Manager Management

David Ross, PMP 614-***-**** Cell

Resources Global Professionals – Safety Software Start-Up

Senior Manager/Consultant/PM 2012-2016: Delivered billable consulting services in Program Management, Project Management, and performed operational analysis for a safety software company based in San Francisco, CA. Projects included:

Safety, Risk, and Quality Management Analysis: Assessments, Physician Peer Review Requirements Gathering, Scalable Implementation Methodology Development, Safety and Quality Key Performance Indicators and Analytics Development, Physician Performance Evaluation Requirements Review and Analysis, Regulatory Data Transmission Requirements Review and Analysis

Regulatory and Methodology Assessments: Patient Privacy and Security Assessment System Re-Design, Insurance Claims Risk Program and Project Management (Multiple), Claims Pricing, Electronic Medical Records /Revenue Cycle Implementation Methodology Assessment and Refinement

Publications/Webinar/Operational Process Analysis – Developed specialized safety magazine and webinar content for healthcare magazines and organizations (HFMA, PSHQ) as well as pre-sale RFP content responses. Completed Product Management Process analysis for an Agile development team, and Account Management Assessment for improved software usage optimization and client satisfaction.

Xerox Commercial and State Government Business Process Outsourcing

Project Manager 2007-2011: Successfully started and completed multiple insurance risk and compliance programs. Scope of effort included Assessments, Staff Education, Neutrality Analysis, Operational Impact Analysis, High Level Business Requirements and Work Estimates, Total Cost Analysis, Implementation Roadmaps, and onshore and offshore software development. Additional project management responsibilities included:

State Medicaid Managed Care Health Plan Implementation

State Insurance Regulatory Compliance Audits

Pharmacy Benefits Management and Call Center

Enrollment/Billing/Medical Banking Implementation and Conversions

Off-Shore Call Center Migration and Software Development

Key Program Management/Project Management Experience

Extensive Client Engagement and Management Experience: Leader and subject matter consultant for high dollar value consulting and multi-project service delivery initiatives within large complex organizations across the U.S., including pre-engagement sales support, new implementations, major upgrades, post-live optimization, and overall client engagement and account management spanning senior executive management and all other organizational levels, departments, and functions.

Solid Systems and Application Experience: Direction hands-on experience with a variety of financial, supply chain, patient care, and insurance vendor systems.

Balanced Operational Experience: Extensive cross-functional training and hands-on work experience in Program/Project Management, Account Management, Customer Support, Implementation, Pre-Sale Support, Contracting/Legal, Sales, Sales Management, Regional Office Management, Systems Engineering, Product Management, and Software Development.

David Ross, PMP 614-***-**** Cell

Prior Work Experience – continued

2004 - 2006

ACS, Inc., Healthcare Start-up

Sales Consultant – Outsourcing & Patient Self-Scheduling

2003 – 2004

Healthcare Start-up and ACS, Inc.

Sales Consultant– HIPAA EDI Clearinghouse, Outsourcing

1991 – 2002

SMS/Siemens Medical Solutions (now Cerner)

Consulting, Regional Support Director, Sales Manager, Sales Rep

1989 – 1991

Blue Cross Blue Shield Indiana (now Anthem/Cigna)

Decision Support System Designer & Product Manager

1983 – 1988

SMS - Shared Medical Systems (now Cerner)

Hospital Systems Consultant & Senior IBM Systems Engineer