Healthcare IT Operations Director in USA Resume Mary Moran

							    MARY MORAN                                                                                    Telephone: 760.331.8037
                                                                                                  Email: MaryMoranNYC@aol.com

BUSINESS MANAGER                                 TECHNOLOGY EXPERT                            HEALTHCARE PROFESSIONAL

                                      Director – Healthcare IT & Operations
    Director of Healthcare Information Technology and Operations, with over 15 years of experience developing corporate strategy
    and building and managing large-scale $MMM organizations, PMOs, and business portfolios of products, services, and programs
    for $B companies; deliver on business strategy for healthcare and technology companies, drive innovation, expand service and
    technical capabilities, and increase revenue and cost savings by millions.


                                                  Key Areas of Expertise
    Generating Revenue, Market Growth, & Exacting Cost Savings  Managing $MM Budgets with P&L Responsibilities
   Leading & Developing High Performance Organizations, PMOs, & Programs  Developing Corporate Strategy & Plans
    Progressing Healthcare to Meet New Care & Cost Models  Implementing Healthcare Products, Services, & Systems
 Directing Ambulatory & Acute Care Clinical & Business Systems – EHR/EMR, PACS, CPOE, & Revenue Cycle Management
  Managing Healthcare Insurance Plan Service, Process, & Technology Implementations – Medicare, Medicaid, PPO, & HMO
  Aligning Technology to Corporate Strategy  Delivering IT Solutions  Architecting Highly Available & Reliable Systems
   Infrastructure Management – Security, Network, Telecom, Servers, Desktops, OS, Storage, Databases, Directories, & Web
       Application Development  Replacing Legacy Technology with Advanced Technology  Healthcare Operations


                                                    Professional Highlights
   Excelled for over 5 years at EmblemHealth and Healthfirst healthcare insurance companies, at Palomar Pomerado Health Organization,
    and the Detroit Medical Center achieving improved medical care and healthcare costs – i.e., achieved CMS and federal audit approval for
    new managed care and integrated healthcare plans managed and implemented medical center clinical and business systems (i.e., EMR,
    PACS, CPOE, and revenue cycle systems).
   Influenced healthcare policy as an advocate for managed healthcare at the CMSA 2012 Washington D.C. Congressional Healthcare
    Policy Summit in meetings with congressional staff and policy advisors and achieved federal CMS and state compliance and quality
    improvement measures for Healthfirst insurance company and the Palomar Pomerado Health and Detroit medical centers.
   Built $MMM technology and service organizations, ePMOs, and IT Centers of Excellence at $B healthcare and technology companies;
    earned management and service excellence awards for work at Palomar Pomerado Health, QUALCOMM, and Oracle and for technical
    consulting services provided to customer accounts in the healthcare, financial, wireless, and telecommunication industries.
   Built Oracle’s technical field service organization from a startup that addressed service gaps between global customer support centers
    and consulting services and secured and managed in 2 years over $125 million in product and service agreements.


                                                             Key Skills
      Organizational Development PMO Development  Developing and Executing Strategy  Leading Innovation
  Acquiring & Developing Skilled Staff  Fostering Strong Relationships  Negotiation  Contract & Vendor Management
  Data Analytics, Analysis, & Reporting  Managing with Business Intelligence – Analytics, ROIs, Metrics, KPIs, & Forecasts
     Managed Accountable Care Achieving Compliance – HIPAA, Meaningful Use, HITECH & ACO Acts, ISO, SOX
       Attaining Quality – TQM, HEDIS, QARR, & NCQA  Utilizing Methodologies – SDLC, ITIL, CMMI, PMBOK
              Service Management  Communicating Services & Technology with Formal Presentation Skills


                                      Professional Experience & Accomplishments
     HEALTHFIRST, New York, New York                                                                                       2011 to 2012
     (Healthfirst is a $B New York and New Jersey Medicare, Medicaid, and low-cost health insurance plan provider.)
     ASSISTANT DIRECTOR, PROJECT MANAGEMENT – Managed a staff of 6 project managers and large matrix staffs for
     the implementation of the first $MM New York and New Jersey coordinated and integrated managed care plans, Home Health, new
     clinical quality improvement initiatives, technology systems, and processes working with executives, all functional groups (e.g.,
     Sales and Marketing, Product Management, Enrollment, Care Management, Clinical Quality Improvement, Member Services,
     Network Management, Finance, Performance Improvement, IS, etc.), CMS, and state NY DOH and NJ DMAHS representatives.
MARY MORAN                                                                                                               Page 2

