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Work History
Click Here for my Resume in PDF Format.
Retired
(2006-Present)
Self-Employment engagements
Health Net,
Woodland Hills, California (2000-2006)
Vice President, Information Technology Group (2004-2006)
Responsible for all of Health Net's
commercial Western Region Claims, Provider, and Benefit systems, as
well as Medicaid (Medi-Cal). Successfully consolidating multiple
Capitation Payment systems, Sales support (CRM), Underwriting,
Pharmacy Authorizations, Provider Credentialing, IVR, Medical
Management, and Print Services Systems into single enterprise-wide
solutions.
Vice President, Program
Management (2000-2003)
Directed 176 enterprise-wide HIPAA
readiness projects for this $10 Billion Managed Health Care Company.
Responsibility involved 220+ IT and Business associates with a
budget of $45M. Successfully met all compliance dates early, and
under budget.
CareFirst BlueCross
BlueShield, Baltimore, Maryland (1995-1999)Vice President/CIO,
Information Technology
Directed all aspects of Information
Technology which included Planning, Budgeting, Staffing, Data Center
Operations, Wide and Local area Networks, Applications Development,
and Information Management. Annual operating budget of $40M.
Responsible for 300 full-time I.T. employees, and an additional 150
contractors & consultants.
Selected
Accomplishments:
|
•
Developed
and Implemented a $100M+ IT Strategic Plan. |
|
•
Established
Internet presence and developed E-Commerce Strategy |
|
•
Turned
around critical staffing and morale issues (Worst to First
in company-wide Associate Survey) |
|
•
Won PC-Week
“Fast-Track 500” Award for I.T. innovation and trend setting |
|
•Merged
two BlueCross and BlueShield plans and performed
Due-Diligence on a third |
|
•
Successfully
solved the Y2K problem |
|
•
Built an
Information Management / Data warehouse department from the
ground up |
Assistant Vice President, Application Development, Advanced
Technology, and Information Management
Developed mission-critical
applications, researched and deployed software engineering Methods
and measurement, researched and developed new technology, and
developed and deployed a corporate Data Warehouse.
Selected
Accomplishments:
|
•
Merged two
BlueCross and BlueShield plans |
|
•
Developed an
I.T. Strategic Plan which was selected as a model by the
BCBS national association |
|
•
Researched
new Managed Care Systems and converted all HMO business in
18 months. |
|
•Implemented
a paperless environment using imaging in claims processing
area |
|
•
Developed a
client/server GUI customer service workstation reducing
training time by 4 months |
|
•
Built an
Information Management / Data warehouse department from the
ground up |
Assistance, Inc,
Sacramento. California
(1985-1986)
Independent Consultant
General Information Technology
Consulting specializing in PC Technology and Health Care
California Vision
Service Plan, Sacramento, (1980-1985)
Vice President, Information Systems
(1982-1985)
Directed all aspects of Information
Technology including Planning, Budgeting, Staffing, Applications
Development, and Day-to-Day Operations.
Selected
Accomplishments:
|
•
Developed
nationwide claims clearinghouse for VSPs, improving payment
time, accuracy and service |
|
•
Developed
new Claims processing systems supporting high-growth
environment |
Directed all aspects of Information
Technology including Planning, Budgeting, Staffing, Applications
Development, and Day-to-Day Operations.
|
•
Turned
around a troubled IT Division by improving service and
quality (70% to 99%) |
Bethesda, Maryland and Santa Clara, California (1974-1980)
Director, Information Systems
Designed, developed, and operated the
simultaneous startup of two Great America Theme Parks (Santa Clara,
California and Gurnee, Illinois) including ground-up construction of
facilities and all data processing systems (hardware and software)
staffing and training.
Selected
Accomplishments:
|
·
Designed and
directed the complete development and installation of an
innovative, fully integrated technical infrastructure and
application suite of Theme park business systems. |
Manager, Data Processing
Selected
Accomplishments:
|
•
Turned
around a troubled data processing department. |
|
• Converted
entire organization from old accounting machines to a
mainframe computer system |
NCR Corporation, Washington, D.C.
(1970-1973)
Business Systems Analyst
Selected
Accomplishments:
|
•
Assisted a
myriad of businesses with designing, developing, and
installing data processing systems |
Education:
·
Bachelor of Arts
in Mathematics, University of Maine, Orono, Maine 1967
·
Certificate,
Advanced Management, Stanford University, 1983
·
Certificate,
Executive management, U.C. Davis, 1982
First
Lieutenant, U.S. Army, 1967-1970. Outstanding Trainee in basic
Training, Honor Graduate in AIT, Distinguished Military Graduate,
U.S. Army Artillery O.C.S, Bronze Star while serving in Vietnam,
1969-1970
·
Member, Board of
Advisors for Villa Julie College Graduate Program in MIS 1998-2000
·
Member, Board of
Directors, Columbus Aquatic Club, 1990
·
Member, GTEDS
Q/CARE Managed Care Users Group Governing Board, 1995
·
President,
Carmichael California Swim Team, 1984 & 1985
·
President, San
Francisco Bay Area Computer Users Group, 1979
·
Volunteer
economics teacher for Junior Achievement, Project Business program
1983 & 1984
·
Chosen as a
technology leader by a national newsweekly (PC-Week) in an exclusive
listing of the top 500 I.T. trendsetter companies. (Fast-Track 500)
·
Chosen for a
case study written by a Harvard Professor and a representative of
Blue Cross and Blue Shield National Association describing the
Strategic Information Systems Plan which I developed for Blue Cross
and Blue Shield of Georgia. It was subsequently presented by two
distinguished Harvard Professors (McFarland and Applegate) in the
summer of 1990 at the Forum for Strategy Development.
·
Presented the
leading-edge information system used at Marriott Theme Parks (which
I designed and built) at 1978 NCR International User Convention in
New Orleans.