Triple Threat Subject Matter Expert (Pharmacy/PBM, Payor, Health System/Hospitals, IT)
Brief Bio
I have over 25 years in the health care field, including Hospital, Physician Practices, Pharmacy, IT, and Insurance experience -- across a wide and varied spectrum of service/performance areas.
Developed healthcare data management platforms, including Cleopatra, CleoPharm, and Cleo Suite product lines.
Developed Audit Applications or all payor audits (RAC, MIPS, ADR, ETC)
Developed Pharmacy Business Side Management Systems (including Big Data)
Developed Specialty Pharmacy Data Aggregation and Analytics Platform
Developed a number of Portals for Physicians, Pharmacy, Payors, etc. for more collaboration amoung trading partners.
Developed EDI Parsers, 270/271, 278, etc.
Proje...