Sector Experience

 
Healthcare
Business Services
Social & Public Sector
Technology
$31.1K

Total Earnings

4
hours

Avg Response Time

4
jobs

Jobs Completed

444
hours

Total Hours Logged

Experience

 
 
Start-Up
Payformance Solutions (Start-Up) - Product Development/Strategy
09/2017 - 03/2018
Defined concepts, analytic insights and user functionality needed to demonstrate the alpha/beta SaaS product concept to enable value-based contracting using Prometheus bundled payment analytics. Defined and documented product/data requirements to enable insightful analytic views/visualization views using D3 and Plot.ly. Oversaw and led both the UI/UX and Technical development teams for initial prototype product development.

 
Start-Up
Gray Matter Analytics - Sr Engagement Manager
04/2015 - 04/2017
Strengthened a start-up company's consulting delivery reputation by delivering initial projects for high profile clients consisting of Kaiser Permanente, Carolinas Healthcare, and BlueShield of California. Developed custom project delivery methodology from the ground up while leading and mentoring teams of contracted resources. Successfully delivered over $3 million of analytics strategy, JV due diligence/commercialization and information management consulting engagements.

 
Start-Up
Whitaker Kinne Advisory - Consulting Manager
12/2014 - 02/2015
-Responsible for developing informational and investor presentations for a proposed physician owned Accountable Care Organization (ACO).
-Researched, identified and documented ACO market trends, ACO gain-share models (both commercial and government), governance structure, regulatory and compliance requirements, attribution models, care models and other relevant components of establishing an ACO.
-Worked with the executive team to define and create key documentation to educate investors

 
Corporate Strategy & Development
AIM Specialty Health (An Anthem Subsidiary) - Product Director
11/2013 - 12/2014
Worked with the medical director to develop the strategic product roadmap, business cases and enhancements for the Radiology Benefits Management (RBM) Product. Researched, identified and developed multiple intervention models to identify new methods of additional RBM value creation. Identified internal clinical adjudication improvement opportunities using data-driven analytical approach. Developed and documented new business model approaches for new market segment expansion.

 
Management Consulting
Accenture - Manager
09/2000 - 06/2007
I had the opportunity to work with most of the leading Health Insurance Organizations to include 4 Local Blues Plans, United Healthcare, Aetna Healthcare and Walgreens. My breadth of experiences spanned across multiple facets of managed care operations and information technology to include Informatics, Claims Payment Accuracy, Medical Cost Containment, Strategic Planning, and Systems Design for key healthcare processes targeted for members, providers, and employers.