vp of information technology dallas tx resume bob nance

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					                                    ROBERT S. NANCE, MHCA
                                      (214) 226-4479 (cell)  rsnance@renovoconsultingllc.com

SUMMARY: Information Technology Leader/ Consultant with 25 years progressive financial, revenue cycle, and
clinical Healthcare IT accomplishments in Integrated Delivery Networks, Acute (Adult and Children) Hospitals, Physician
Networks, Home care companies, and Managed Care organizations. Master of Health Care Administration - effective
mentor, coach, and manager adept at building high-performing teams of business and technical resources. Dedicated and
passionate business partner skilled in developing and executing IT vision and strategy and dedicated to delivering
business alignment/value of IT investments, enabling business growth, agility, and transformation, while improving IT
performance metrics and maintaining availability of applications that improve patient care quality and customer loyalty.


Revenue Cycle – As Business Office Manager of an Acute Care Hospital, reorganized department for accountability and
results, led project to build IS department and in-source IS from a shared vendor, shortened HIS implementation from 14
to 3 months, realized $800K in additional revenue first year from Order Entry implementation. Received Executive
Director’s Achievement award and promotion to IT Director. Over the years, has developed a deep knowledge of
Revenue Cycle processes in Acute Care, Physician Practices, IDN, post-Acute, and Managed Care organizations. Strong
EDI and HIPAA background.

Mergers and Acquisitions – performed Information Technology due diligence functions for M&A team for the growth
phase of a major $1B healthcare company prior to IPO. Led planning for post-acquisition system integration and
corporate financial reporting activities, facilitating CIO committee to establish standards for business reporting. Led
development or implementation of Service Bureau Billing system, Corporate Practice Management platform for acquired
practices, and HMO system for startup HMO, Doctor’s Health Plan.

Enterprise Project, Program, and Portfolio Management – working within IT governance structure and multiple IT
Steering Committees, led Corporate application team for a major 11 hospital IDN in DFW area and delivered numerous
successful implementations and five-years of strong SLA performance in a high-availability environment. Strong
accomplishments in turnaround of troubled projects, aggressive implementations, and “at-risk” projects.


RENOVO CONSULTING, LLC (7/2008-Present) – Fort Worth, TX
Principal, Senior Consultant
     Provides diverse consulting services to renew and improve Healthcare Information Technology while executing
        Strategic and Tactical Enterprise projects in leading Provider clients to Run, Grow, and Transform the business.
       PARKLAND HEALTH AND HOSPITAL SYSTEM (10/08 – 08/09) – Dallas, TX
            o   Interim Director of Service Management and Operations (10/08 – 07/09) - Oversight of four outsourced
                areas: data center operations/ network support, help desk, telecommunications and desktop support.
                Monitored SLA performance for each outsourced support area, identified and resolved numerous issues,
                facilitated corrective actions and performance improvements as needed.
            o   Best Practice and ITIL improvements made in Incident Management, Problem Management, and Change
                Management while improving workflows and Customer Satisfaction metrics.
            o   Leadership for Desktop, Help Desk, and Wireless/Network technical support for Epic CPOE rollout to
                Hospital and Epic EHR rollout to Ambulatory Clinics. Participation in IT Leadership rotation for
                technical support during Epic Hospital CPOE and Clinical “Big Bang”. Transition planning for turnover
                from Command Center to normal support.
            o   Senior Consultant (8/09) - Service Level Audit and coordination of year-end IT Controls Audit responses

COOK CHILDREN’S HEALTH CARE SYSTEM (1/2006-6/2008) – Fort Worth, TX
Director of Application Implementation and Support, Information Services Department
     Led a team of analysts and developers to deliver Program Management services for Financial, Administrative,
        and Web applications to customers of the four CCHCS companies – Cook Children’s Medical Center, Cook
        Children’s Physician Network, Cook Children’s Home Health, and Cook Children’s Health Plan while ensuring
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        strong IT alignment with business strategy.
       Delivered software enhancements, new functionality, and process improvements to CCHCS through Meditech
        upgrades, NEBO real-time eligibility, Formfast electronic forms, Virtual Business Office, Fast-Track Home Health
        DME, CyberView Business Intelligence, GHX Supply Chain services, Sharepoint Internet .ORG and Intranet sites.
       Led application technical support for problem resolution in Meditech clinical systems, EMR, Valco Document
        Imaging, Data Repository, and LSS Practice Management. Participated in IT leadership team for resource
        planning for EHR rollout to Cook Children’s Physician Network.
       Provided IT budget planning, cost center management, and leadership for Clinical, Financial, and Strategic Web
        Application teams.

