Healthcare IT Operations Director in USA Resume Mary Moran
Mary Moran is a 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.
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