Gary Hopkins

**** *. ******* ***** ***: 520-***-****

Sierra Vista, AZ Email:

abg2qm@r.postjobfree.com

85650

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Globally experienced manager specializing in all aspects of technology

infrastructure

Areas of expertise/knowledge include:

Aviation and Military management

Contract GAP analysis and negotiation skills

Contractor management

EDI development/mapping

Electronic Data Interchange (EDI) management

Financial applications management

Focal point financial reviews, quarterly, yearly, multi-year

Future Mid level management State review and guidance

Global staff management

HIPAA management and development

Large company multi site management (excess of 50,000 staff)

Mid level management

Middleware management

OSHA

Project management

Q/A development/testing

Senior level management

Site Decommissioning

Test and Implementation processes

Web/Portal Management (Java, HTML, HTTP, AIX, IIS, .NET, Virtual servers)

Dell; Stanford University Medical Hospital and Clinics

Manager, Patient Financial Applications 01/2010 - 4/2011

Manage over 60 financial and non financial application impacting

institutional, and professional billing organizations.

P&L manager: monthly, semi-annual, annual estimations and budget planning

for staff of 10 associates. Asset management; phones, pagers, air cards,

etc., training, trips, or any funded and budgeted activity impacting the

patient financial annual allowance.

Oversight of EDI 5010 transaction conversion and ICD-10 upgrades impacting

the financial applications used by Stanford from currently used 4010.

Oversight and weekly meetings with business clients dealing with 835 and

837 financial impacts to Hospital Billing and Patient Billing activities.

Evaluate electronic feeds in from and out to business partners (BC/BC,

Medicare, Cirius, clearing houses, etc.) for future upgrades, internal

process modifications or newly introduced applications impacting electronic

feeds such as EPIC distributions vs. SMS feeds.

Contractor management: Direct oversight in the utilization of placement

agencies in the use of contract support used to augment current staff for

SMS/Invision daily activities as well the decommissioning of SMS and

movement off from current mainframe.

Project Management: responsible for coordination of small to mid size

project ranging from 16 hours to 500 hours. Work with Stanford Planning

directors to set expectations, coordinate vendor support, in house support,

and support budget.

Dell/Perot Systems; Catholic Healthcare West (CHW)

8th largest non-profit hospital chain in the United States, 70K plus staff,

43 hospitals

Sr. Manager, Integration Service & Client Services 10/2008 - 01/2010

Responsibilities:

Global Help/Service desk: Established the first decentralized Global

service desk delivering tier 1 and 2 level support for clinicians and

internal and external support staff, CHW partners, and contract agencies.

Contractor management: Direct oversight in the utilization of placement

agencies in the use of contract support used on the help desk for tier 1

and 2 support.

Project Management: Key stake holder and project manager in a multi-million

dollar project to departmentalize help desk activities to a globally

centralized leveraged service desk residing in India which provides 100%

service desk support of the clients 43 hospitals, associated clinics

consisting of over 70,000 staff.

P&L manager: Responsible for all budgeting and expenses for the

help/service desk staff and services (over 60 direct staff members).

Sr. level Liaison: Responsible for process improvements, training, customer

support, escalation and remediation of clinician, and support staff issues

between client and support partner (Dell/Perot Systems)

Worked with CHW Managers, Directors, and Vise presidents daily in providing

99 to 100% uptime 24x7 for tier 1 and 2 level help/service desk related

issue resolution, maintained 100% SLA for 43 hospitals throughout AZ, NV,

and CA.

Worked with CHW and Internal Sr. Managers for critical application role out

projects in support of primary care activities to ensure 100% work flow

process was covered as it entered the help/service desk, service

management, security, and networking activities.

Critical part of the decommissioning of on shore help desk and in

development of GAP analysis used to migrate support of help desk services

to an off shore leveraged service desk, including staffing needs, critical

documentation and update repository, project engagement, internal training

of supported applications, network setup, communications setup,

decommissioning requirements; including customer acceptance testing

requirements and involvement.

Accomplishments:

Migrated 100% of CHW's local help desk operations to new global centralized

service desk operations facilities located in India leveraging multiple

redundant sites and reducing CHW's contract cost for labor by more than

25%.

