Nashville, Tennessee
CHARLES B. SPENCE III
Executive Profile
SENIOR TECHNOLOGY EXECUTIVE with over 18 years as a transformative and results-driven technology leader with expertise in all aspects of conceiving, building, delivering and managing technology solutions in complex and heavily regulated industries. Catalyze change and advance sustainability by executing high performance-based strategies, cultivating top-tier talent, ensuring a culture of accountability and instilling customer-centric practices.
Skill Highlights
Portfolio and Program Management
Agile Development
Lean Six Sigma
Health Information Exchange (HIE)
IT Strategy
Product Roadmaps
IT Service Management
P&L Responsibility
Global Deployments
Vendor Management
IT Operations
IT Governance
Compliance
Information Security
Enterprise Risk Management
Organizational Leadership and Development
Electronic Data Interchange (EDI)
Enterprise System Integrations
First Tier, Down Stream, Related Entities (FDR)
Medicaid and Medicare
Business Continuity
Mergers and Acquisitions
Core Accomplishments
Spearheading the IT Remediation efforts for two of the most complex work streams for the Medicare and Medicaid lines of business
Successfully led the integration of 2.2MM customers onto one platform from four disparate individual and group Medicare business channels
Serve as the "Turnaround Executive" for large scale implementations and operations that are underperforming and behind schedule.
Professional Experience
VP IT Third-Party Management
Cigna-HealthSpring
Managed the services, data exchange and system interoperability with all third-party vendors supporting the Medicare and Medicaid lines of business.
Developed and directed remediation program for most complex IT work stream as part CMS Audit Response for First Tier, Downstream, and Related Entities (FDR) and third-party vendors. Led the implementation of 100 data exchanges to enable auditing and operational oversight of external third-parties.
Established and directed Medicaid remediation program for encounter submissions which resulted in improved compliance and financial posture with respective state regulatory entities. Drove the development of an enterprise capability to manage 1,500 third parties to maximize services, fuel business growth, and ensure adherence to security operational and compliance standards. Spearheaded the global implementation of Hiperos as the enterprise third-party management solution to manage the supplier risk, compliance and performance. Strengthened business performance by implementing IT Service Management practices which resulted in the reclaiming $5MM in non-performance penalties and a 5% improvement in availability. Reduced the information security risk for critical third parties by implementing a formal cyber resiliency program.
Managed the successful integration of 2.2MM customers onto one platform from four disparate individual and group Medicare business channels.
Spearheaded cross-functional business process outsourcing (BPO) initiative to achieve $2.2MM in cost savings and efficiencies.
Improved annual business readiness by implementing test automation that allowed the business to scale from 5% to 100% testing coverage and realize over 1,500 hours in productivity savings. Manage an annual IT budget and portfolio of $35MM. 2503 Tisdale Drive, Thompsons Station, TN 37179 C: 615-***-**** acx0h0@r.postjobfree.com 09/2013 to 04/2015
Nashville, Tennessee
02/2012 to 09/2013
Franklin, Tennessee
07/2010 to 02/2012
Louisville, KY
VP IT Portfolio and Pharmacy
Cigna-HealthSpring
Led the design and implementation of an Enterprise Portfolio Management Program to manage the prioritization and investments of initiatives across the enterprise. Successfully led the integration of 2.2MM customers and 53% of pharmacy claims onto one platform from four disparate individual and group Medicare business channels. Designed and directed the development of a Joint Center of Excellence (COE) to manage operating model between Cigna and the PBM Vendor, OptumRx.
Provided oversight and delivery of $30M in portfolio projects. Launched an enterprise Project Management Community of Practice (PM CoP) and PPM solution (Daptiv) to improve delivery outcomes and increase project transparency. Led the implementation of an enterprise lean Systems Development Lifecycle (SDLC) framework to satisfy compliance, architecture, quality and security requirements. Served as the executive sponsor of Cigna's Veteran Affinity Group charged with engaging and mobilizing Cigna employees in support of Military Veterans and their causes internally and externally to Cigna. Director of Technology Implementations
Community Health Systems
Managed enterprise planning, design and implementation of all technical solutions for 135 hospitals and 700 physician practices. Provided solutions to include electronic health records (EHR), financial systems, clinical systems, data integrations, networks, data center, PBX, servers, storage and client side devices. Managed 200 staff and five senior managers to oversee full lifecycle project management and solution delivery.
Oversaw the management and delivery of enterprise PBX and telephony services for all corporate locations, call centers, hospitals, and physician groups, including quarterly investor calls. Generated $64MM in federal government reimbursements as part of Meaningful Use (MU) electronic health records (EHR) program.
Led the merger and acquisition IT due diligence assessments for 5 hospitals and 25 large physician practice groups.
