum Insight PlatformOptum Nov 2021 - Jun 2023Eden Prairie , Mn, UsLaunched the Optum Insight Platform to facilitate standardization and reusability of solution components & products across all Optum Insight markets and strategic initiatives – improving how customers experience Optum and accelerating solution delivery and innovation. Addressed a key Optum growth challenge: creating leverage by solving for runaway duplicative capital investment by businesses building the same or similar capabilities.• Drove the cultural and technology changes as well as partnerships needed to coordinate product management and development of shared solutions; responsible for $155M in direct revenue, $97M investment capital, 5-year net benefits of $460M, processing of 4.6B clinical transactions, 4.2B EDI. Managed team of 45 direct and 125+ matrixed. • Led the platform definition consisting of core platform services (e.g., authorization, provisioning, API Marketplace), common data management (ingestion, storage, access control) and enabling capabilities (clinical data interoperability, clinical language rule-based analytics). • Defined the long-term sustainability model to justify investment capital expense while lowering market costs annually for solution component utilization.• Led the integration workstream to merge platform capabilities and reusable solution components for the $10B Change Healthcare acquisition. -
Vice President Optum Transparent NetworkOptum Jul 2020 - Oct 2021Eden Prairie , Mn, UsAssumed a strategic role leveraging prior provider and payer operational and subject matter expertise to create a claims, clinical and payments platform to address and reduce friction between payers and providers for the ultimate benefit of patients. One of Optum Insight’s 5 strategic growth initiatives.• Provided strategic leadership to define and test the concept via payer and provider primary research; transitioned quickly to product pilots specifically driving the clinical opportunities to share data between providers and payers directly and at point-of-care.• Launched a new clinical data interoperability product/service offering to acquire clinical data from multiple sources (Electronic Medical Record vendors, providers, partners), consolidate and provide to payers for their member populations (including United Healthcare). 5-year benefits estimated to exceed $225M.• Drove overall messaging across Optum and United Healthcare as well as external partners. Assessed internal and external technologies and partnerships to accelerate time-to-market. • Authored the UnitedHealth Group Chief Medical Officer presentation: “Modernizing Healthcare Models: A Way Forward”, providing UnitedHealth Group’s view of the next level of healthcare centered on Payer-Provider collaboration driven by the Transparent Network. Presented interoperability and Value-Based Care topics at the Optum Client Forum. -
General Manager/Chief Operating Officer Optum Insight Revenue Cycle/Clinical SolutionsOptum Mar 2017 - Jun 2020Eden Prairie , Mn, UsLed a diverse product/services portfolio including provider/clinical solutions (clinical data interoperability, provider/payer portal experience) and payer solutions (claims gateway and electronic data interchange for United Healthcare, multi-payer claims intelligence and editing, provider claims editing). Accountable for financial management ($354M revenue, 44% profitability), 400+ direct/matrixed team members, product strategy, client relationships and new business growth.• Successfully grew a complex product portfolio from $300M to $350M over 3 years despite annual Optum reorganization, achieving profitability goals/requirements each year. • Executive point of contact for all clients (external and UnitedHealth Group internal), new deal and renewal pricing, 3rd party resellers and strategic partner relationships. Led the United Healthcare relationship and implementation of advanced claims editing to eventually provide $100M+ annual expense savings. Leveraged strategic partners to accelerate product/services time-to-market. Realized steady client satisfaction increases year-over-year across all products.• Accountable for product strategy and long-range planning to optimize investment capital utilization; reduced capital investment yearly with no impact on delivery of key products or client deliverables. Assessed and performed due diligence for potential acquisitions; divested 2 non-strategic products.• Played a significant role in multiple new product/services deals over $25M in value; senior executive leader for a $77M clinical data interoperability perpetual license sale. -
Chief Operating Officer Optum Insight Clinical SolutionsOptum Aug 2010 - Feb 2017Eden Prairie , Mn, UsAssumed leadership of Picis within Optum and added HIE (Health Information Exchange) products/services and Practice Management/Physician EMR to create the Clinical Solutions portfolio. Accountable for financial management ($140M revenue), 300+ direct/matrixed team members. • Consolidated and rationalized multiple products and strategies to create a profitable solutions portfolio (50% margin), executing a major re-platform of the HIE product as a more expansive clinical data interoperability technology. • Provided the management point of accountability for all clients; solved major challenges across a large, distressed client base and evolved less strategic/less profitable relationships creating a win/win for both Optum and clients.• Nominated by the Optum Insight CEO to represent Optum on the Office of National Coordinator (ONC) Health Information Technology (HIT) Advisory Committee. Ongoing ONC participant advising on interoperability standards and process definition. Major contributor to Optum’s position paper: “Barriers and Solutions to Achieving the Seamless Exchange of Electronic Health Care Data in the US Marketplace”. Led the regulatory response to an FDA inquiry and successfully passed a surprise inspection and audit. • Led the divestiture of Picis clinical capabilities and maintained deal value during the 12-month transition period. -
Senior Vice President Professional ServicesPicis Apr 2007 - Jul 2010Peabody, Massachusetts, UsDeveloped and managed the professional services team (130+, 50% clinicians) and drove solution implementation and client management in a high-volume environment (average of 100+ simultaneous client projects in-flight). Executive partner to sales for all new sales opportunities. • Restructured and rebuilt the services team to address material weaknesses in delivery quality and revenue recognition stability; eliminated monthly revenue variances and associated reserves, reporting quarterly to the Board of Directors.• Key client point of contact for a large, diverse client base; renegotiated the top 10 client contracts to unlock substantial revenue; markedly improved client satisfaction scores.• Authored the Picis “Results-Driven Implementation Methodology” and client “Value Enablement” process to establish co-accountability and standardize project approach and measure success, resulting in increased staff utilization and leverage and elimination of negative delivery variances.• Key member of the executive team and process for the marketing and sale of Picis. -
Senior Vice President Professional ServicesHarte Hanks Jul 2005 - Mar 2007Chelmsford, Ma, UsLed global business consulting and implementation teams (150+) delivering targeted marketing data analytic solutions to clients in all commercial markets in a hosted technical environment. -
Vice President Professional ServicesEpiphany Jun 1999 - Jun 2005San Francisco, UsAs employee #1 in the Northeast US market, established a business office, recruited and built a services team (125+) of business consultants, program managers, implementation engineers and technical architects delivering customer data analytics solutions based on advanced machine learning algorithms to 100+ clients in the Eastern US and Canada. Key subject matter expert for all new sales. -
Senior Technical DirectorEpsilon Feb 1993 - May 1999Irving, Texas, Us -
Senior ManagerAccenture Jun 1983 - Jan 1993Dublin 2, Ie
Scott Iverson Education Details
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Boston CollegeComp. Sci.
Frequently Asked Questions about Scott Iverson
What company does Scott Iverson work for?
Scott Iverson works for M42 Consulting
What is Scott Iverson's role at the current company?
Scott Iverson's current role is Founder | Professional Services and Client Success Consultant.
What schools did Scott Iverson attend?
Scott Iverson attended Boston College.
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