 Contributing member of executive monthly strategy and corporate review meetings to set corporate objectives and strategy and
  review the progress on the execution of insurance plans, key initiatives, programs, and services that generated $MM in revenue,
  improved care, and cost savings.
 Achieved CMS and state requirements and plan audit approval to service a new NY managed care and integrated Medicare,
  Medicaid, and patient-centered long term care HMO SNP plan that improved member and provider service and generated $MM in
  revenue and cost savings.
 Attained NJ DMAHS approval and compliance for a new NJ integrated Medicare and Medicaid dual-eligible HMO SNP plan;
  ensured all plan requirements were met from a managed care service, system, process, procedure, and policy basis; completed
  transition of existing dual-eligible members to the advantage plan and worked with marketing and sales groups to attain new
  member acquisition.
 Successfully determined and managed the system architecture, implementation, and integration work of Healthfirst plans,
  including, data analytics, a CRM system, 3 enrollment systems, eligibility verification, claims adjudication, financial reporting,
  ancillary vendor eligibility, invoice and encounter handling, testing office methodology and framework development, member
  engagement content distribution (letters, member kits, portal content, and ID cards), care management quality measures software
  (i.e., medication therapy management and hospital and emergency room re-admittance avoidance), and a new redundant IVR call
  center system implementation.

EMBLEMHEALTH, New York, New York                                                                                             2011
(EmblemHealth is a major $B New York health insurance company.)
SENIOR PROGRAM MANAGER & TECHNICAL ARCHITECT CONSULTANT – Managed the $MM ICD-10 program
working with corporate-wide functional and technical groups and responsible for determining and documenting system architecture
of mainframe and client-server systems.
 Successfully completed the master ICD-10 program plan engaging senior management, the EPMO office, and all corporate
  functional and technical groups; secured mainframe system resources to progress mainframe ICD-10 remediation work and
  got a corporate review of partitions done for efficiency and cost gains; planned all client-server remediation work and initiated
  ICD-10 remediation work of priority and long lead time client server systems, accounting for system inter-dependencies.
 Achieved documenting the enterprise IT architecture, recommending areas of improvement and plans that were adopted.

PALOMAR POMERADO HEALTH & INDEPENDENT, San Diego area, California                                                   2009 to 2011
(Palomar Pomerado Health is a major San Diego healthcare organization.)
SENIOR IT MANAGEMENT CONSULTANT & CLINICAL SERVICE SUPPORT – Worked as a Senior IT
Management Consultant and at Palomar Medical Center supporting clinical care service with medical and technical staff with
healthcare system (i.e., EMR, CPOE, PACS, and medication supply management), medical device, diagnostic, therapeutic, and
compliance experience.
 Successfully managed IT infrastructure and application architecture, system implementations, and operations work; provided
  clinical support to the critical care, trauma care, emergency room, operating room, oncology, and diagnostic imaging groups;
  achieved IT system adoption and earned 3 service awards for work at Palomar Pomerado Health, including a CEO award.

WAYNE STATE UNIVERSITY, Detroit, Michigan                                                                          2007 to 2008
(Wayne State University is part of Michigan’s University Research Corridor and is affiliated with the Detroit Medical Center.)
MEDICAL SCIENCES/LIFE SCIENCES MASTERS GRADUATE – Worked with professors and medical doctors focused
in medicine, biotechnology, and the life sciences.
   Expertise in healthcare clinical practices, IT systems, and technology; presented research and promoted technology adoption
    to improve healthcare; graduated with honors and completed degree to expand healthcare experience and manage healthcare
    services and technology.

QUALCOMM INC., San Diego, California                                                                                1998 to 2007
(QUALCOMM is a leading $B global wireless technology company.)
SR. PROGRAM/PROJECT MANAGER & MANAGER, CORPORATE INFORMATION TECHNOLOGY –
Developed and led successful Corporate IT and division strategy and the technology and services that enabled engineering
product solutions, streamlined and standardized systems and processes, reduced operating costs, and achieved business goals
and fiscal targets.
 Developed organizations and the PMO for the $100+M corporate IT organization; led strategic IT initiatives and senior
 management forums to ensure technology aligned to corporate and divisional business plans.
MARY MORAN                                                                                                                   Page 3

