Manager Data

Robert Marinaro

*** ******** ** ******** ** *****

E-Mail: ***.********@*****.*** Phone: 843-***-****

Summary

I am a 25-year professional with a strong combination of business and IT focus. I have a passion for healthcare (20+ years), wellness, and fitness and would love to return to that industry. However, I have always used that passion to apply technology to business problems.

Whether it is creating cost-effective solutions demanded by the EHR market; providing architecture guidance to a Fortune 100 company, saving millions by reducing complexity; or starting two distinct Managed Hosting organizations, I have consistently delivered results.

I have accumulated a breadth of experience and knowledge throughout the entire product development -> deployment -> support lifecycle, leading to solutions that scale both technologically and for the business.

Professional Experience

Digital Reasoning, Inc, Franklin, TN; Director Infrastructure Operations

(March 2018 – Present)

Responsibilities:

·Ensure compliance with HIPAA, GDPR where applicable

·Management of additional direct reports

·Initiate standardized POC infrastructure and application deployment

·Provide AWS and GCP account management and cost optimization

·Provide insights, directives for cluster consolidation, technology adoption, and MRC management to optimize and stabilize Cloud spend (net savings of over $750K annually)

·Provide all network connectivity and access points for staff and customers

·Introduce third party penetration testing and remediation into SDLC

·Create the framework for implementing Managed Hosting capabilities

·Led project to evaluate and select partner to provide Managed Hosting services

·Assumed additional responsibilities to include all, telephony, equipment management, desk side support, office infrastructure for 4 sites, videoconferencing, IPAM, MDM, and back office services

·Initiate diversification into GCP capabilities, including relationship management

·Engage vendor and co-sponsor project to achieve NIST certification

·Foster a security-first mindset for infrastructure and application provisioning

·Tool selection and train/hire staff to improve automation capabilities across AWS & GCP

·Identify and onboard managed hosting partner to provide assistance in monitoring, alerting, BCDR, Tier 1 support

·Elevate product delivery to the level of a “product” within the organization, cutting deployment timelines by months

Digital Reasoning, Inc, Franklin, TN; Director of DevOps

(September 2016 – March 2018)

Responsibilities:

·Automation of existing Synthesys application suite for installation on customer premises

·Automation and orchestration of environment provisioning in AWS for development, QA, staging, and future hosted customer environments

·Identify gaps in product design that require remediation prior to building a managed hosting discipline

·Implement Synthesys as a NASDAQ offering to complement existing products and expand current customer bases

·Lead project to migrate Shareable Ink (a surgical and anesthesia platform) from legacy data center to AWS

·Introduce infrastructure as code as a mindset, improving standardization of base servers, server roles, and installation and configuration management

MEDHOST, Inc, Franklin, TN; Director of Operations – YourCareUniverse

(September 2015 – August 2016)

Responsible for transitioning the YCU platform from traditional infrastructure and software provisioning to an AWS implementation, including full automation for provisioning infrastructure, operating system, and application deployment.

Provided design and architecture oversight and decision-making to ensure adherence to AWS BAA, HIPAA, and HITECH requirements. Instilled a process for transition of artifacts, software, configuration, and packaging standards

MEDHOST, Inc, Franklin, TN; Technical Operations Manager – YourCareUniverse

(February 2014 – September 2015)

YourCareUniverse is an extension of the platform provided by YourCareCommunity. It aims to provide services direct to consumers, extend provider services across healthcare delivery networks, and forms a basis for analytics and marketing campaigns built upon these data.

Responsibilities:

·Management of all infrastructure, engineering, and operational projects through final delivery

·Created a DevOps function in the organization through work with development teams to convert application requirements into solutions consistent with tools and services already in the company’s portfolio

·Implemented deployment via Chef, Chef Provisioning, Docker, Terraform, Launch Configurations and Auto-Scaling Groups

·Provide budgetary requirements for staffing, outsourced services, staff augmentation, and infrastructure and hosting services

·Identify development and infrastructure items that require additional platform functionality; provide business cases and specifications to senior leadership to meet these needs

·Set timelines and monitor progress; accountable for adherence

·Identify issues in daily operations and in deployment activities; assess risk factors and ensure quality control of process and deliverables

·Enable monitoring, alerting, visibility, and notifications for production systems using a combination of AWS, NewRelic, OpsGenie, and Slack

·Provide level 3 support services; work with SWAT development team and change control board to identify issues requiring hotfixes and providing justification for enhancements to reduce support costs and escalations

Accomplishments:

·Design and implementation of secure, multitenant, hosted environment

·Implementation surpassing 330 sites across 6 vendors in the inpatient and ambulatory settings

·Creation of process for release scope, readiness, testing, and approval by internal and external and regulatory entities

·Creation of process for deployment of releases, including automation where applicable

·Migration of all services from traditional hosted model to Amazon Web Services (AWS)

HealthTech Holdings, Inc (MEDHOST), Franklin, TN; Senior Product Manager – YourCareCommunity.com

(May 2013 – February 2014)

YourCareCommunity is a SaaS product developed inside MEDHOST to provide customers with a platform to provide to patients, providers, and hospitals with a means to achieve Meaningful Use objectives for patient engagement and Affordable Care Act compliance and reimbursement.

