Management Services
Resume:
SETH A. KAPLAN
****@****.*** *** Moorefield Road SW, Vienna, Virginia 22180 cell: 571-***-****
www.linkedin.com/in/sethkaplan/
P ROFILE
Experienced Healthcare CTO, Operations Executive, Product Manager, Consultant, and IT Strategist. Demonstrated
success supporting and delivering sophisticated, innovative and revenue-generating software solutions and services
that strategically position healthcare companies for lasting success. Identifies and translates business needs into
revenue-driving products and services, executing ambitious market-entry strategies and effective product
management. Adept at cultivating alliances and assembling teams to foster growth. A change agent, capable of
critically evaluating and responding to rapidly evolving environments for achieving growth and enduring stability.
E XPER IENCE
C H I E F T E C H N I CAL OF F IC E R, M O L I NA H E ALT HCA RE, I NC. (N YSE : MOH)
H E R N D ON, V I R G INI A & LO NG B EACH, CAL I F O RN I A 2 0 1 0 -P RE SE N T
Molina is a Fortune 500 company, a leading insurer and provider of clinical and health services for low income and
disadvantaged individuals. As CTO, Seth plays a critical role in steering the $180M IT budget. Provides strategic vision
and hands-on leadership, working closely with health plans to set the technical direction for product and services
development, identifying and rationalizing new business opportunities, and assuring the IT software and services
portfolio aligns with business needs. Leads IT strategy, technical operations and governance, technical architecture,
and emerging technologies (R&D). Oversees all aspects of technical operations and project management. Partners
with business units to apply innovative technical solutions that drive internal efficiencies and create new or widen
existing market opportunities. Positions Molina as a thought leader at the cutting-edge of the healthcare industry
through forging relationships with outside industry leaders. Speaks and presents at several CTO, CIO, healthcare, and
technology conferences. Currently co-chairs the SoCal Chief Data Officer Executive Summit (http://www.evanta.com/
cdo/summits/southern-california).
• Established the member and provider web portal strategy, CRM and telehealth strategies. Devised applications to
capture new markets such as Meaningful Use, Member Notification, Pharmacy Utilization and Drug Rebate.
• Pioneered and implemented the enterprise strategy for converged infrastructure services, including data center
virtualization and enterprise monitoring services, reducing data center power and space requirements by 45%,
server time-to-deploy by 43%, and support labor by 27%.
• Formed the enterprise strategies for Master Data Management (MDM), Social Media, Mobile and Mobile Device
Management, Knowledge Management, Collaboration, Agile Scrum, IT Service Management (ITSM), Service
Oriented Architecture (SOA), Health Information Exchange (HIE/HIX), Transition Care Notification, and Bring Your
Own Device (BYOD) BYOD alone eliminated $4.3M in service contracts and generated a 38% increase in
collaborative productivity (conference calls, emails, document sharing).
• Generated 22% reduction in IT operating and software development costs by authoring Molina’s Enterprise
Technology Standards & Roadmap and implementing product governance and IT project management controls.
Established the Architecture Review Committee (ARC) to conduct technology evaluations and ensure standards
compliance. Crafted a consolidated software vendor license strategy, including renegotiating key vendor contracts,
generating 12% reduction in enterprise IT licensing costs.
• Introduced the Molina Mobile Healthcare product catalog along with several tools, including the Molina Mobile Care
Management and Health Assessment Tool (mCare for nurses), Mobile Drug Formulary System (for care management
providers), and the Keep-In-Touch wellness program (mobile phones available to over 1M members nation-wide with
an SMS-based alerting and notification system).
Seth A. Kaplan Resume ****@****.*** 571-***-**** Page 1
D I RE CTO R OF IT STR ATE GY, P R O D U CT P L AN N I NG & D E V ELO PM ENT, UNI SYS CORPORATI ON (NYSE: UIS)
R E STO N, VI RGI NI A 2002-2010
Unisys Healthcare Information Management (HIM) division acquired by Molina Healthcare in 2010. Hired to define the
technical architecture, operations and implementation strategy to replace Unisys’ stagnant and aging mainframe-
based Medicaid Management Information System (MMIS) business, and position Unisys to capture emerging markets
in the Fee For Service (FFS) healthcare arena. Established and oversaw operations and call center capabilities.
• Produced the industry’s first next-generation MMIS and had responsibility for technical sales and proposal
development. Played a key role in capturing significant new contract awards in West Virginia ($63M), Maine
($179M), and Idaho ($167M). By 2007, Unisys was the third largest FFS provider in the United States, adding over
12M new members and 6M additional providers.
• Continued to oversee product governance, technical operations and product innovation. Established the Unisys
healthcare software R&D (“Skunkworks") program. Grew Unisys healthcare central engineering team 1500% from
2002, maintaining profitability and growing operating margins. Pioneered Unisys’ enterprise strategy for utilizing
offshore labor and played a key role on the Unisys enterprise collaboration steering committee.
• Managed the technical design, implementation and operations of the MHS RITPO (Medical Health System
Resources Information Technology Program Office) a highly complex and distributed healthcare network for the
for the US Department of Defense that enabled accounting of over 1,100 US military fixed healthcare facilities.
• Led the design and rollout for several claims management periphery systems, including member web portal,
provider enrollment, X12/EDI, eligibility, OCR, call center, claims management, wellness, analytics and reporting.
• Facilitated the sale of Unisys HIM to Molina Healthcare in 2010 and promoted to CTO of Molina Healthcare.
D I R E CTO R O F T E C H N OLO GY, COG NI ZA N T TE CH N O LOGY, I N C. (N YSE : CTS)
T E AN EC K, NE W J ER SEY 2001- 2 0 0 2
Cognizant is a CMMI level 5, publicly traded and leading global provider of information technology, consulting, and
business process outsourcing services. Accountable for driving large-scale, enterprise development, support, and
legacy conversion projects. Provided expertise in project planning, product execution, and business development.