Managed over all corporate IT infrastructure areas (i.e., including, data centers, network, wireless infrastructure, telecom, security,
servers, desktops, storage, databases, messaging, middleware, host services, software provisioning, web technology, asset
management, accounts administration, and global help desk), and managed large COTS application implementations and software
development for IT, engineering divisions, and corporate business areas (i.e., Finance, HR, Procurement, R&D, Legal).
Led and managed the architecture of IT and engineering system infrastructure and applications, implementations, enterprise and
commercial rollouts, and operations; responsible for getting corporate systems and their integration into the enterprise IT
environment documented and led IT Center of Excellence and strategy roadmap sessions with business and IT groups for future
technology solution investments.
Selected Accomplishments:
   Management sponsor and technical manager of teams for an award winning integrated global security system and service
    management program and directly managed a DBA staff of 8 providing IT service to corporate and divisional
    implementations, including ones that saved millions by replacing costly legacy QUALCOMM developed systems – e.g., 4
    ERP division systems, corporate AD and LDAP integrated directories, identity management, and secure information exchange
    systems.
   Consistently selected by VPs and Directors to lead and manage staffs of 20 to more than 50 with responsibility for the
    successful completion of critical corporate programs and projects, including, corporate acquisitions and divestitures which
    delivered multi-million dollars in revenue and focus on core business, an enterprise ITIL Service Management program which
    expanded IT capabilities, increased engineering capabilities, and exacted $MM in cost savings and revenue, an integrated
    global security system exceeding $1 million, and a configuration system used by all engineers in the two largest divisions.
   Developed and led an ITIL Service Management program that improved the revenue, savings, and performance of Corporate IT
    (e.g., B2B secure information exchange technology to advance market product release and protect IP, millions earned from
    Virtual Machine and SAN deployments, technology consolidations, and replacement of costly legacy systems); designed
    program included SLAs, OLAs, metrics, KPIs, forecasts, BCRs, ROIs, service portals, dashboards, reporting, and leadership
    management forums for 22 IT areas.
   Led product research, ROI analysis, and developed business cases and plans (e.g., achieved over $1 million the first year and
    more than $9 million in 5 years for virtual desktop utilization), managed an over $85 Million IT Budget, negotiated significant
    purchased product discounts from vendors for business investments (e.g., 85% discount for multi-media tool suite used in
    technology and marketing web sites), and marketed technology solutions.
   Earned numerous QUALCOMM QualStar Awards for successfully managed technology groups and programs such as the
    Sarbanes-Oxley 404 IT compliance program, where QUALCOMM was one of the first Securities and Exchange Commission
    registrants nationwide to achieve compliance, completing it one year ahead of the regulatory deadline.

ORACLE CORPORATION, Redwood Shores, California
(Oracle is a leading global database and technology service company.)
SENIOR MANAGER & PRODUCT MANAGER, FIELD SERVICE ORGANIZATION WITHIN WORLDWIDE
SUPPORT – Developed the technical Field Service Organization and PMO from a startup to a multi-million dollar organization
with a staff of over 100 that addressed service gaps between global support centers and consulting services.
Researched the market, developed the program, services, service plans, deliverables, marketing, account strategies for revenue
generation and retention, training, and processes that supported organizational management, growth, and the ability to respond
to customers; integrated the Field Service organization within Oracle and hired, trained, and managed staff.
Evaluated Fortune 500 clients and marketed, sold, and delivered Oracle technology solutions aligned to their business strategy;
reported progress on solution delivery with Fortune 500 company executives and senior staff and developed strategic customer
partnerships and vendor alliances that expanded Oracle’s market share while retaining and growing existing account revenues.
Full responsibility for national staff architecting, implementing, and documenting Oracle technology solutions, managing the
commercial rollout of systems (e.g., provisioning and billing systems, claim system, financial trading and credit processing
systems, and aerospace and automotive manufacturing systems), and improving system operations (e.g., executing operational
assessments to achieve industry best practices and standards) of Fortune 500 client systems.
Selected Accomplishments:
   While developing the organization directly managed a staff of 14 architecting technology solutions and providing technical
    services to the telecommunications vertical that became Oracle’s largest grossing sector; secured in 2 years more than $5
    million in Field Service Support, $895,000 in Gold Support, and $120 million in master product and service agreements.
MARY MORAN                                                                                                                Page 4

   Provided account and technical management to companies in many industries and managed direct and indirect staff;
    developed account plans that aligned technology and service delivery to corporate business requirements and resolved
    corporate technical and service delivery issues.
   Presented Oracle support services at Oracle user group, industry groups, customer technology days, and in an account
    formal RFP for Sprint winning a $13 million Sprint master agreement.
   Awarded Oracle’s “Best of the Best” Award and Support Club Management Excellence Award for organization
    development, account sales, and management; member of Oracle’s Quality Program account team; awarded AT&T Service
    Management Excellence Award.

GTE GOVERNMENT SYSTEMS, Mountain View, California                                                                   1989 to 1991
(GTE Government Systems developed strategic defense systems for the government.)
SOFTWARE ENGINEER, REUSABLE SOFTWARE GROUP – Architected, developed and supported C and ADA core
application code and tools used by all government contract programs that improved Engineering productivity and quality and reduced
costs; designed and administered relational databases; obtained DOD Top Secret and NSA SBI clearances.




                                    Education & Professional Development
                                Post Masters Professional Courses, GPA 4.0, 2009 to 2010
                University of California San Diego, Michigan State University, & University of New England
                           M.A. Medical Sciences & Life Sciences, GPA 3.78, December 2008
                                      Wayne State University, Detroit, Michigan
                              B.S. Computer Science and Engineering, GPA 3.49, May 1989
                                      Oakland University, Rochester Hills, Michigan
                            PMP, Project Management Professional Certificate, March 2010
                                          PMI, Project Management Institute
                           Advanced Project Management Program & Certificate, April 2006
                                       Stanford University, Stanford, California
                                                 Professional Affiliations
         HIMSS, MIT, PMI, Institute for Healthcare Technology Transformation, & Leadership Builder Organizations
                           Washington D.C. Congressional 2012 CMSA Healthcare Policy Summit
                                  Numerous Healthcare, Healthcare IT, & Technology Forums
                                  Wayne State and Oakland University Alumni Member