Managed the decommissioning of local service desk consisting of over 60

staff members, hardware/software inventory turn in, shadow training,

development of a document repository for application support, and budgetary

recalculation for new service desk staffing as part of a centralization of

services to India.

Manager, Web Development and Application Support 5/2005 - 10/2008

Responsibilities:

Web and Portal project management: Responsible for all aspects of web

projects for CHW.

Web and Portal application management: Responsible for all aspects of web

and portal application management and support, including the development of

internal/in-house based proprietary applications used by corporate and

hospital environments, and portal access points.

Web and Portal infrastructure management: Responsible for all aspects of

web and portal middle ware and hardware support and development activities

for web based applications which operated from IIS, AIX, or .NET servers.

P&L management: Responsible for financial, inventory, training, travel,

etc. for web team.

Oversight and implementation of Virtual environment (virtual servers) for

CHW

Accomplishments:

Implemented CHW's first CMMI level 3 web and portal team certification, the

web team was used as a template for other areas to become certified.

Managed the development of multiple portal access point used by clinicians,

doctors, and patients to access personal information, peer evaluation and

collaboration, and internal medical discussions.

Provided complete life cycle project management for web based projects

ranging from $10K to over 3M and 1 week to multi year.

Streamlined web based middleware to provide more secure, faster, and more

dependable connectivity through use of virtual servers and advanced IIS

based servers and services.

Interim Sr. Manager, Integration Applications and Web 11/2004 - 5/2005

Responsibilities:

Oversight and management of integration applications (all clinical

applications flow process through middleware translation engine (NEON), and

external processes flows for all CHW facilities.

Oversight of and engagement with escalation issues associated with

application risks, or mitigation activities associated with production

processes or changes being implemented through normal change protocol.

Web and Portal project management: Responsible for senior level oversight

of integration based project including global resources.

Web and Portal application and infrastructure management: Responsible for

the oversight and stakeholder acceptance of all new development, budgeting

associated to project activities, global staffing near shore and off shore

and stake holder overview.

P&L responsibility and oversight: Responsible for financial accountability

of staff and equipment.

Accomplishments:

Assumed responsibility for oversight of an ongoing high risk multi-million

dollar project to replace the existing integration engine with new IBM

solution impacting all hospitals and vendors.

Assumed responsibility for reporting and collaborating with the board of

directors and stake holders regarding ongoing projects, staffing

constraints, SLA, and risk mitigation for all integration and web based

activities.

Provided financial updates, and estimations for FY05 as well managed the

remainder of FY04 Q4 activities for the integration and web services

divisions including bonus and merit increases.

Specialist, Applications Development 6/2004 - 11/2004

Responsibilities:

EDI analyst: Responsible for vendor provisioning and set up as a client of

CHW

Connectivity management: Responsible for the set up of various electronic

transaction sets through the Lawson interface to Value Added Networks

(VAN), FTP, and Tunnels.

HIPAA Q&A: Responsible for quality and assurance of electronic transactions

used by CHW and its vendor in compliance with HIPAA regulations (claredi).

Accomplishments:

Assumed primary management responsibility for the test development of a

newly designed IBM Web sphere product and Enterprise Integration Broker

being implemented to replace existing integration translation engine.

Designed and implemented all test procedures used for 100% of the clinical

applications being impacted by integration engine upgrade to including

being a stake holder in roll out criteria.

Primary EDI developer through the use of Lawson ERP solution providing set

up procedures, management of CHW partners transaction development, testing,

and acceptance, work with financial institutions for payment transactions,

value added networks, FTP teams, and direct connections through point to

point tunnel.

Provided HIPAA certified compliant transactions for 100% of electronic

traffic containing sensitive or personal information for CHW though

individualized analysis of transactions and established testing procedures.

WellPoint

Blue Cross of California

Lead/Senior Business Systems Analyst 1/2004 - 6/2004

Responsibilities:

Primary lead for Senior Secure and State Sponsored Programs (SS/SSP) for

the state of CA.

Accomplishments:

Lead a team of 6 contractors in the coordination, testing, and

implementation of four unique projects (Auto Deductions, Accumulator

development, Lesser of Pricing, and Claims Examiner Activity Reports).

Responsible for development of ROI (Return On Investment) and PMM manuals

for each of the four projects to be used in the execution of the project.

