Rhyno Client Solutions: Driving Success Through ActionWhat sets us apart?• Comprehensive Expertise: Our deep understanding of infrastructure, applications, business services, and healthcare functionality enables us to connect and integrate diverse parts of the enterprise, bridging silos effectively.• Versatility in Execution: From small-scale tasks to complex enterprise projects and strategic implementations, we deliver results with precision and reliability.• Collaborative Approach: We work seamlessly with multiple internal and external stakeholders to ensure every initiative achieves its objectives.• Unmatched Accountability: As trusted external partners, we take ownership of project success in a way that goes beyond traditional “outsider” roles.• Recognized Impact: Our unwavering commitment to excellence and client success is so profound that rank-and-file employees often perceive us as part of the enterprise team rather than external consultants.At Rhyno, we don’t just plan—we execute and deliver… we get stuff done!Client Solution Examples• Infrastructure Development: Established a new Managed File Transfer (MFT) technical environment, reorganized workflows and roles, and managed daily operations. Achieved department weekly goals for the first time in its history, maintaining success for 33 consecutive weeks before transitioning responsibilities to internal staff.• Audit Resolution: Resolved a board-level audit finding open for 2.5 years by interviewing key personnel, correlating operating procedures, systems processes, and application workflows. Demonstrated sufficient balancing and controls across major payer functional areas.• Core System Migration: Migrated core enrollment, billing, and claims systems from a vendor-operated data center to an enterprise-owned data center. Managed all systems, infrastructure, application configurations, data transfers, and internal/external interfaces.

Client Solution Examples• Cloud Migration: Spearheaded a cloud migration project, exceeding client application and service migration targets by a factor of five.• Data Center Consolidation: Analyzed and defined the client’s application and service landscape for the consolidation of multiple data centers. Built and led a team to migrate and consolidate data centers efficiently, completing the project on time and without major incidents across development, production mirror, and production environments.• Engagement Tools Development: Designed and implemented a client survey and engagement tool to support managed services contracts for post-acute care organizations.• Transition Planning: Developed comprehensive transition plans, including task definitions and budgets, to facilitate migration to a new managed services provider.• Disaster Recovery: Identified critical gaps in disaster recovery hardware, processes, and documentation. Procured, installed, and operationalized new capacity on time and under budget, doubling enterprise replication during the hardware acquisition phase. Mitigated enterprise recovery and resiliency risks by driving closure, acceptance, and mitigation processes.• Project Turnaround: Revived a stalled application retirement project by defining migration requirements, creating sustainable Microsoft applications, and fast-tracking enterprise vendor implementation. Delivered the project on time and at over 30% under budget.• Application Rationalization: Mapped all operational application services to the enterprise architecture model, aligning application services with architectural categories of emerging technologies, investment priorities, maintenance-only systems, or replacement candidates, ensuring strategic alignment and lifecycle optimization.

• Oversaw Implementation of new managed file transfer (MFT) environment supporting >1m transfers month including: * Implementation of infrastructure and software within new enterprise security structure * Re-engineered department process flow, positions and procedures * Managed daily operations * Initiated migration to new environment• Reviewed core health plan processes/systems controls and balancing to achieve successful closure of open audit issue• Other projects include: Data Center Migration, Core System Re-hosting• Using understanding of healthcare structure, interrelationships, and workflow, consult, educate and implement application solutions to support cost savings, clinical/revenue cycle work flow and to provide data needed for managing risk of ACO's, global payments, and alternative reimbursement and treatment programs especially for HealthCare Organizations, Health Information Exchange and modular Medicaid (MITA) needs.• Founding board member for conversion of medical practice to small primary care clinic.• Developed plan from legal research through state filing for set up of a nurse / nurse practitioner clinic in a state that does allow nurse practitioners to practice independently, including initial insurance structure and Medicare approval• Evaluated and implemented primary care practice EMRs.• Secondary focus on assuring application systems, process and workflow supports Public Health, Licensing, work force development and patient engagement requirements of delivery system transformation.• Develop Solution, Value Proposition and Market for Provider Directory Services that support health systems, HIE, Medicaid (MITA) and payers needs for HealthCare System Transformation. • Responsible for Corporate Operations, Client Solutions and Partnerships

