Sean Sullivan Email & Phone Number

Madison, Wi, Us

Baltimore, Maryland, Us

New York, Ny, Us

New York, Ny, Us

Rockville, Md, Us

Identify opportunities to bring new products and features to the healthcare space and drive solution development for cutting-edge projects.Realize opportunities through problem analysis, technical design, execution, implementation, and hardening proof-of-concept deployments to create mature solutions.Partner with innovative organizations and teams to unlock the potential of their data at key inflection points in provider and patient interactions.

Minneapolis, Mn, Us

Minneapolis, Mn, Us

Minneapolis, Mn, Us

Design, develop, implement, and maintain solutions for sharing health data across disparate systems, from clinical notes to claims data, payers to health systems, enterprise EHRs to mobile applications. We remove the complexity from healthcare integration to allow organizations to focus their resources on improving patient outcomes. I use a broad set of messaging standards and communication protocols to securely exchange and transform data.Selected highlights of my work include:- Led multi-year project to develop a FHIR API layer as a one-stop shop for a high profile client, replacing the backend for their industry leading, KLAS-awarded clinical decision support product. This scalable SMART on FHIR solution provides end-user access to large volumes of complex data across a variety of organizations, EMRs, and implementations, and includes protocols and alerts to ensure data quality.- Ported Datica’s integration platform to a Kubernetes-based microservice model for international deployment, expanding a Fortune 50 client’s footprint to Europe and the Middle East for automated surgical case management.- Developed solution for normalizing ANSI X12 837I/P (claims) and 835 (remittance) batch files to a unified JSON data model, allowing remote clients to pull individual records via an API call.- Integrated outbound HL7v2 messages with PubNub's pub/sub notification model, sending scheduling and registration updates to subscribed clients.- Developed tools and processes for testing and validating integrations, including automated regression test toolkits and sample request generators.- Managed an oncology suite lift-and-shift migration to the Datica compliant platform on AWS. Coordinated change management, stakeholder communication, and network resource assignment for more than 30 impacted hospital systems. Project timeline was successfully compressed from 8 to 2 months due to urgent compliance requirements without causing outages or service interruptions.

Madison, Wi, Us

Coordinated activities related to the administration of the risk adjustment programs forMedicare Advantage and ACA insurance programs. Program components included predictiveanalytics, clinical encounter review, in home assessments, and vendor oversight.Created reporting tools based on the integration of internal data sources and external vendoranalytics in SAS / SQL. Leveraged reporting content to identify process improvementopportunities and create financial forecasts.Trained primary care physicians on evidence-based documentation practices to maximize revenuefor Southeast Wisconsin locations. All 40 primary care departments completed training in March 2016.

Verona, Wi, Us

Technical Services Engineer - Tapestry / Managed Care2015 Certifications:Tapestry, Referrals, Bridges (Interface Administration), Resolute Professional BillingSupported AP claims, referrals, capitation, case management, CRM, electronic eligibility, member portals, premium billing, and third party interfaces.Partnered with health plans, provider organizations, and delegated risk organizations which included:Riverside Medical Clinic (CA)Memorial Health Services (MemorialCare,CA)UnityPoint-PPICEast Boston Neighborhood Health CenterTalbert Medical GroupUniversity of Utah Health PlanStanford UniversityPeaceHealth Medical SystemMontefiore Medical CenterMercy Health (OH) - HealthSpan

Ann Arbor, Michigan, Us

Collected and analyzed historical and survey data to determine whether the academic publishing framework has a negative impact on moral behavior in academia, and to outline a basis for an MBA professional code of conduct. This data was incorporated into the Professor Walsh’s presidential address (Embracing the Sacred in our Secular Scholarly World) to the Academy of Management in 2011.

London, Gb

Leveraged risk evaluation and statistical techniques to verify payment valuations for a variety of defined benefit pension plans for AON Clients. Other administrative responsibilities included authoring a training manual for new hires and profiling prospective clients based on employee reimbursement plan characteristics.