Healthcare Technology Executive, Technical Project Management

R andal M. Smith

* * ****** ***.

S an Francisco, CA 94124

* ** - *** - ****

r *****@******************.***

h ttp://www.IntegratedHealthIT.com ● h ttp://www.linkedin.com/in/randalmsmith

S UMMARY

A H ea lthcare Information Technology E xecutive with the knowledge and experience to successfully

p osition IT strategy and assets to assist an enterpris e in achieving its strategic objectives. More than 25

y ears of experience in IT, over 20 of those years in Healthcare IT. Committed to positioning IT as a

p artner to the organization, working with all departments to meet strategic objectives by creating

s o lutions that combine process optimization with technology innovations. Possesses strong leadership,

m anagement, technology, analysis, communication, team work, and customer service skills; with

r epeated success in delivering quality technology initiatives. B ridging technology expertise with

h ealthcare industry experience allows for an understanding of business objectives and an ability to

i nterpret them into technology solutions, ensuring that IT initiatives align with long - term business goals .

I NDUSTRY E XPERIENCE

E xperience Highlights

E HR Design, Customization, Implementation H IPAA Security & Privacy

M anaged Care: Claims, Membership, H ealth Plans: Medicare (RAPS/HCC),

P roviders, Contracts, B enefits, Auths M edicaid, Commercial, A CA

M eaningful Use I CD - 10 C onversion, I mpact, a nd Planning

D ata W arehouse Architecture B usiness Intelligence / Information Analysis

B usiness Analysis / Requirements R egulatory Compliance

P roject M anagement / P rogram S ystem Implementation / Integratio n /

M anagement and Governance O ptimization

E DI: HIPAA ANSI 837, 834, etc; XML, HL7, C ode Sets: ICD9, ICD10, CPT, HCPCS,

C DA, CCD, CCR, NCPDP S NOMED, LOINC, HCC

E XPERIENCE

P resident, Senior Consultant 7 /2013 - p resent

I ntegrated Health IT • S an Francisco, CA

F ounded I ntegrated Health IT i n 2013 t o provide technology consulting services to organizations in

t he health care industry .

M y experience provides in depth understanding and insights for many aspects of the industry

i ncluding health plan (Medicare, Medicaid, A CA, C om mercial), direct patient care, integrated

m odels, pharmacy, and hospital perspectives. I understand the different business models and t heir

a ssociated business c hallenges, and have extensive experience with the Medicare Advantage

R APS/HCC model. I stay current with regulatory and i ndustry trends to ensure that projects are

d esigned with future compliance and flexibility in mind.

S ample projects I have worked on for my clients include: Project management; claims system

i mplementation ( QNXT ); ACA plan implementation ( CA exchange) ; Pro vider and contract data

c onversion; EHR system upgrade readiness assessment; project planning ; p roject estimation;

v endor management; and contractor management.

D irector of IT • H IPAA Security Officer 3 /2008 - 6 /2013

O n Lok, Inc. • S an Francisco, CA

H ighest level IT executive in the organization .

P roposed, designed, and led multi - year, multi - million dollar project to replace existing, custom EHR

s ystem with commercial EHR system (NextGen) with custom enhancements. Guided project

t hrough all phases: v e ndor identification, RFP, selection, project planning and approval, d efinition,

a nalysis, b usiness process redesign/improvement, d evelopment, testing, training, implementation,

o ngoing support and development. Led organization through successful Meaningful Use Phase 1

c ertification.

R eplaced ag ing WAN with new, high capacity solution. Remodeled data center. Modernized server

a nd network architecture. I mplemented virtual server infrastructure. S tandardized desktop and

l aptop ordering procedures and system images.

D irector, Information Management Systems • E DW Architect 9 /2004 – 2 /2008

K aiser Permanente • O akland, CA

M anage d d ata modelers, data and business analysts, and program/project/product managers.

D evelop ed s trat egy for EDW business case and wo n approval fo r EDW proof of concept effort .

P artner ed w ith various business organizations to validate and prioritize EDW build, demonstrate

b usiness value, and deliver information content .

S uccessfully delivered fully integrated membership subject area, and proof of co ncept of clinical

s ubject area .

A cted in a consulting role to other business units on how EDW could meet business needs as a

s ource of integrated data.

1 /1997 – 8 /2004

T echnical Client Engagement Manager

P erot Systems • O akland, CA

( Formerly Health S ystems Design, currently a Dell company)

A s a Perot Consultant, m anaged teams of over 20 d evelopers, analysts, a nd business specialists

i ncluding clients and Perot associates, depending on project .

D esign ed c ustom application interfaces t o enable e nhance d f unctionality, i ntegrate information

c ommunication layers, a nd i mplement EDI and data warehouse interfaces f or DIAMOND claims

m anagement system.

P roject Manager for all aspects of technical implementation and r ollout of D IAMOND p roduct.

C ompleted Perot PMI - certified training for project management.

E DUCATION

U niversity of Phoenix 2 013 - 2 014

B achelor of Science, Bu s iness

C alifornia State University, Chico 1 982 - 1 986

C hico, CA

C omputer Science / P sychology

I NDUSTRY C ERTIFICATIONS

C PHIMS 2 014 - p resent

C PEHR 2 010 - p resent

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