Digital Health Expert Consultant

Request Expert / Similar Expert

Click “request expert” for a free initial screening call with this expert or a similar expert regarding your expert consulting needs

Summary

This Digital Health Expert Consultant is an innovative senior executive with a proven track record in leading the design, development, and implementation of high-performance technology solutions in the healthcare and pharmacy sector. Their extensive expertise as an interim CIO encompasses the development and execution of technology strategies, financial & budget planning, vendor management, agile project development, audit, compliance & security, data analytics, and process & performance improvement. This Digital Health Expert Consultants role as an interim healthcare CIO has been pivotal in addressing the strategic and challenging commercial needs of the healthcare industry through advanced technological innovations.

Highlights

• Agile Project Life-Cycle Development
• Reengineering of Technology
• System Design
• Business Continuity Planning
• Migration & Integration Projects
• Resource / Asset Management
• Data Analytics & Warehousing
• Data / Cyber Security (HIPAA, SOX, HEDIS, PCI)
• Disaster Recovery Strategy

Relevant Accomplishments

• Developed and executed a comprehensive technical strategy to enable the organization’s restructuring of a fragmented broad pharmacy and PBM business including retail, mail, specialty, home health and infusion to a significantly larger national infusion platform. The successfully executed strategy included:
  • Migration of corporate data center to a managed service outsourced data center
  • Consolidation of primary operating systems from 8+ disparate instances to a virtual, scalable, production and highly redundant disaster recovery platform
• Accomplished the technology due diligence and end-to-end integration of three acquired infusion companies totaling more than eighty additional national locations. The technology migration/integration included all computer, network (WAN/LAN), telecom (VOIP), applications, and mobile platforms
• Developed and implemented an Electronic Health Record (EHR) integration and data-warehouse strategy.
• Completed two divestitures including the mail / retail pharmacy locations, as well as, the home health division.
• Developed and implemented comprehensive technology security and compliance strategies to successfully manage the requirements of Sarbanes Oxley, HIPAA and Cyber-security
• With integral knowledge of a healthcare business’ operational framework (eligibility authorizations, payments from a wide variety of insurance providers, claims processing, securitization of medical records, ICD-9 coding, clinical documentation, and more) authorized, planned, and directed custom applications development projects integrated with the company’s ERP platform.
• Pioneered a corporate data warehouse/business intelligence platform based on IBM Cognos & SQL Server. Initiative enabled the swift compilation of a wide variety of business analytics (KPIs included) and was infinitely superior to running reports from the ERP.
• Assessed all vendor relationships (platform support, VOIP telephonic infrastructure, software licensing, hardware purchasing) for quality and value. Improved or replaced those identified as sub-par.; Consolidated telecom carriers and delivered 40% savings in these charges as well as an additional 10+% soft savings in ongoing national platform support; Negotiated with Verizon for 35% savings on wide-area-network.
• Conceptualized, planned, and orchestrated the development and subsequent implementation of an application platform with several custom EMR modules, using a central data warehouse The resulting proprietary application platform, “Medilink,” was both a core contributor to the company’s expanding success in its clinic businesses as well as a central automation/distribution hub for the organization’s intellectual property. Using HL7, Medilink was integrated with several hospital systems including EPIC, Cerner, and Allscipts
• Conceptualized and directed the IT analysis, design, and full-cycle development of several critical projects necessitated by the introduction of Medicare Part D insurance.
• For specialty pharmacy and mail-order divisions, completed a comprehensive features and functionality analysis and delivered application requirements. Project incorporated aspects of HIPAA-compliant security,
• Medicare Part D formulary coverage and reimbursement, inventory management, EDI, and disaster recovery planning.
• Anticipated, planned, and implemented technology enhancements to compensate for the exponential growth achieved by the mail order business. Also led efforts to complete required enhancements for the specialty pharmacy division.

Roles

• CTO / CIO Consulting
• Interim CTO
• Chief Information & Security Officer
• Senior Vice President
• Director of Pharmacy Systems
• Director of Systems Development & Support

Request Expert / Similar Expert

Click “request expert” for a free initial screening call with this expert or a similar expert regarding your expert consulting needs