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Executive Management

Location:
Sykesville, MD
Posted:
April 20, 2020

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Resume:

Vilma Khmaladze

*** ***** **.

Westminster, MD, *1157

443-***-****(mobile)

adcvt3@r.postjobfree.com

Executive Summary

To acquire a challenging position within your Company, utilizing my qualifications and experience as identified below:

Proven track record of effective leadership roles demonstrating strategic thinking, making decisions and drive innovations

More than 20 years of professional management and technology experience in major results-based organizations

Demonstrated success within the Health Care, Technology and Consulting fields in managing client-driven objectives, software design, quality assurance, product development and client implementations

Strong ability to successfully span cultural and geographic boundaries to achieve objectives, by combining integrity, commercial acumen, and a pragmatic approach to drive measurable, sustainable, bottom-line results

Improve business technology solution effectiveness and efficiency and institutionalize business values into the IT culture

Using excellent oral and written skills, inspire confidence via good judgment and prudence, with the ability to achieve the requisite buy-in and acceptance of critical constituencies on an enterprise-wide basis

Self-motivated and conscientious, accept full responsibility for authority granted

Superior inter-personal and organizational skills and inspiration for others to achieve

Always positive and entrepreneurial mindset, strong commitment to pursue excellence, quality and results

Strong analytical skills, professionalism, and optimism; provide crucial value to Executive, Management and Development teams

Thorough working knowledge of industry methodologies, rules, applicable laws and regulations

Team player and mentor, strong desire to help others to do better

Supervised teams responsible for enrolment, benefits configuration, claim adjudication and reporting on various claims adjudication systems including FACETS, HSP, PEGA for various payers including Vision and Dental benefit management companies

Skills

Leadership, Mentoring

Delivery of Software: Web Apps, Cloud based Apps, iOS, Android

Software Development Life Cycle (SCRUM, Agile, Rational Unified Process (RUP), UML)

Service-Oriented Architecture

SOA API

Management and development methodologies

Performance

Projects Management, Implementation and Support

Conflicts resolution

Cloud Computing

Medical Informatics

Data Mining, Data Modeling, Data Migration, Data Mapping and Transformation, Data Warehousing, Networking, Privacy

Security

EMR, PM and Revenue Cycle Management

Insurances

HL7, EDI and other industry standard transactions

Large (100+ individuals) domestic and overseas teams management successfully utilizing Agile methodology

Systems and Software Packages: Trizetto Facets, IBM NASCO, PEGA, HSP (Claims Adjudication System) including benefit setup and configuration, McKesson Portico (Provider Management and Credentialing), Emptoris (Provider Contract Management), IBM Initiate (Deduplication System), Sure Scripts (Pharmacy eRx), Lab Soft and Quest Diagnostics (Laboratory and Testing), General Electric EMR and Practice Management, AllScripts EMR, IBM FileNet (Document Storage and Management System), ZirMed and Experian (Clearing House), TIBCO (Enterprise Service Bus), PEGA (Workflow automation), HSP (Claims Adjudication System) including benefit setup and configuration, Optum (EDI systems), Oracle Database, Oracle Financials, PeopleSoft, Microsoft Office, Microsoft Project, Microsoft Visio, Symantec Security Tools, OPM (Practice Management System), BetterDayHealth, McAfee Security Tools, SOAP UI, Restful UI, Cisco Firewall, ServiceNOW (ITEM, ITIL, ITSM and more), Biz Cloud, Splunk and IBM QRadar (Logging and Audit), HL7, HIPAA Transactions, RFID, Nuance (Speech Recognition), ICD-10 Coding and Billing, Lexi-Comp and RxNorm (Medication Database), all aspects of EDI X12 transactions set such as 270, 271, 835, 837, 999, etc.

Project management: JIRA, ServiceNOW, Confluence, YOUTRACK, Smartsheets, TeamTrack

Programming Languages: .NET, CORE, REACT, REST, T-SQL (Microsoft), PL-SQL (Oracle), C++, C#, Java, HTML, SQL, iOS, Android, COBOL, DB2, General Scripting and Web design patterns

Experience

Openix Solutions – Software development 2020-Present

CIO, Entrepreneur

I am passionate about connecting peoples, ideas and ecosystems to ultimately innovate healthcare.

Openix Solutions is boutique consulting company of software development. Our clients are corporate as well as startups in the field of life science. I am convinced that meetings don't have to be boring, that everyone could be creative, and that collaboration and trust are key to any transformation. This is why I am a long-time practitioner of Design thinking and Lean Startups, Scrum Master, and visual strategist.

Better Day Health - Louisiana, Maryland and European Union 2018-2020

Vice President of Operations, Development and Deployments

Provider executive stakeholders as VP of overall operations of an EMR and clinical operating software company overseeing expertise from both international and domestic workforces. Responsible for strategic technology planning, product development, operations management, production support processes and vendors management. Overseeing software development, product development, clinical implementations, customer support, documentation, quality assurance and production operations.

Key Responsibilities and Achievements:

Created and implemented a strategic business plan for profitable growth. Increased revenue by 90% with effective vendor and client contract negotiations and SLA management.

Implemented systems and processes to improve efficiency and reduce project costs and durations as follows:

oReduced client implementation costs by 20% by introducing lean and efficient processes for product deployment and training.

oReduced development costs by 15% by engaging teams with efficient requirement gathering processes, aligning with agile methodologies and development techniques.

oReduced vendor costs 50% by aligning strategic objectives and re-structuring business relations.