Mentored teams in architecture, cost estimation, and design. Delivered hands-on guidance to technical architecture
and development teams, guiding operations teams for more effective governance. Demonstrated expertise for
working with early Internet startups and well-established businesses in healthcare, financial, travel, restaurant and food
services and aided clients in identifying early-entry market opportunities that converted into successful business
development opportunities. Devised and productized B2B data interexchange systems for travel intermediaries along
with a successful professional services solution. Implemented the global supply chain management Intranet for
Darden Restaurants and subsidiary brands.
C H I E F A R C H IT E CT, SI LVER L I NE TE CH N O LO GI E S, I NC.
E D I S ON, N E W J ER S E Y & JAKARTA, I N DO NE SI A 2 0 00-2001
Silverline Technologies was a leading global technology services provider of IT solutions and outsourcing services with
specific focus and expertise in B2B e-commerce, CRM, and legacy transformation. Directed the design and oversaw
development of IT solutions across a variety of industries including financial, public relations, supply chain, and
logistics. Architected and directed development of the largest logistics management and supply chain tracking system
in South-East Asia for First Pacific Company (region's largest food commodity importer, manufacturer, and retailer).
Designed real-time inventory, ordering, and parts tracking system for large-scale electronics manufacturers, Arrow
Electronics and 3Com. Spearheaded content and knowledge management systems overhaul and implementation for
Burson-Marsteller (division of Y&R) and PricewaterhouseCoopers. Directed development and implementation of the
world's first international B2B Internet wholesale banking exchange for Bank Central Asia (BCA).
Seth A. Kaplan Resume ****@****.*** 571-***-**** Page 2
A S S O C I ATE LE V E L II I, B O OZ AL L E N & H AM I LTON, I NC. (N YSE: BA H)
M C L E AN, V IRGI N IA 1996-1997 & 1998-1999
Booz Allen is a leading provider of management and technology consulting services to the U.S. government in the
defense, intelligence, and civil markets. Consulted for J33 CSOD (Joint Staff Department, Pentagon) to establish the
Global Command and Control System (GCCS) and devised the software system responsible for managing the
acquisition process of on-boarding inter-agency programs. Consultant member of the GCCS stand-up team to General
Reimer, 33rd Chief of Staff of the U.S. Army. Played a key role in acquiring contract awards from the U.S. Defense
Information Systems Agency (DISA) to design and manage the Defense Information Systems Network (DISN), and led
design of the SONET ring architecture and encryption protocol comprising the DISN, SIPRNet and NIPRNet backbone.
Spearheaded architecture design and guided the implementation of Integrated Asset Management System for the
Defense Logistics Agency (DLA), providing logistical readiness information, subsistence asset visibility, and OCONUS
vendor logistical capabilities and services in support of Base Realignment and Closure (BRAC) and the new Defense
Supply Center Philadelphia. Responsible for design and implementation of the U.S. Army National Guard Distance
Learning Network (ANG DLN), the largest learning management and content delivery network in the world, spanning
53 states and territories, and hundreds of individualized classrooms and armories. Played a principal role in capturing
ANG DLN contract awards. Directed development and implementation of various Intranet and web-based content
management systems for several commercial and government clients. Held a government security clearance.
D E P UTY D I R E CTO R O F TE C H N O LO GY, I N TE RN ATI O N AL DE VE LOPME NT & RE SOURCE S, INC.
FAI R FA X, VI RGI N I A 1997-1998
IDR is a professional services company specializing in the provision of security and intelligence support services to the
Department of Homeland Security, Department of Defense, Central Intelligence Agency, National Reconnaissance
Office, and the Department of Justice. Responsible for applying advanced information technology services to meet
client needs in the areas of encryption, pattern recognition, networking, terrestrial & satellite communications, and
content delivery. Architected and led the development and implementation of the ADNet counter-narcotics and
counter-narcoterrorism detection and monitoring solution for the U.S. Department of Defense. Played principal role in
capturing new business from multiple agencies, and responsible for technical proposal development. Held a
government security clearance.
D I R E CTO R O F CO M P U T E R SERV I CE S, PH I L G RA M M FOR PRE SI DE NT, I NC.
WA S H IN GTON, D. C . 1995- 1996
PGFP was a national political campaign for the 1996 race for the United States President. Responsible for managing all
material and financial aspects of IT infrastructure, supporting a largely mobile workforce throughout all 50 U.S. states.
Architected the first-ever real-time Capitol Hill electronic news and polling notification system, dramatically improving
advance-team response and effectiveness. Directed the development of various Intranet services, including electronic
newsletters to employees, donors and constituents. Positioned PGFP online as the first-ever U.S. presidential
campaign on the Internet.
E DUCATI ON
S Y RAC US E U NI V ER S ITY, SY R AC U S E, N EW YO RK B. A . COG NI T I VE SCI E NCE, SPR I NG 1995
KA P PA S IG M A F R ATE RN I TY, GO L DE N K E Y HO NO R S O CI ETY
C OM MUNITY, I NTE RESTS & ACT IVI TI ES
Izaak Walton League of America; Northern Virginia Trail Riders; Photography; Nutrition; Teaching computer
programming to elementary school students; Volunteer with several charitable organizations in the Washington, D.C.
area that provide housing, jobs, support and services for individuals with disabilities.
R E FEREN CES AVAILABLE UP ON REQUEST
Seth A. Kaplan Resume ****@****.*** 571-***-**** Page 3
N OTES
Seth A. Kaplan Resume ****@****.*** 571-***-**** Page 4
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