BAYLOR HEALTH CARE SYSTEM (7/2000-12/2005) – Dallas, TX
Director of Corporate Services, Information Services Department
     Led a matrixed team to deliver customer-driven enterprise-wide Project Management, Business Analysis,
        Programming, Systems Integration, Consulting, and Production Support services to BHCS Corporate departments
        in support of business objectives.
     Served on Financial/Materials Program Steering Committee. Improved system standardization, integration,
        support, customer satisfaction, staff development and retention. Enterprise-wide projects delivered on-time and
        under budget while improving operational metrics (e.g. increased electronic supply chain transactions from
        $2M/mo to $6M/mo through Marketplace@Novation GPO, exceeded SLA for Lawson ERP system availability for
        over five years with no significant unplanned downtime events.)
     Served on Supply Chain committee of Clinical Transformation project. Selected consulting partner to identify
        savings opportunities in supply chain areas across the enterprise. Implemented recommended changes for
     Key contributor in development of new Project Management Office (PMO). Selected Project Portfolio
        Management (PPM) system, PlanView, and planned and completed the installation and initial training. System
        turned over to new Project Management Office for pilot and roll-out.
     Served on LMS Steering Committee. With a development partner and ASP, redesigned and implemented new
        version of Baylor Learning Network. Go-live had potential impact for 16,000 users, but this “no-noise” go-live
        had no increase in Help Desk call volume due to strong project management, intuitive design of new user
        interface, QA, testing, and training. Renegotiated partnership/development contract with Learning Management
        System vendor for significant discount over typical client.
     Worked with BHCS Corporate and BUMC business units to identify IT needs, develop an Enterprise Application
        road map and cost/benefit presentations to BHCS Capital Committee for funding approval.

PEROT SYSTEMS (12/96-7/2000) – Plano, TX
Senior Technical Manager, Senior Consultant
     Led four AMISYS Technical Services teams for consulting and timeshare clients. Delivered programming,
        consulting, and production support and help desk services to our payer customers using Perot Systems’ Project
        Management (PMI) methodology. Resource Management for over sixty (60) technical and business consultants
        to meet productivity and profitability metrics.
     Team developed new value-added web-based and batch E-Commerce solutions (E-Sync™, E-Trans™) and
        reporting solutions (ReportDB and EIS) for AMISYS Managed Care clients, offering a range of self-service
        transactions for members while increasing batch EDI transactions and reducing EDI hardware and software costs
        by $25K per month. These new solutions addressed significant functionality gaps requested by timeshare clients.
     Senior Consultant and key contributor in developing the new Post-Acute/Specialty Care market segment for
        Perot Systems and winning an $11M contract.
     Developed an EDI enterprise strategy and implemented EDI claims from the largest home care provider to their
        largest payer with 20K claims per month at 99% acceptance rate. Project stalled for two years under three
        previous project managers - successfully completed within 3 months of assignment.

SIGNATURE HOME CARE GROUP, INC. (IHS) (5/95 - 12/96) – Irving, TX
Director of Information Services - CIO level position
     Developed IT Strategy and Vision for Information Technology department of $65M provider of Home Care
        Nursing, Infusion, and Durable Medical Equipment (DME). Acquired by Integrated Health Systems in 1996.
     Implemented Wide Area Network to place all branches on-line to intake and billing system (MestaMed), reducing
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        paper and fax-based business processes to lower operating costs and improve days in A/R.