Coordinated with PM in the development of milestones, and timelines for

each phase of the four projects, including stake holder evaluation and

approval engagement.

Provided analysis of claims process for re-engineering and revitalization,

regression testing of transactions identifying areas of weakness associated

to manual adjudication processing.

Responsible for the oversight of the data base mapping and claims keying

used in regression testing process for Texas Clean Claims, UniCare, PPO,

HMO, rental networks, and ITS.

CareFirst (BC/BS of Maryland) 5/2003 - 12/2003

Claims Project Manager/HIPAA BA (Claims)

Responsibilities:

Project Manager; Responsible for claims processing, training, coordination

and documentation efforts in MD, DC, DE, PA, and WV facilities to meet

mandated HIPAA compliance regulations.

Business Analyst claims and remittance processing; review and develop new

procedural protocols.

Accomplishments:

Developed and implemented a cohesive project plan aligned to government

mandated deadlines (10/16/03) for the implementation of the Health

Information Portability and Accountability Act (HIPAA) for the twelve BC/BS

claims areas for the eastern region within a very confined window of time.

Managed the development and restructuring of claims processes through

direct engagement of the claims management and SME providing critical GAP

analysis of existing claims processes into new conforming claims that still

met the internal BC/BC guidance.

Managed the development of future state claims and remittance submissions

processes for each of the regional sites, SOPs, and policy and procedures.

Created and managed the implementation of all sign off procedures as well

all Technical and UAT testing procedures.

Insight Enterprises 2/2002 - 5/2003

Manager, Applications Programming

Responsibilities:

Responsible for maintaining, developing, and upgrading internal integration

engine, EDI and proprietary "basic" code, and web based codes used for

daily operations.

Responsible and accountable to executive management for all staffing, HR,

and financials.

Responsible for all vendor support activities, access, upgrades.

Responsible for shutdown procedures of existing proprietary ERP integration

engine to new SAP based engine as part of the "Comark" acquisition.

Accomplishments:

Successfully streamlined weekly system and application upgrades through the

use of bi-weekly review meetings, these meeting require peer review of all

coding changes, then leadership review with developer walk though of actual

changes and UAT results.

Successfully maintained high staffing readiness during transition to new

SAP ERP solution which required staffing roll off upon completion of

transition from Jan 03 to May 03.

Successfully migrated 100% of the existing applications, and internal

proprietary based code sets to the various SAP equivalents. This effort

had critical implications as this area maintained the bulk of the

approximately $4 billion in annual revenue passing through all transaction

sets, FTP process, tunnels, and any other one off point to point and frame

relay based solutions held with vendors and customers.

CareFirst (BC/BS of Maryland), 1/2001-1/2002

HIPAA EDI Mapping Developer/Privacy Analyst

Responsibilities:

Development and implementation of HIPAA EDI Map sets 270, 271, 276, 277,

820, 834, 835, and 837 (Prof, Inst, and Dental using Sybase ECMap 2.8.3

translation software (Cobol copybook).

Developed maps to accommodate various conditions dealing with Provider,

Subscriber, PAY-TO and BILL-TO Provider information needed to identify

multiple conditions dealing with batch processing of claims.

Developed Standard Operating Procedure for CareFirst EDI mapping, setting

up and present milestone project list for map development, testing, and

implementation

Responsible for privacy GAP analysis for entire CareFirst core including

Maryland, Washington DC, Virginia, West Virginia, and Delaware, training

CareFirst personnel on usage of HIPAA implemented policy. Responsible for

identifying and escalating probable privacy problem areas falling outside

of the rules listed in the HIPAA compliance guidelines.

Accomplishments:

Analyzed and implemented transaction sets to be used within the CareFirst

environment for accurate and precise implementation into CareFirst COBOL

based legacy back end. This included identifying field location, data

length, and type to be used to match each database back end so that

internal conflict does not cause an error in the file translation.

Successfully trained all internal staff utilizing Xpediator software to

develop and comprise questionnaires with over 1000 applicable HIPAA based

questions impacting areas of privacy and privacy violations.

Pinnacle Technology Resources 5/1999 - 12/2001

Senior EDI Programmer

Responsibilities:

Primary responsibility was to review, and analyze a customer's business

need and return recommendations to internal management as well customers

and stake holder on proposed solutions.

Liaison to and from customers on staffing needs, new development, project

planning needs.

