Seasoned Information Technology (IT) professional with more than thirty-five (35) years of experience delivering results and ensuring customer satisfaction. Extensive experience at leading organizations from “idea/need through development to operations” in a variety operational settings and roles, including; Sr. Project Manager, CIO, Technical Director, Business Architect, and Sr. Consultant.

Far-reaching experience in driving successful solutions as planned and budgeted including large complex parallel projects to achieve business objective, innovation projects, and business functional solutions. Manage delivery and delivery quality using Waterfall, Agile, and more methodologies. Focus on achieving success though ensuring alignment across People, Process, and Technology. Delivery industries include: Healthcare, Telecom, consulting, government (state and federal), and education.

The following are some recent IT specific roles and functions performed;

President of Kristin Consulting, INC (6/2009 – Present)

Sr. Business Architect / Project Manager for Public Consulting Group (4/2018 – 7/2019). Lead for redesign of HIPAA Enrollment and Authorization transaction management with Managed Care Organizations (MCOs) and state governments to improve Medicaid Member data management supporting in home health services, from Enrollment to Claims. Responsible for leading NJ State and customer engagement on custom data exchange transactions, strategic approach, HIPAA design, internal integration, internal system remediation, and data quality.

Sr. Advisor / Project Manager for Massachusetts Bay Transit Authority -MBTA (7/2017 - 3/2018), led for an enterprise solution to manage/automate construction project management functions to manage $7.8B Capital Investment Plan (CIP). Assessed existing solution, performed a market scan for potential solutions, led future solution needs definition (executive and construction project levels), established solution architecture, drove structuring of project objectives, budget, deliverables, integration, and adoption for the implementation of e-Builder tool. Led separate procurements for enterprise tool selection, business process services vendor selection, and IT/integration services vendor.

Sr. Project Manager for Blue Cross Blue Shield of Massachusetts (3/2017 -6/2017). Lead for Marketing Portfolio management solution including; needs definition, marketplace assessment, and executive alignment. Led definition of selection scorecard, business value, evaluation criteria, organizational impacts, and integration needs.

Business Architect/ Project Manager for State of Massachusetts Registry of Motor Vehicles (under Accelare - 10/2015 – 2/2017), led selection and implementation of Salesforce Service Cloud for RMV Call Center. Established new strategic direction for Contact Center defining new organization goals, technology utilization, new management metrics, and alignment with new core solution. Responsible for entire lifecycle of solution, including; project structuring, proposed solution architecture, business definition, project budgeting, drove RFI and RFP procurement deliverables, vendor evaluations, supported state vendor selection, led contracting and supported Union needs. Responsible for implemented including entire business solution reengineering business processes, automation functions, budget, security, and integration (Mass IT, mainframe, and telephony) to achieve objectives. Delivered on time and within budget

Sr. Advisor/Project Manager for CareSource (6/2014 -10/2015). Lead for providing architecture and strategic consulting to implement TIBCO integration components ensuring security, flexibility, reuse, and scalability for entire lifecycle of operations. Transformed customer solution into new business integration solutions end-to-end enabling HIPAA transactions with Heath Exchanges and CMS.

Sr. Consultant/Project Manager for BlueCross Blue Shield of Massachusetts (1/2014 – 6/2014). Led several projects, including; assessment and redesign the claims rejection/ appeals processes, IT project skills and effort assignment management, and National Blue (NASCO) integration project. Responsible for solution design, project communications, timeline, and budget tracking, PMO communications, and executive communications.

Technical Director Responsible for implementation of Vermont Health Connect (Obamacare) for the State of Vermont (under CGI – 12/2012 – 12/2013). Responsible for all technical delivery including: solution, design, budgeting, planning, and technical communications. Led 6 parallel delivery teams, including; health exchange application functionality, Call Center & Call Center System implementation, reporting and analytics, integration and warehousing, infrastructure implementation, and end-to-end security and compliance for healthcare and government. Delivered complex solution on a very aggressive timeline, technical contact for VT state and CMS, managed a team of 132 staff.

Advisor/IT Architect for Tufts Health Plan (Under CGI – 12/2011 – 3/2012). Led review of Content and Document Management needs for business operations, document distribution management, and new plan product development processes. Provided solution approach and vendor market analysis. In addition, provided Mobile technology solution guidance.

Sr. Technical Architect for Cigna (under CGI 5/2011 – 11/2011). Technical Lead to redesign legacy Claims solution supporting 15 million lives. Re-designed COBOL core claims adjudication, 35 sub-systems (pre-processing, post-processing, provider contracting, eligibility verification) and drove overall SOA integration approach.