VP of Billing and Collections Systems – Division CIO level position
    IT leader for Medbill/Healthcare Business Resources division, Integrated Provider Network division and Doctor’s
        Health Plan. Business partner ensuring on-time delivery of strategic growth and business transformation projects.
    Directed development and enhancement of billing system for Business Process Outsourcing (BPO) vendor for
        hospital-based physician and emergency room billing 5M claims per year for 550 Hospital clients; replaced P2P
        interfaces and maintained claim acceptance above 95%.
    Information Technology due diligence for Mergers and Acquisitions team and post-acquisition integration
        planning. Chaired CIO committee to develop consolidated reporting.
    Implemented service bureau for corporate IPA Practice Management implementations (Info/Cure). Led
        successful implementations, conversions, and support for 22 new practice locations in 24 months.
    Selected and implemented managed care software for startup HMO, Doctors Health Plan.

Branch Manager for a contract programming company 18 months, Director of IS (CIO level positions) for two acute
hospitals 5 years, Business Office Manager 4 years. Sample accomplishments:
     Built Data Center and Data Processing Department from ground up
     Led successful three-month conversion (normally 14 months) from Shared Medical Systems system to IBM
        System/38 Dynamic Control (IBAX) HPMS system with full suite of financial and clinical applications for 20%
        reduction in IT costs. Built programming staff and reduced vendor support to minimum level. Received
        Executive Director's Achievement Award for leading this project.
     Designed and implemented electronic submission of claims system for Medicare, Medicaid, and Blue Cross.
        Processed billing for 65% of our business electronically with above 95% acceptance rate.
     System featured in Viewpoint (May/June, 1985) magazine article – “No Place for Guesswork” and in Southern
        Hospitals (Sept/Oct, 1985) – “Computer System Enhances Patient Care and Administration”
     Reorganized and reengineered Business Office functions, workflow, and processes to best practice and better
        results in A/R management and improvements in patient satisfaction.
     Served as Hospital Administration representative for a 10 hospital consortium for long range planning and public

     1979 - Master of Health Care Administration, University of Mississippi, Rho Chi Honorary Society, Major –
     Health Care Administration, Minors – Finance and Management - Wrote Hospital Strategic Long Range Plan
     and Application for Certificate of Need for Phase I building project.
     1977 - Bachelor of Arts, University of Mississippi, Tri-Beta Honorary Society, Major – Biology, Minors –
     Chemistry and English
     1975 – Associate of Arts, Mississippi Delta Community College, Liberal Arts

     Franklin Covey – The 7 Habits of Highly Effective People Signature Program and Manager Program
     Studer Group Seminar - Taking You and Your Organization to the Next Level
     Baylor Health Care System - Leading Strategic Change In a Technical-Centric Environment
     Baylor Health Care System - Internal Audit – How to Audit Automated Business Applications
     Perot Systems Leadership and Project Management training

    Member – HIMSS, Texas-Dallas/Ft. Worth Chapter
    Director – Association of Dynamic Control Users
    Member – Hospital Financial Management Association (HFMA), Mississippi Chapter
    Speaker – HFMA, ECHO, IBM Health Executives Conference, University of MS Graduate School
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                Application Implementation                    Legacy System Upgrades,
                Application Management                         Enhancements, and Replacement
                Application Support                           M&A - IT Due Diligence
                Business Analysis                             Merger and Acquisitions - Application
                Business Intelligence and Reporting            Analysis, Integration, and Planning
                Business Process Engineering                  Operations and Production Support
                Business Process Outsourcing                  Project Management, Program
                Contract Management                            Management, Portfolio Management
                Conversion and Migration Planning             Proposal development and RFP
                EDI and eHealth                                responses
                Enterprise Project / Program / Portfolio      Resource Management and Forecasting
                 Management                                    Revenue Cycle Management
                Gap Analysis                                  Service Management
                Healthcare Applications                       Software Development
                IT Budgeting and Planning                     System Selection
                IT Leadership                                 System Integration
                IT Outsourcing                                Team Building
                IT Strategy                                   Vendor Management
                                                               Workflow

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