Tom Hoth Email & Phone Number

Atlanta, Ga, Us

Atlanta, Ga, Us

North Highland provides strategic enterprise advisory services for the Florida AHCA Medicaid (FX) modular system implementation. Lead EPMO for FL modular replacement MMIS.

Tampa, Florida, Us

Zenith American Solutions is the largest Taft-Hartley Third-party Administrator in the United States.Responsible for IT operations (Data Center, Infrastructure, Helpdesk, Networks, Voice, IVR). + Leads data center evolution, enhancement projects, and cloud migration. Leads service desk transformation initiatives and drive ITIL process enhancements (incidents, requests, change, and asset management). + Transformation of IT Operations staff from in-house to managed services. Vendor selection to implement Jira Service Management. + Integrations of IT functions for mergers and acquisitions + Partnered with CISO on security initiativesIT lead on Taft-Hartley claims processing platform consolidation. Responsible forsolution architecture and management of IT efforts including portals, reporting, data warehouse, EDI integration, document imaging migration.

Austin, Tx, Us

IT Leader on Zenith American Solutions Taft-Hartley third party claims administration system consolidations to new cloud-based platforms. Leading Digital transformation, drive change and process improvement on claims platform consolidations. Provide solution architecture leadership. Instituted process initiatives using Smartsheet. Smartsheet certified.

• Built 150+ person shared services organization to service all Commercial Healthcare (Care Management) and Public Sector (Federal & State) Healthcare (Medical and Pharmacy claims processing/MMIS systems) testing services organization. Resources in U.S., Americas and India providing manual testing, automation, application security (SAST, DAST, FOSS) and performance testing. Accomplishments:o Consolidated 85 resources from across the company into one service centero Insourced vendor staff and hired 65 offshore resources over 5 monthso Streamlined numerous reporting artifacts into a unified standardo Drove completion of security scanning across all public sector systems within 3 monthso Lead standardization and consolidation strategy of 7 ALM tools to 1, with associated processes• Member of leadership team responsible for large scale Medicaid claims processing system implementation validation/testing including functional, non-functional, test automation, stress and performance testing and application security. Lead and manage 120+ organization with multiple vendors utilizing on and offshore resources.Accomplishments:o Achieved over 85% test automationo Increased code quality & reduced technical debt o Increased transparency through DevOPS enhancements and increased use of SonarQubeo Reduced time and cost of testing effort by 20% through process adjustments• Systems Development leader of Federal workers' compensation medical and pharmacy claims processing systems. Managed delivery of customer based system enhancements, instituted cost optimizations. Accomplishments:o Instrumental in building proposal response for claims processing systemo Migrated team (team transformation) from Waterfall to Agile SDLC utilizing Jira, IBM RTC & RQM within 6 monthso Migrated legacy infrastructure upgrade to private cloud over 12 monthso Implemented new change management process utilizing SharePoint

Global, Us

Technology strategy, risk assessment. management, & governance. Solution architecture, design & oversight of large healthcare claims processing systems (Medicaid/MMIS/MES). Support business development initiatives, technical due diligence.Lead Java & .NET engineers, business analysts, web designers, and technical writers on delivery of large complex (claims processing) healthcare SOA web applications. Manage all facets of development. Led services development for Pega PRPC integration.Operational responsibility for production web applications & SharePoint system.Accomplishments:o Achieved MITA level 3 during self-assessmento Received bonus for managing team that consistently meeting delivery timelineso Pioneered inexpensive SEIM utilizing syslog-ng & MY-SQLo Delivered application performance management (APM) solution on-time/budgeto Led SOAP and REST services delivery team for claims processing and Pega PRPC systems.

Alpharetta, Georgia, Us

Manage offshore development projects with clients. Plan and manage project life-cycle deliverables and resource availability. Lead exploration, evaluation and design of technical solutions. Track issues, manage status of deliverables. Customer engagement management, measure account profitability and identify opportunities for account growth.

Responsible for development & deployment of medical claims processing systems. Vendor analysis & selection. Additional responsibilities include leading division architecture decisions.

Responsible for managing client software system implementation engagements, business development, leading J2EE product development.