Post Job Free
Sign in

Management Customer Service

Location:
Lewis Center, OH, 43035
Posted:
October 08, 2010

Contact this candidate

Resume:

Scott A. Clark

**** ****** ****** - ***** ******, OH 43035

***/***-**** (H)

*******@***.***

* *********** ********** ************

SUMMARY OF QUALIFICATIONS

Management and IT professional with over 20 years of varied and progressive

project management, architecture, application development and networking

experience with mainframe based legacy systems and distributed multi-tiered

applications using .Net & J2EE technologies. Exceptional communication,

leadership and organizational skills. Core competencies include:

Systems Architecture ? Business Intelligence ? Program & Project Management

Data Warehousing ? Network Administration ? Enterprise Application

Integration

eCommerce ? Relationship Management ? Enterprise Resource Planning ? IT

Strategy

Business Process Outsourcing ? Policies & Procedures ? Capital Budgeting

Information Security ? Product Development ? Vendor Management

ACCOMPLISHMENTS

Provided principal design leadership and project management to add Worker

Compensation support and capabilities to the firms case management

platform.

Spearheaded IT delivery of new Disease Management and Wellness as part the

firms medical management portfolio to support our managed care customers.

Reduced on-going IT labor expenses by 35% by consolidating vendor

relationships and in-sourcing key expertise.

Expanded application support and customer service activities to include

1,000+ users in 40 states.

Decreased operational costs by $3 million through the development and

implementation of a workflow automation system.

Increased productivity by 20% through the creation of a real-time

transactional processing system.

Established architectural policies and roadmaps to integrate enterprise

application, database and network infrastructures.

Led implementation of SDLC methodologies and IT governance policies

resulting in improved efficiencies, customer satisfaction and growth

opportunities.

1 PROFESSIONAL EXPERIENCE

2

American Health Holding Inc.

1 COLUMBUS, OHIO AUGUST, 2007 -

PRESENT

Director, Information Technology

Leading a team of Software Engineers and Database Administrators to support

the organizations on-line proprietary medical management application suite.

Responsible for IT related product development and application delivery to

Preferred Provider Organizations and Third Party Administrators.

Collaborated with Sales, Marketing and Operational Units to design, build

and deliver new Disease Management, Wellness and Lifestyle Management

functionality within the enterprise transaction processing system using MS

Visual Studio .Net and MS SQL Server.

Drove the effort to incorporate Workers' Compensation processing into the

firms core case management system with integrated support for third-party

claims platforms, medical providers and official case / claim related

documents like the First Report of Injury (FROI).

Expanded system to include electronic medical record (EMR/EHR)

functionality with the addition of medical claims, prescriptions, health

assessments and laboratory results in compliance with Health Level 7 (HL7), Logical Observation Identifiers Names and Codes (LOINC) and National

Council for Prescription Drug Programs (NCPDP) standards.

Lead development of online application to facilitate search of a patient's

prescription drug history that listed pharmacy, prescriber and National

Drug Code (NDC) information.

Provided key leadership and oversight for the development of a Business

Intelligence & Analytics framework using MS SQL Server and Reporting

Services

Incorporated support for third party Durable Medical Equipment (DME / HME)

fulfillment and device telemetry into the firm's Case Management system

using XML messaging over Web Services.

Established 24/7 production support framework and quality control

initiatives in compliance with Utilization Review Accreditation Commission

(URAC), HIPAA and Sarbanes-Oxley (SOX 404) regulations and standards.

2

3

4 Dedicated Technologies Inc.

Nationwide Mutual Insurance Co.

5 COLUMBUS, OHIO 2006 - 2007

Senior Consultant

Senior consultant leading a team of developers and other technical

personnel to deliver solutions for the Personal Lines business unit.

Responsible for planning and delivery of enhancements to the core auto

policy processing system.

Successfully completed implementation of the multi-year auto policy project

that incorporated Business Performance Management (BPM) including Metrics /

Analytics, Data Mining and Document Delivery as part of the millennium

actuarial segmentation initiative using Hyperion / Brio and Clarity PPM

software.

Established IT Planning Framework with ESDm, SDLC guidelines coving

Resource Alignment, Demand Management, Portfolio Management and Application

Roadmaps.

Led successful effort to delivery high-impact customer-service IT solutions

for Nationwide's $8B Auto book of business across multiple development

teams and was responsible for Relationship Management, Project Initiation

and Portfolio Governance as well as end-to-end Life Cycle Management.

6

7 Citi (formerly The BISYS Group, Inc., Investment Services)

8 Columbus, Ohio and Dublin, Ireland 1998 -

2006

Director, Systems Architecture

Successfully managed and provided oversight to multiple teams of

Architects, Project Managers, Analysts and Software Engineers. Responsible

for aligning current, future and emerging technology related product and

service offerings to strategic objectives of multiple business lines.