• Working directly with CEO and Board, responsible for overall technology strategy, vendor and partnership relationships, platform and technology licensing for creating transformation in healthcare at scale.• Transitioned remote monitoring centric system to unique data and process integration platform utilizing highly scalable rules and activity management platform.• Developed and implementing technology framework for breaking down the barriers to connecting individuals, families, communities and healthcare organizations; ...without ripping and replacing current systems• Developed overall technology plan through joint venture relationships for software platform, unique last mile wireless, integrated behavioral healthcare management, remote monitoring, etc.• Initiated potential joint venture and merger with complimentary (and potentially competing) organization.• Brought pieces together to finalize development of cutting edge care management platform: • Developed Investor presentations for startup• Built variable input financial model for technology and professional services company (for both strategic planning and investors)• Evaluated ambulatory EMR's and developed vendor contracts for a standalone chronic care management organization• Drafted the detailed content for technology partnerships, software applications, biometric devices, technology and advisory services joint ventures, vendors and even employees.• Initiated the recruiting of five key personnel for start-up including three C-level division heads, Sr. VP and Corporate Director of Projects (implementing Agile project methodology)• Working directly with CEO, assisted in design and development of investor and customer presentations and strategy. • Responsible for corporate operating applications and systems decisions • CIO for Client Partner Joint Venture overall design, build and launch of chronic care management services organization

Simply Agile allows the delivery of the Right Care to the Right Person at the Right Time … reducing the frequency and severity of care… attacking unnecessary utilization as the underlying core of high healthcare costs by facilitating real-time "contextual" engagement with individuals especially in their greatest time of need. Agile delivers technology that connects individuals and their universe of care-givers in "real-time" -- to create opportunities for "contextual care". We focus on facilitating better individual decision-making through real-time support to determine and address underlying drivers of behaviors that drive outcomes.Responsible for Data and Workflow Integration, Partner and Supplier Contracts, Solutions Planning, and Implementation Support. Member of Business Development and Customer Solutions team

Rock Harbor Health is the conversion of an existing medical practice to a state licensed primary care clinic. We provide whole person primary care in a neighborhood setting. Full Service primary care across all insurers as well as walk-in services.Responsible for State DPH Licensure, Contracts, Credentialing, EMR and Practice Management System Conversion, and Compliance

Responsible for electronic delivery of data and services – Product Development, Marketing, Sales and Customer Integration... Created market and developed services for Integration of Folio provider data into revenue cycle and clinical (primarily EMR) systems...creating cost savings to clients and improved workflow for EMR and HIE Implementation.Sample client projects include: • Development of requirements and initial data model for State-Wide Provider Directory to support State HIE, Public Health, Medicaid, SSA Disability Services, Workforce planning and Health Insurance Exchange needs• Clean-up of provider dictionaries within scheduling and billing systems with outsourced maintenance of provider dictionary• Planning and implementation of EMR provider dictionary pre-population and maintenance,• Process development of freestanding corporate provider master…including reconciliation with credentialed provider master, • Clean-up, verification and augmentation of provider data for Medicaid health plan. • NPI conversion and implementation strategies, processes and enumeration for Massachusetts, multiple hospital systems and payers. Published national implementation roadmap. • Create common data structure, merge, unique and help define ongoing provider data process flow for multi-hospital/integrated delivery network.

A website hosting, data-driven website development, search engine optimization/ consulting, and internet marketing firm. Responsible for commercial web-site development sales and new Cape Cod Real Estate web site development.

Paraclete Press is an outreach mission – a small (since larger) religious publishing company. However, since at the time we produced our own books and videos, there was significant excess capacity to do commercial work. Approximately 40% of work was for outside customers - high end 4-color, guidebooks, magazines, as well as corporate and broadcast video. Responsibilities and projects included:• Job cost and estimating for commercial products• Define needs for digital video editing system and negotiate purchase contract• Redefine shipping process flows and automate carrier transactions• Purchasing including printing paper, CD and video duplication, and telemarketing lists• Systems/Network management• Outside commercial sales• Royalty processing• Music licensing and rights management• Accounts payable

• Manage enrollment, billing and claims systems restructuring to support Actuarial, Underwriting and Accounting reporting structure. • Oversee multi-disciplinary team responsible for converting & recasting historical experience.. • Prepare IT Strategy and Plan for Board of Directors. • Define new business line organizational structure for large Blue Cross/Blue Shield Plan. • Designed/Developed functional specifications for a health cost & utilization reporting system.

• Analyzed health service needs, reviewed operations and architectural structure (with consultants) for two community hospitals. Developed plan for alternate use of one existing hospital.• Developed (with team-primary co-author) feasibility of converting a state controlled hospital to local community control• Evaluated hospital operating efficiency and instituted cost savings in materials management, operating room, laboratory and medical records• Reviewed operations and implementation of CPOE systems and assisted in sales process