Spearheaded the IT infrastructure design and build out of five hospital data centers, and two new hospitals. Managed the re-engineering of network and wireless services that reduced implementation costs by
$1.5MM, and reduced delivery schedules by three weeks per implementation. Rescued delayed ambulatory medical record (AMR) program by developing aggressive and creative implementation program to
convert, deploy and integrate 700 physicians' practices within 18-months. Realized $4.1MM in cost savings across the enterprise by implementing an asset management program. Improved the quality of implementations by realizing through standardization of processes that resulted in a 4.5% reduction in post implementation incidents. Director of IT
Healthland
Managed corporate IT services and managing infrastructure services for 350 rural community hospitals. Designed and implemented a cost-allocation model for IT services in order to provide greater visibility and total cost of ownership for critical technology services. Led efforts to monetize infrastructure as a service (Iaas) and platform as a service (Paas) offerings to existing and new customers as part of product modernization initiatives. Spearheaded the data center consolidation and virtualization efforts by consolidating three separate data centers onto one primary co-location facility resulting in a 45% reduction of physical hardware, and improved system availability of 99.999%.
Introduced an ITIL based service desk to support a global staff of 450 resulting in the reduction of incidents by 15% via self-service capabilities and increased service responsiveness. Implemented business process outsourcing (BPO) initiatives to enhance and accelerate product develop capabilities by enabling 24x7 delivery capabilities. Reduced annual operating expenses by nearly $550K through contract renegotiations and vendor consolidation.
Strengthened the company's influence on security standards by serving as a contributing member of the Cloud and Mobile security working groups for the Health Information Trust Alliance (HITRUST). 06/2008 to 07/2010
Louisville, Kentucky
07/2006 to 06/2008
Louisville, Kentucky
07/2005 to 07/2006
Cleveland, Ohio
05/1997 to 07/2005
Enterprise IT Process Leader
Humana
Drove the development of strategic initiatives that optimized enterprise processes, ensured IT compliance, and reduced annual operating expenses.
Led the design and implementation of the first Lean Six Sigma capability within IT that realized a cost savings of $6.5MM in operating expenses over a 24-month period. Implemented a “Voice of the Customer” program to solicit direct feedback on cost saving initiatives across IT which resulted in $1MM in cost savings and avoidance being realized. Spearheaded the successful turnaround of a languishing Payment Card Industry Data Security Standard
(PCIDSS) program to protect cardholder information by three months and a cost avoidance of $3.5MM. Challenged with satisfying IT regulatory and compliance capabilities around Sarbanes-Oxley, Medicare & Medicaid, Health Insurance Portability and Accountability Act (HIPAA), PCIDSS and Humana's Corporate Compliance Program.
Directed the team responsible for designing, implementing and maintaining Humana's Systems Development Lifecycle (SDLC) methodology for a project portfolio of $90MM. Drove efforts to introduce secure coding tools and practices into the development frameworks to ensure a secure application portfolio.
Global IT Program Lead
General Electric
Managed the overall strategic planning, design, application development, implementation and global support of IT manufacturing and supplier quality systems for GE Appliances, GE Lighting and GE Industrial. Spearheaded a global application development and support team that provided 24/7 operations across all consumer and industrial for manufacturing and supplier quality systems with an operational availability rate of greater than 99.7%.
Managed an annual budget of $2.5MM for new system implementations and enhancements. Drove the development of a preventative maintenance system for global suppliers that resulted in $1MM in annual cost savings by lowering manufacturing costs through tighter controls, and increased analytics of supplier quality issues.
Directed the implementation of a global quality parts system to 6,000 suppliers across consumer and industrial to automate the disposition of defective parts, realizing a cost savings of $650K in quality avoidance.
Served as the Consumer and Industrial Supply Chain Quality Systems expert, and facilitated the development of three-year strategic technology roadmaps for manufacturing and supplier quality systems. Senior Technology Risk Consultant
Protiviti
Drove leading technology risk consulting engagements with multiple Fortune 500 companies to develop strategies for Sarbanes-Oxley compliance, global disaster recovery (DR) and business continuity program (BCP) programs.
Developed fit-to-purpose technology recovery strategies for large and complex customers, including an East Coast health care organization, an international energy services organization and a South American mobile telecommunications company.
Led the global SAP warranty review of North American automotive manufacturer General Motors with a focus on security and internal controls.
Senior Telecommunications and Electronics Officer
United States Army
Retained accountability for providing essential, secure, reliable and seamless information systems 24x7, including the planning, integrating, operating and maintaining of voice, data and other information systems, services and resources.
Managed a 145-person team and Network Operations Center (NOC) that provided 24x7 satellite communications support to the White House, the Department of Defense (DoD), the Joint Chiefs of Staff, Federal Emergency Management Agency (FEMA) and other government agencies. Directed logistical operations for six geographically dispersed organizations responsible for 18 strategic satellite terminals, one tactical satellite terminal and four technical control facilities. Led a nine-person team in combat operations during Operation Iraqi Freedom that provided continuous communications support for a 750-member armored task force. Oversaw regional communication networks in support of missile defense systems in South Korea, including the management of executive level relationships with the host nation defense agencies. 2008
Adelphi, Maryland
2008
Adelphi, Maryland
1999
Huntsville, Alabama
1997
Marion, Alabama
Education
MBA
University of Maryland University College (UMUC)
Master of Science: Telecommunications Management
University of Maryland University College (UMUC)
Telecommunications Management
Bachelor of Science: Management Information Systems University of Alabama in Huntsville (UAH)
Management Information Systems
Associate of Science
Marion Military Institute (MMI)
Professional Affiliations
Board Member - Operation Stand Down Tennessee (OSDTN) 2014 - Present