EDI developer/programmer

Accomplishments:

Developed and implemented EDI, B2B,and B2C solutions for primary customers

in ANSI X12, EDIFACTS, COBAL through use of Sterling Gentran, Sterling

Connexion, Harbinger/Inovice trusted link enterprise, Mercator, SAP,

Sybase, and smaller electronic data solutions

Successfully implemented EDI solutions and/or provided lead level support

and technical expertise on existing infrastructures for 3 major companies;

Direct Alliance Corp, Wells Fargo, and Compaq Corp. as well various smaller

organizations.

Clients engaged with and position:

Compaq Computer Corp

EDI programming, Project Lead

Maintain the SCO Unix environment running Sterling Mentor 1.7.1 software on

six Compaq True Line 64 bit servers? (Formally DEC Alpha), while migrating

to Sterling Gentran NT.

Direct Alliance Corp,

Senior EDI Lead

the Lead EDI Programmer for the development, testing, and implementation of

the IBM's trading partnerships running to Scotland, France, and Australia

for sales running through Direct Alliance using EDIFACTS D97A/B standards.

Wells Fargo Bank

EDI Programmer

Responsible for evaluating the existing Sterling Gentran Mentor (for

mainframe) EDI maps used at Wells Fargo in various ANSI versions from 2003

to 3050 and for Financial Electronic Data Interchange (FEDI), or to the TSI

Mercator software version 1.4.2.

Sterling Commerce Corp. 12/1997-5/1999

EDI Consultant/EDI Mapper

Responsibilities included the installation and configuration of Gentran

Server software in various UNIX system environments, including setup of the

intelligent agents, message queues, error handling environments, and flows.

Responsible for EDI coordination of client site and trading partner

relations, i.e., mapping data type and communications, maintaining contact

and phone listings, directing test procedures between client sites, VANs,

and trading partners, and various other functions. Responsible for mapping

inbound and outbound data used by Gentran Server software to include ANSI

Standard versions 2001, 3010, 3020, 3030, 3040, 3050, 3060, 3070, and 4010.

Over 50 mapped transaction sets including 810, 820, 824, 830, 850, 852,

855, 856, 860, 861, 864, and 997.

Major Clients were:

Pairgain Technologies - Orange County CA

Texas Instruments - Dallas Texas

Continental Tire Corp. North Carolina

ManTech Corp. 6/1995-11/1997

EDI Test Supervisor

Responsible for programming and direct connection of current and future

VAN's UNIX based computer systems to interface with the Government EC-EDI

Test Bed, and ECPN Mega centers for certification and authorization to be

added to vendor's listings for automated contracts, via FTP, and SMTP

communications.

United State Army Retired 6/1980 - 6/1995

Sergeant First Class (SFC) Aviation

Responsibilities:

Senior non commissioned officer overseeing multiple organizations within

the United States and Abroad.

Responsible for troops in excess of 60 to 180 based on assignment

Responsible for operational readiness of aircraft, systems, support

equipment, maintenance programs, and all regulatory adherence (FAA, or

government mandated)

Adherence to all DOD regulations (TAMMS, and Army Aviation Maintenance

Procedures)

Accomplishments:

Successfully graduated from the Army basic and advanced non commissioned

officer leadership courses. These courses groom military leaders to take

on advanced leadership roles.

Provided direct oversight of a platoon and a company of enlisted personnel

in support of over $2 billion dollars worth of inventory; 4 primary

aircraft types, motor pool, and support equipment.

Primary Test and evaluation manager for the Army's first Unmanned Aerial

Vehicle (UAV) test creating the first "Hunter" program and creating the

Army's first UAV Company.

OSHA certified in Aviation safety. Lead Aviation Safety program while

serving in Korea inspecting and certifying compliance for all aviation

companies within Korea from 2004 to 2005.

Other Accomplishments:

Passed private pilots course for single engine aircraft with a 4.0 grade

average (Cochise College)

Passed A&P (airframe and power plant) course with a 4.0 grade average

(Cochise College)

Aviation Mechanic on OV1, UH1, UH60, U8, U21, C12, T42, and 310 aircraft

for 8+ years

Safety NCO for UAV tests on McDonald Douglas/Israeli air competition in

2002/2003 at Fort Huachuca, AZ.

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