Engagement Lead/ PM for BayState Hospital (under Red Hat 2010 – 2012). Led Mobile App infrastructure and solution implementation, responsible for all aspects, including; definition, business/clinical need, mobile app development, integration with backend systems (Cerner EMR and Intersystem’s HIE), security/compliance, and executive communications. Enabled Patient and internal hospital mobile apps; Patient Data Viewer, EMR Patient Photo Uploader.

Perot Systems – Sr. Consultant / Sr. Advisor (1/2002 – 6/2009)

Sr. IT Director for Tufts Medical Center – Clinical Research Department (2008 – 2009). Responsible for research IT solutions, operations, and infrastructure planning to support department and NIH Clinical and Transactional Science Award (CTSA). Implemented collaboration solution to between clinical researchers and scientist for NIH projects ensuring security and quality for data and content exchanges. Led implementation of new data capture tools to ensure data accuracy during clinical research patient management functions, manage clinical data extracts, and ensured oversite on data end-to-end from “data collection to outcomes.”

Director / Sr. Consultant at Perot Systems Healthcare Division (2006 -2008). Responsible for Peridigm solutions – Innovative software application exchange within healthcare customers world-wide. Provided executive advisory consulting and sold technology solutions.

Chief Architect / Technical Program Manager at Harvard Pilgrim Healthcare (2002 -2006). Responsible for application architecture, integration, systems planning, IT roadmap, IT cost management, infrastructure retirement planning, end user security and Provider integration (HIPAA transactions). Lead enterprise integration business solution, enterprise IT design, project sequencing, enterprise tools; integration (Tibco), security (Netegrity), ticketing (Remedy), and operational monitoring. Managed direct team of 37 (architecture, integration, and security) and IT budget capital spend plan of $50M - $75M.

iBasis – Chief Information Officer (CIO) (5/1999 – 9/2001)

Information Technology Executive for International Voice over Internet Protocol (VoIP) Telecommunications carrier responsible for all IT department deliverables, product, services, budget, M&A decisions, and IT support.

Concert Communications (Joint Venture British Telecommunications and AT&T) Director of Business Solutions, Integration, and Web (3/1994 – 5/1999)

Led multinational PeopleSoft HRMS solution with multiple currencies and languages. Integrated 45 Telecom companies ordering and customer service systems; Award winning web solution.

Several roles in software development for consulting and internal systems

oCable & Wireless NA - Software Development Manager (1992 – 1994) –

oGTE Government Systems – Software Development Manager (1989-1992)

oInformation Management Consultants – Sr. Developer (1988 – 1989)

oInstitute of Modern Procedures – Sr. Developer (1985 – 1989)

SKILL SUMMARY:

IT Leadership managing large departments (100+) and managing projects large to small: 27 years

Responsible for IT delivery, IT strategy plan, IT budget, IT security, IT business/clinical alignment, IT ROI and investment management, and total cost of ownership (TCO) modeling: 15 years

Integration (business, process, organizational, systems, and data): 27 Years

Business driven solutions development and implementation: 34 years

Security and Compliance (HIPAA, HITECH, SOX, PCA, etc.): 25 years

Cloud, Mobile, and Internet: 25 years

Healthcare industry: 18 years

Telecommunications / International Telecommunications industry: 14 years

State Government and Transportation industry: 7 years

Healthcare Systems & standards: Cerner, EPIC, Sorian, Intersystems, Amisys Claims, NASCO Claims, Mainframe Claims/Payment systems, Lab systems; HIPAA, HITECH, HL7, FHIR

Technologies & Internet standards: Salesforce Service Cloud, TIBCO, Navision, Netegrity, PeopleSoft, Oracle Financials, Middleware, Cloud, Red Hat Mobile, SOAP, SAML, Networking

PATENTS

Co-submitter on two US Patents; currently in Patent Pending status June 2018:

Emergency Medical Services setting, dynamically managing the routing patients to appropriate medical facilities based on their health plan, medical condition, traffic, and additional factors.

Blockchain enabled solution for data exchange between organizations of Patient identifiers (healthcare and non-traditional healthcare) and healthcare transaction summary data.

EDUCATION

Graduate Study in Information Management (92 – 94) at GW University

B.S., Computer Information Systems, Ferris State University, Big Rapids, Michigan, 1984.

Contact this candidate