Successfully resolved employment turn-over by 80% through creating professional growth and training programs as well as follows:

oCompletely re-organized US workforce and team structure.

oRe-structured the European technical ops team to meet latest industry practices and approaches.

oRe-organized the management team to reduce redundancy and reduced overall internal resource cost by 15%.

Created and maintained clear communication channels amongst various stakeholders as follows:

oFacilitated communication between US and European operations and offices, ensuring clarity around policies, procedures, strategic goals, and performance management.

oFacilitated communication with client management teams regarding weekly and monthly contractual service level agreements.

oFacilitated executive committee and executive management meetings to promote transparency and alignment of operations with strategic goals.

Successfully reduced operating risks and introduced processes to maintain system integrity as follows:

oIntroduced interoperability between web-based and mobile (iOS and Android) products by migrating and maintaining hosted Cloud-based solutions.

oImproved system availability from 80% to 99% by managing the redesign of infrastructure to enable efficient/high availability of systems and implementing strict change control procedures.

oDirecting technical operations to ensure continuous improvement programs by migrating to latest technology.

Directed complex integration efforts to facilitate new clinic onboarding and production support operations by maintaining standards, guidelines and expectations as follows:

oOversee integration between HIE (Health Information Exchange) to EMR (Electronic Medical Record) systems.

oManage integration and system integrity between various EMR (Electronic Medical Record), PACS, Lab systems.

oIntroduce, manage data flow processes and workflows between EMR to RCM (Revenue Cycle Management) or PM (Practice Management) systems.

Managed technical and development operations for product enhancement to meet client expectations and market trends to maintain competitive advantage in the market as follows:

oIntroduced interoperability to overall dynamic of the software.

oStreamlined integration workflows and processes to reduce wastage (resource and duration) by implementing a lean integration approach.

oSuccessfully introduced quarterly enhancement programs to mature the functionality of the overall components of the software.

oIntroduced new revenue opportunities by managing development operations for new products across various platforms.

Superior Vision and Davis Vision - Maryland, California, New York and Texas Locations

Director of IT Business Services and EDI 2016-2018

Looked at organization as a whole and consider how ideas and actions are interconnected constantly improving processes as the result

Responsible for Superior Vision and Davis Vision Merger from all aspects of Information Technology by directing analysis of mainframe-based systems sunset impact and implementing global data-merge activities to insure quick and robust merge with nearly zero downtime and data loss. Lead and directed architecture and implementation of Common Gateway for incoming transactions since two companies become one entity heavily utilizing SOA model and micro-service architecture to insure highest possible performance under heavy production load. Common Gateway implementation included development of whole suite of back-end micro-services and web-based portal for monitoring daily activities. Merger was considered as a success within planned timeframe and a budget of $ 20M by company Executive team

Led software configuration team to insure swift and error-free processing of Medicaid, Medicare and Private healthcare claims in constantly changing industry landscape

Insured full compliance with all industry regulations including HIPAA, Security, Privacy and other mandatory regulations on Federal and State levels

Directly managed EDI team involved in daily processing of Eligibility and Encounters data loads

Established companies Business Analyst and Project Management teams, guide and directly supervised their daily deliverables.

Participated of deployment of ServiceNow product throughout the company including custom integration

Insured orchestration of tasks between multiple locations including Maryland and California offices

Aggressively remediated all previously existed Correction Action Plans with clients in given 6-month timeframe

Designed and successfully delivered transition effort from legacy claims adjudication system into new platform – HSP

Developed and implement Standard Operational Processes and Procedures for all teams

Successfully directed reconciliation of previously existed backlog of transactions for past 3 years, making all transactions up-to-date and as the result company can produce and distribute to clients 400+ reports on monthly bases

Worked constantly on improving data quality and overall data integrity of multiple on-line Data Marts

Directly managed 50+ Business Analysts, Project Managers, Solution Architects, EDI Engineers, Software Developers, Database Developers and Support Staff across 4 primary locations

Computer Science Corporation (CSC) - Maryland, European Union 2008-2016

Principal of Program Management of Global Transitions and Transformations

Organizing programs and activities in accordance with the mission and goals of the organization.

Creating and managing long-term goals.

Developing a budget and operating plan for the program.

Developing an evaluation method to assess program strengths and identify areas for improvement.

Writing program funding proposals to guarantee uninterrupted delivery of services (SLAs).

Managing a team with a diverse array of talents and responsibilities.

Ensuring goals are met in areas including customer satisfaction, safety, quality and team member performance.

Implementing and managing changes and interventions to ensure project goals are achieved.

Meeting with stakeholders to make communication easy and transparent regarding project issues and decisions on services.

Producing accurate and timely reporting of program status throughout its life cycle.

Analyzing program risks.

Working on strategy with the marketing team.

Alpha Technologies, LLC, Cleveland, Ohio 2003-2008

Alpha Technologies is the world leader in the design, manufacturing, analysis, and support of precision rubber and polymer laboratory instrumentation

Senior Software Architect

Designed, developed, maintained and upgraded full line of company software products including Laboratory Information Management System (LIMS), Inventory System and Financial package.

Implemented low-level communication protocols to full range of supported laboratory hardware.

Threshold Data Technologies, Cleveland, Ohio 2000-2003

Threshold Data Technologies is an Information Technology solutions provider for medical facilities in United States

Senior Software Developer, Team Lead

Successfully developed and deployed fully hosted Clinical software package to more than 100 client sites including hospitals, nursing homes and other medical facilities.

Education

Global Business 2020-2020

Harvard Business School

BS Degree in Management and Business Administration 1995-2000

Vilnius University, Vilnius, Lithuania, EU

Languages

Fluent in English, Russian, German and Lithuanian



Contact this candidate