Wen Profiri

Senior Director, Product Management at Matrix Medical Network

adc7sg@r.postjobfree.com 480-***-****

Summary

At Matrix Medical Network, I was responsible for exploring business opportunities, building relationship with clients and vendors, integrating technical and clinical solutions to provide new product line offerings, creating financial modeling and marketing strategy, and presenting at company executives and board meetings.

Solutions include: Social Determinant of Health, Care Management+ and Acute to Home Transitional Services.

My past experiences also include:

1.Incubator role in applying usability, workflow, analytics, automation in healthcare member, provider and payer operations.

2.Specialty in product management of software applications for population health management, disease management, case management and utilization management. Responsibilities covering clinical side and claims side, and with in depth knowledge of member enrollment and benefit.

3.Specialty in clinical informatics and health plan data analytics. Informatics skill set: Expert of HL7 messaging all versions, FHIR, CDA, IHE standards. Expert of ICD10, CPT, HCPCS and Modifiers, NDC codes and SNOMED, LOINC, RxNorm standards.

4.Integration experience: Professional in health system integration design, deployment and operations, including: EHR functional modules, HIE portals, Interoperability platform, rural telemedicine/mobile data services, and disease specific/cancer clinical applications.

5.Communication: Work with multifunctional departments seamlessly and have earned trust from internal and external clients and end users. Work with all the stake holders to identify business needs, user requirements, work flow adjustment, technical bottleneck and operational solutions.

6.Clinical skills: RN licensed in California and Arizona with compact license of 23 other states.

Experience

Senior Director of Product Management at Matrix Medical Network

Jan 2019 – March 2020

Responsible for conception and strategy stages of product cycle. I discover opportunities from healthcare trends and government policies. I build business cases with market needs, product description and road map. I also identify financial and market strategies that include pro forma, ROI, and approval to fund business planning and product development.

Matrix provide in-home and mobile clinic venues of clinical services to hard-to-reach patient population of Medicare, Medicaid, Commercial health plans. We cover comprehensive health assessment, screening, testing, well care and follow up visits with robust technology support.

Senior Product Manager at Cognizant

Oct 2017 – Dec 2018

I worked on 3 core projects:

1)Utilization Management application integrated with QNXT core system for coverage validation. InterQual, Milliman clinical guideline integration for clinical validation. Overall enhancement designs for clinical tasks usability.

2)End to end integration of classic applications for Member Management (enrollment, sponsor, benefit, account…); Provider Management (credential, contract, financial); Clinical Management (case management, utilization management); Claim Management (Diag/Proc/UB codes, COB, EOB, adjudication, edits, payment); Appeals and grievance, Member call tracking, etc.

3)Cloud application with functional tiles customized for end user roles: e.g., Call Center Member CSR

Senior Clinical Informaticist at NantHealth

July 2015 – Sept 2017

I manage R&D in case management informatics:

1) Nursing Triage Pathways extracted from cancer clinic field practices

2) Common Cancers Genetics Pathways using NCCN guidelines

3) Telemedicine General Nursing Pathways with 220 protocols

4) Common diseases case management 43 care plans

Most recently I was the product manager of eForms solution which became a complete product used in the Care Coordination platform.

I'm also the informaticist who curated and built a robust clinical content library powered by conditional logic to drive the pathways that provide clinical decisions.

Solutions Manager at NantHealth

July 2015 – June 2016

I conduct market research, gather user requirements and analyze national standard specifications, write product design documents, work with user experience designer and product architect, guide the developers and testing engineers in product development to implement cutting-edge technologies. I also review sales collateral and support delivery in various events.

I maintain a library of health informatics standards. I provide every clinical information products with standard user interface labels, standard data sets, definitions, data sources, sample data/formatting rules.

I design the informatics production processes of data preprocessing, terminology mapping, and data transformation for every customer site. I participate in the product prototyping and architecture of other clinical products. I give guidance in CCDA, HL7 messaging interface mapping, bulk data upload to clinical data repository, and the development of clinical data adaptor services from the repository to the user interface.

I’m a HL7 committee member and professional in FHIR, CDA, IHE standards. I'm an expert in all versions of HL7 messaging standards, and ICD10, SNOMED, LOINC, RxNorm standards.

Product Manager/Clinical Informaticist at Harris Corporation

August 2011 - June 2015 (3 years 11 months)

• Product Management Responsibilities:

Serve as the Product Manager of Harris FusionFX clinical products:

--Structured Documentation Editor

--Clinical Pathways

--Data Transformation Services

--Health Provider Directory

--Direct Messaging

I conduct market research, gather user requirements and analyze national standard specifications, write product design documents, work with user experience designer and product architect, guide the developers and testing engineers in product development to implement cutting-edge technologies. I also review sales collateral and support delivery in various events.

• Technology Responsibilities:

I’m a systematically trained Clinical Informaticist on staff for the Health Services Integration Platform.

I maintain a library of health informatics standards. I provide every clinical information products with standard user interface labels, standard data sets, definitions, data sources, sample data/formatting rules.

I design the informatics production processes of data preprocessing, terminology mapping, and data transformation for every customer site. I participate in the product prototyping and architecture of other clinical products. I give guidance in HL7 messaging interface mapping, bulk data upload to clinical data repository, and the development of clinical data adaptor services from the repository to the user interface.

I’m a HL7 committee member and professional in FHIR, CDA, IHE standards. I'm an expert in all versions of HL7 messaging standards, and ICD10, SNOMED, LOINC, RxNorm standards.

Operator

May 2011 - June 2015 (4 years 2 months)

My husband and I established this non-profit operation to serve as patient navigator and advocate. We provide counseling and life coaching services free of charge, to patients (and families) who are receiving total artificial heart, heart transplant and other organ transplantation procedures. We also organize the transplant athletes to compete in open sports in the US and in the world.

Health Informaticist at Gensa Corp

August 2010 - July 2011 (1 year)

I was the Informaticist working on state HIE contract opportunities.

I worked with clinical interface developers in mapping the California lab ELINKs HL7 interfaces.

EHR and Quality Improvement Analyst at Health Services Advisory Group

January 2011 - May 2011 (5 months)

I worked as a Quality Improvement Analyst in CMS Physician Quality Reporting Initiative. I visit California hospitals and IDN clinics to gather EHR data and make analysis to report their quality measures result to CMS.

This is a very early CMS activity of using health IT to manage population health.

Registered Nurse, Informatics Graduate Student at UC Davis School of Medicine

2008 - 2011 (4 years)

I completed Health Informatics Program and conducted field researches in Health Information Exchange and Rural Telemedicine in California and in China with a 271 pages of thesis.

Various nursing and home health roles

May 2005 - December 2008 (3 years 8 months)

I finished a bachelor’s degree in nursing science and became a registered nurse, and worked in all variety of rotations.

Semiconductor at Motorola

August 1998 - June 2005 (6 years 11 months)

During this period, I attended Cisco Academy and earned Network Professional certificate. Later I also started nursing school.

Exporter, Trade Show Organizer

February 1996 - June 1998 (2 years 5 months)

I was an executive exporter. I organized the company’s foreign country tradeshows. My department oversaw 1000+ general merchandise factories in Guangdong province for their contract negotiation, product delivery, and international banking.

Education

UC Davis School of Medicine

MS degree, Health Informatics, 2009 - 2011

Chamberlain College of Nursing

BS degree, Nursing, 2005 - 2009

Central South University

Graduate study, Linguistics, 1994 - 1996

Contact this candidate