Summary of Qualifications
Accomplished and visionary healthcare technology leader with extensive
experience in delivering enterprise software, selling and providing
professional services and leading product management. Demonstrate
exceptional ability in strategizing and applying tactics in customer
solution design, program definition, implementation strategy and project
delivery. Engaged in a wide range of strategic and tactical activities,
including sales pursuits, client management and organizational start-up
activities. Possess strong leadership qualifications; able to manage,
coach, and motivate teams in a direct and matrix fashion to perform
impressively and exceed established goals.
Areas of Expertise
V Solution Architecture
V Professional Services Practice Leadership
V Integrated Healthcare Information Systems
V Software/Platform as a Service Business Models
V Account, Program and Project Management
V Start-Up Leadership and Team Building
V Cross-Functional Communication
V First-Rate Customer Relationship Management
Professional Experience
NaviNet, Inc., (formerly NaviMedix), Cambridge, MA
Vice President of Product Integration Services Nov 2005 -Aug 2009
. Managed full spectrum of software solution development, client services
and project delivery organization responsible for configuring,
customizing and integrating administrative and clinical workflow
solutions on the NaviNet provider portal platform. Annual project
revenues generated from the managed portfolio doubled during tenure,
averaging $10 million in revenues annually. Successful implementations
fueled the national provider network development, creating the largest
healthcare information network in the United States
. Spearheaded customers' solutions management, notably HighMark Blue Cross
Blue Shield, Independence Blue Cross and Aetna and their respective
provider networks. Leveraged NaviNet's platform and solution frameworks
to drive significant ROI for both healthcare payer and provider
constituents
. Effectively led a team of 40 direct reports and 90 staff members in a
matrix reporting model, which expanded by 60 fte's in an 18 month period
responding to customer project demand, innovative R&D and operational
scale to ensure excellent user experiences
. Acted as catalyst evolving SaaS platform, solution frameworks,
implementation starter kits and customer configurations. The unified
assets served 800 thousand healthcare providers and 500 thousand end
users, processing more than 200 million real-time administrative,
clinical and financial transactions annually worth revenues valued at $35
million. Transaction volume doubled over a 12 month period(2007/2008)
. Orchestrated market assessments, buy vs. build decision making, product
planning and development of a messaging and alerts infrastructure
enabling contextual clinical message delivery and presentation. Payer
clients, notably Aetna strategically leveraged capability to deliver care
considerations, clinical alerts, personal health records and disease
management enrollment throughout NaviNet's national provider network.
Notable Achievements:
o Member of senior management sales pursuit team responsible for winning
all of NaviNet's game changing deals, notably the Aetna relationship.
Consulted as a senior solution architect responsible for business cases,
ROI models, solution value proposition and fixed bid estimation.
o Led the successful implementation of a three-year $6 million technology
investment program focusing on large scale transaction processing
growth, improving NaviNet's capabilities to scale cost efficiently, as
well as increasing reliability and flexibility
o Transformed solution and client management approach from a highly
custom, costly techniques dictated by customer orders to a more
scalable, consultative, user centric approach addressing diverse
stakeholder needs
Director of Product Management and Integration Services Dec 1998-Nov 2005
. Managed HighMark Blue Cross Blue Shield relationship over two year
period. Led NaviNet's first major client implementation effort
partnering with Accenture. Cross functional team delivered strong set of
web provider portal capabilities in 88 days from first client meeting to
HighMark's entire professional provider network. First program's success
was crucial to secure second round of venture capital funding including
HighMark's participation as an investor
. Recruited, staffed and provided functional direction to team of 25
business analysts, solution designers, project managers and design team
leaders
. Developed requirements management, project management, business analysis,
and user-centered solution design practices
. Championed user experience competencies which helped capture key user
champion buy-in and drove early adoption, sustained utilization and
channel shifting from entrenched phone, fax and EDI-based applications to
the NaviNet web portal.
. Managed product feature backlog for NaviNet platform and products,
prioritized development activities, developed product investment budgets,
and collected needs from diverse set of stakeholders
. Directed master data management/CRM technology strategy and hierarchal
entity and relationship data model. Enabling provider registry housed
over 1 million healthcare provider entities and associated payer
relationship records, anchoring the application's security model, product
deployment, sales and marketing efforts, web analytics and subscription
fees accounting.
. Designed and managed construction of e-prescribing, drug prior
authorization and formulary management capabilities in partnership with
Highmark and Medco.
. Employed as first project manager / business analyst of start-up team
prior to venture capital funding
Arthur Andersen Business Consulting, Boston, MA
Senior Manager Dec 1997-Dec 1998
. Consulted for health systems, home health agencies, DME vendors and multi
specialty provider practice clients to identify revenue cycle management
problems and formulate technology-based solutions
CIGNA Healthcare (formerly HealthSource), Hooksett, NH
Director of Medicare Systems Jan 1995-Dec 1997
. Directed business technology needs for Medicare Advantage business line;
collaborated and supported functional areas including sales, member
enrollment, claims processing and medical economics
Pyramid Software, Wilton, CT
Project Manager Nov 1993-Dec 1994
. Functioned as customer engagement leader for managed care clients and
implemented enterprise software solutions for workers compensation lines
of business
Connecticut Hospital Association Workers' Compensation Trust, Wallingford,
CT
Business Systems Analyst Oct 1989-Nov 1993
. Initiated and executed connectivity solutions to facilitate first report
of injury collaboration between injured workers, employers, providers,
and health plans
Education
Bachelor of Arts in Business Administration
Saint Michael's College, Winooski, VT