Expert Details
Healthcare and Healthcare Strategy: Advanced Analytics, Process Optimization and Operations, Business Intelligence, Product Development, Sales and Marketing
ID: 732900
Pennsylvania, USA
Products: Medicare, Medicaid, Commercial (national, middle market, small group), Individual, Voluntary, Student, and Catastrophic.
Functions: Data Management, Advanced Analytics, Machine Learning, Big Data, Care Management, Risk Identification, Government Measure Sets, Fraud, Claims Processing, Clinical Analytics, 2nd Opinions, Vendor Management, Out-Sourcing, and Contact Management.
Solution Providers: Payers (large and small), IDNs, IPAs, MSOs, ACOs, etc.
Expert is an accomplished leader with a passion for achieving excellence in process and outcome through analytic-driven, innovation and evidence-based decision making. He has expertise in the health care, financial services, insurance and retail industry.
He is a recognized industry expert at using sophisticated analytics and leveraging big data to generate new revenues, realize operational efficiencies, and achieve sustainable competitive advantage. He has consistently proven a keen ability to address complex and diverse business challenges on budget, generate profits, drive operational excellence, foster esprit de corps, exceed customer expectations and create enterprise value.
His core skills include:
Business Intelligence/Advanced Analytics/Big Data ● Multi-Channel/Digital Expertise ● Dashboarding ● Process Optimization ● Pricing Optimization ● Product Development ● Project Management ● P & L Owner Sales ● Risk Management ● Data Management/Governance ● Market Research ● Talent Management
Design & deployment of enterprise business intelligence solutions, Business Intelligence gap analysis, Data governance, Consumer Engagement platform deployment, Enterprise Project management
Education
| Year | Degree | Subject | Institution |
|---|---|---|---|
| Year: 1985 | Degree: Ph.D. | Subject: Political Science | Institution: University of Michigan |
| Year: 1975 | Degree: MA | Subject: International Relations | Institution: Johns Hopkins, School for Advanced International Studies |
| Year: 1973 | Degree: BS | Subject: Industrial & Labor Relations | Institution: Cornell University |
Work History
| Years | Employer | Title | Department |
|---|---|---|---|
| Years: 2016 to 2018 | Employer: MBNA America (Bank of America) | Title: SVP | Department: Data Management & Science |
Responsibilities:An alliance of 46 Fortune 250 companies working together to provide better heath care quality and cost outcomes to their employees. Lead managing working with IBM Watson building a Data/Analytics platform comprised of a diversity of Member health care data (300mm+ record Database), advanced cognitive/AI tools (Machine learning, NLP), data visualization dashboards, and digital solutions to engage both providers and employees in the provision of health care solutions. Responsibilities include lead project oversight, contracting, data security, design development, Member data onboarding, analytic projects, and Master Data Management. |
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| Years | Employer | Title | Department |
| Years: 2014 to 2016 | Employer: ANALYTIC INSIGHTS | Title: Principal | Department: |
Responsibilities:As an independent consultant, Expert has worked on a variety of healthcare-related assignments, including: facilitating deployment of a Big Data platform; leading team building ensemble of data visualization dashboards for integration into a SaaS care delivery platform; part of national sales team offering diabetes monitoring service using Bluetooth-enabled glucometers; and recommending technology platform migration strategy for risk adjustment solution providers. |
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| Years | Employer | Title | Department |
| Years: 2010 to 2014 | Employer: AETNA INSURANCE | Title: Head of Analytics and Optimization | Department: Analytics and Optimization |
Responsibilities:Recruited and built corporate-wide business intelligence solution for $52B international managed care provider as it transitioned from B2B to B2C. Helped lead transformation toward disciplined, data driven decision making through: construction and use of 360 degree prospect and member data marts; disciplined deployment of sophisticated analytics (modeling, Big Data, digital analytics, simulation) to increase revenues, improve care management & optimize business processes; and fostered an ethos that success is never final – test and refine. |
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| Years | Employer | Title | Department |
| Years: 2009 to 2010 | Employer: CSI/DELEEUW | Title: Senior Enterprise Consultant | Department: |
Responsibilities:Senior leader hired to help co-manage broad range of activities associated with the merger of PNC and National City Bank. Responsible for 2 phases of a 4-phase conversion effort. |
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| Years | Employer | Title | Department |
| Years: 2006 to 2009 | Employer: West End Financial Advisors | Title: COO | Department: |
Responsibilities:Streamlined back office processes; led sales and marketing efforts; and developed and deployed the sales tracking system. |
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| Years | Employer | Title | Department |
| Years: 1993 to 2005 | Employer: MBNA America (Bank of America) | Title: Senior Executive Vice President | Department: Business Development |
Responsibilities:Held a variety of senior management roles including business intelligence, marketing strategy, pricing, operations, product development, internet infrastructure development, e-commerce, digital initiatives, market research, and business process optimization. |
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| Years | Employer | Title | Department |
| Years: 1990 to 1993 | Employer: MBNA America (Bank of America) | Title: Senior VP | Department: Citibank Telemarketing Services |
Responsibilities:Ran all IT, telecommunication, and operational support functions for a 400 seat in=bound/out-bound 2-site 24/7 telemarketing operation. Authored several process flow innovations. |
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| Years | Employer | Title | Department |
| Years: 1987 to 1989 | Employer: Self Employed | Title: President and Founder | Department: |
Responsibilities:Expert led the growth of this start-up company which marketed analytic software for financial institutions and retail chains, specializing in site location/branch network optimization, measurement of store performance, and multi-channel marketing for bank branches and retail outlets. Clients included banks, retailers, and ad agencies. |
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| Years | Employer | Title | Department |
| Years: 1989 to 1990 | Employer: | Title: Consultant | Department: Marketing Science |
Responsibilities:Contributed to corporate-wide re-tooling of how GM marketed cars. Managed projects designed to sell cars in new ways at new venues. Evaluated competitor strategies and threats to market share. |
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International Experience
| Years | Country / Region | Summary |
|---|---|---|
| Years: 1997 to 2000 | Country / Region: England, Ireland | Summary: Worked for MBNA International building prospect and customer databases for acquisition, activation, cross-sell, and retention |
Career Accomplishments
| Professional Appointments |
|---|
| Speaking appointments: - 2016 Healthcare Education Associates, Predictive Modeling & Data Analytics Summit, “Interpreting & Analyzing What the Data Means,’ co-presented with Geisinger Health - 2014 Predictive Analytics Innovation Summit, San Diego - 2013 CIO Talk-Radio (topic: Big Data) - 2009 Miami, Florida (topic: alternative investing, life insurance, and annuities) - 2007 Infovest – Meet the Manager Forum, San Francisco - 2004 Net.Fin@nce Conference, Chicago, Ill - 2004 eTail Conference on Multi-channel Marketing |
| Publications and Patents Summary |
|---|
| Expert has co-authored a financial management book as well as several articles on government expenditures, political campaigning, and public policy. |
Additional Experience
| Marketing Experience |
|---|
| Extensive experience as a multi-channel marketer including direct mail, phone, VRU, e-mail, SEO, banner ads, interstitials, other digital forms in support of a broad range of marketing objectives including acquisition, activation, cross-sell, up-sell, retention, risk management, etc. |
| Other Relevant Experience |
|---|
| 30+ year experience leveraging technology, data, and analytics for competitive advantage with experience in multiple verticals including political consulting, retail, automotive, financial services, and health care. Expert has held many senior management assignments wherein he assumed responsibility for a wide range of functions. |
Language Skills
| Language | Proficiency |
|---|---|
| English | Native speaker |