Established Systems Planning department to identify process improvements

and operational efficiencies to aligned IT systems and architecture with

strategic initiatives across multiple lines of business, developed IT

governance framework for the Systems Development Life Cycle (SDLC) and

Agile methodologies using ATAM, CMMi, RUP, UML protocols, and recruited and

staffed team of Systems Architects to define product and service offerings

and vendor sourcing options.

Spearheaded a process improvement initiative to create a web based

liquidity trading system that allowed Trust and Institutional investors to

perform account inquiry and trading functions that enabled on-line

portfolio asset management. The system used Java, MS Visual Studio .Net,

C#, Visual Basic, MS SQL Server, Oracle and IBM WebSphere MQ.

Led the design and engineering process for a web-based Call Center portal

to allow quick retrieval of document imaging archives and increase

beneficiary and shareholder service levels and point-of-call efficiency

using MS Sharepoint Server.

Engineered and implemented an Enterprise Data Warehouse (EDW) that

integrated various disparate applications and environments across multiple

lines of business into a shared data repository. Core components included

MS SQL Server and IBM WebSphere MQ.

Created a multi-tiered, web-based Business Intelligence solution that

provides on-demand, self-service based sales force, operational and

management reports using the Actuate eReporting System, Tomcat, DB2, SQL

Server, MS Internet Information Server (IIS), JSP and JDBC.

Developed Service Oriented Architecture (SOA) that enabled data exchange

with leading CRM providers including SalesFocus (MARS) and AccessData

(SalesVision) using SOAP / XML.

Designed and implemented an Integrated Data Services model that facilitated

information exchange between disparate systems. The platform is the

principal element in the organization's Enterprise Application Integration

initiative and includes a comprehensive set of Metadata, Data Marts,

Operational Data Stores (ODS), Application Program Interfaces (API's) and

Business Intelligence reporting.

Planned and selected new technologies to streamline existing Extract

Transform and Load (ETL) processes for both paper-based and on-line

statement and billing presentment.

Partnered with internal audit to develop policies and departmental

guidelines covering software development, system administration and change

management (region migration) that ensured compliance with SAS 70, Sarbanes-

Oxley (SOX 404), OFAC and the PATRIOT Act.

Coordinated the activities and provided guidance to domestic and offshore

software engineering and architectural teams supporting business needs in

the U.S., Asia and Europe.

Nationwide Financial Services, Inc., Nationwide Mutual Insurance Co.

Columbus Ohio 1997 - 1998

Systems and Programming Division Manager

Reported to the Director of Development leading the Year 2000 effort for

P&C Systems. Successfully led and managed development staff and related

activities of twenty programmers and support personnel.

IMPLEMENTED A TRANSACTION BASED INTERFACE BETWEEN CORPORATE COGEN DB2

DATABASES AND REMOTE ISAM II BASED SYSTEMS UTILIZING FRAME-RELAY

CONNECTIVITY, COBOL AND WEBSPHERE MQ MIDDLEWARE.

Coordinated development of the interface between legacy CRM front-end with

a Siebel back-end solution supporting insurance agent quote and claims

activities.

Responsible for $3 million annual vendor contracts and outsourcing

relationships.

The Ohio State University, University Hospitals, College of Medicine

HEALTHCARE RESEARCH SYSTEMS, LTD.

1 COLUMBUS, OHIO 1993 - 1997

Manager, Information Services

Responsible for all departmental information technology requirements

including network design and administration, strategic planning and

budgeting. Managed IT staff and related activities for a department of

eight programmers and support personnel.

Managed overall statistical analysis and reporting activities comparing

medical discharge data with patient outcomes for insurance carriers,

managed care organizations and care provides using SPSS.

Provided Internet connectivity via e-mail, HTTP, FTP and TCP/IP services

through Cisco Routers, MS Windows NT, Proxy / Firewall & IIS Server(s).

Implemented a highly scalable, low cost Wide Area Network linking corporate

offices with remote call centers for data traffic utilizing Frame-Relay and

T1 capable routers.

Engineering the conversion of the company's legacy Foxpro RDBMS to a robust

client/server based system using Oracle and Java that will allow the

organization to grow to a $30MM enterprise within 5 years.

Reduced IS support staff by 20% while supporting a 150% increase in

business revenue.

Superior Metal Products, Inc.

2 LIMA, OHIO 1990 - 1993

Software Engineer

Reported to the Director of Information Systems of a $50MM manufacturing

and metal stamping organization. Responsible for software development,

application support and software upgrades.

Development and maintained a XBase application and database that provided a

catalog of parts and sub-components from which bar-coded shipping labels

could be generated.

Provided support to mainframe and data center operations including WAN

connectivity.

EDUCATION

MBA, Ohio Dominican University, Columbus, OH

BS, Management Information Systems, Bowling Green State University, Bowling

Green, OH



Contact this candidate