Responsibilities:

·Set priorities and roadmap for YourCareCommunity.com

·Manage off shore scrum team – daily scrum meetings, deployment dates, staff mix

·Continually identify and attain certification on Meaningful Use measures to maintain product differentiation

·Perform product demonstrations for corporate and high-profile customers

·Develop go-live processes and associated materials

·Work with integration teams to identify and ensure support for required data feeds for a rich portal experience

·Maintain platform integrity across integrations and personas

Accomplishments:

·Drive product readiness for initial production rollout

·Design and implementation of secure web hosting environment

·Implementation of platform at two major US hospital systems

·Manage rollout to beta sites

·Creation of educational, end-user, and administrative materials

·Development of patient adoption workflow and training procedures

·Produced support training materials and escalation processes

·Achieve MU certification for additional measures (Integration with InfoButton/MedlinePlus)

Community Health Systems, Franklin, TN; Enterprise Architect

(October 2010 – April 2013)

Provided guidance to operational, technology, and financial leadership of a Fortune 200 company towards determining product mix, technology adoption, and work- and data-flow needs across corporate and hospital environments.

Responsibilities:

·Proffer solutions to enterprise clinical, operational, and technical challenges for 130+ hospitals

·Create documentation, business and cost justifications, develop ROIs, and provide pro forma documentation toward adoption proposed solutions

·Present solutions to highly technical engineering resources, as well as visionary C-level executives to foster adoption and alignment throughout the organization

·Maintain continual relationship with strategic vendors, converting them to partners, enabling mutual product roadmap knowledge to converge with complimentary initiatives

·Establish platforms upon which the organization is transformed from a set of business units to an enterprise

Accomplishments:

·Performed technology analyses to identify superior technology with the goal of displacing existing facility-level infrastructure solutions with platforms that better align with the organization’s long term goals; simultaneously improved capacity and business continuity

·Analyzed, compared, negotiated, selected, and contracted a Vendor Neutral Archive (VNA) solution. Saves $7M over 5 years while offering superior functionality for imaging archiving

·Developed a cost-beneficial solution to provide facility-level centralized interfacing toward standardization of application deployments, completeness and accuracy of data, simplification of data collection and aggregation purposes for Meaningful Use reporting purposes

·Designed a distributed, object-based data storage solution to support business continuity and recoverability while reducing dependence on a single data center

·Designed facility-level telecom platform migrations toward distributed and shared trunking, SIP adoption, and phasing out TDM-based models

·Created a platform upon which applications, backups, business continuity, and virtualization can be uniformly achieved across the organization’s distributed facilities

CareCore National, LLC, Bluffton, SC; Director, IT Operations

(September 2004 – March 2007; February 2009 – October 2010)

Provided development and technology leadership for a specialty benefits management company that grew from $250M to $1.2B and 350 employees to over 2000. Focus on scaling, technology selection and implementation, and call center automation and management.

Responsibilities:

·Manage the database team, comprised of 3 DBAs, responsible for 12 SQL servers running 20 instances of SQL 2000 and 2005 across two locations

·Managed the network team, with responsibility for all Ethernet switching, IP infrastructure, firewalls, Intrusion Detection and Prevention (IPS), and routing

·Managed a help desk staff of 7 agents plus a help desk manager

·Implement and support SSRS and SSIS

·Report development, stored procedure tuning, server tuning and maintenance

·Ensure integrity, availability, performance, and distribution of ~2TB of production data

·Work with application development team to prepare for releases using a 4R methodology: Review, Repair, Retain, and Reverse steps are performed on all items proposed for production release and stored in TFS

·Support infrastructure functions for an 1100 person organization (800 call center agents)

·Perform security reviews, represent and respond to audits

·Review and respond to all customer, state, and regulatory audits

·Create, review, and modify policies and procedures around physical and logical security, disaster recovery, business continuity, privacy, HIPAA, PHI, and internal processes

·Liaison with insurance company product managers to design data interchange specifications, timelines, standards, and workflows for Radiology, Cardiology, and Oncology risk management programs

Accomplishments:

·Plan, budget, and begin implement an organization-wide infrastructure uplift

·Implement V-Block architecture (EMC SAN, VMWare hosts, and Cisco UCS compute platform) at an AT&T IDC fully managed by CareCore staff over the course of 9 months

·Virtualization of approximately 100 Wintel servers to VMWare

·Reduced power, cooling, and space requirements, lowering costs

·Improved fault tolerance, scalability, and disaster recovery readiness

·Achieved Verizon Cybertrust perimeter certification

·Project management of the implementation of class of service, BGP, EIGRP, and fault-tolerance across all MPLS endpoints

·Instituted inventory controls, purchasing procedures, and growth projections

·Introduced a contact center approach to help desk agent availability

·Developed file processing and data structure standards for eligibility and provider inputs and outputs from 15 insurance carriers and 100 distinct files supporting 15 million covered member lives

eSecuritel Holdings, LLC, Hilton Head Island, SC; Sr Database Admin/Systems Engineer

(March 2007 – January 2009; Consultant 2005-2006)

Implemented operational practices and processes for an organization that grew from 6 to 50 employees and quadrupled revenues during my tenure. Oversaw technology refit, development and deployment of an application rewrite, and reporting tools for improved financial visibility.

Responsibilities:

·Manage all database functions for mission critical applications

·Manage deployment of T-SQL code base across Test->UAT->Staging->Production environments

·Manage implementation plans for deployments

·Liaison with carriers’ product managers to design data interchange specifications, timelines, standards, and workflows for insurance and roadside protection programs

·Primary point of contact for IT and business issues and integration of membership, and claims data

Accomplishments:

·Designed high-availability deployment of web servers and services

·Implemented Global Load-Balancing through ATT

·Lead deployment phone calls to coordinate actions with call center personnel, development staff, db object deployments and data comparisons and migrations

·Designed and supported features: price plans; a la carte feature; multiple product lines; automated invoice preparation; subscriber load process; shipped equipment file transfers

·Planned capacity requirements for co-location of critical systems between two internet data centers (bandwidth, equipment, storage and backup)

Education

Bachelor of Science, Marketing – Ithaca College, Ithaca, NY

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