Paul Wicker is a program manager and senior project manager with over 15 years of experience in healthcare IT, systems, business processes, and mergers and acquisitions. He has a track record of streamlining operations, managing complex projects, and negotiating contracts. Wicker holds an MHA and BSBA and is skilled in areas like process improvement, regulatory compliance, and team leadership.
Paul J. Wicker is a program manager and senior project manager with over 15 years of experience in healthcare IT, systems integration, mergers and acquisitions, and compliance. He has led complex projects to improve revenues, operations and quality of care at organizations such as Catholic Health Initiatives, Wellstar Health System, and Kaiser Permanente. Wicker has expertise in developing technology roadmaps, managing acquisitions and post-merger integrations, and ensuring regulatory compliance. He holds an MHA and BSBA and is a certified Six Sigma Green Belt and Change Acceleration Process professional.
This document discusses the importance of efficiently managing credentialing, privileging, and enrollment processes in the evolving healthcare environment. It notes that market pressures are forcing healthcare organizations to consider integrating these processes to improve customer service, support quality efforts, reduce costs, and minimize regulatory risk. The document outlines key questions organizations are asking around streamlining these processes, having a single source of truth for provider data, preparing for increased regulatory scrutiny, and leveraging technology. It then provides an overview of Deloitte's credentialing, privileging and enrollment service offering which can help clients improve provider satisfaction, reduce costs, and enhance transparency.
The document provides contact information and a summary of Scott Rein's experience as a project and operations manager with over 25 years of experience managing various projects and business operations across multiple industries. It details his experience implementing new systems, improving processes, and managing teams and projects of varying sizes and scopes to achieve organizational goals for various organizations, including managing a portfolio of projects worth $3 million at one point. His background includes a Master's degree in Management and Bachelor's degree in Engineering Management.
Three surveys found that business process management (BPM) was ranked highly by business executives. Chief Information Officers saw BPM suites as the top technology for business value. Another survey found BPM as a promising future technology. A third survey ranked BPM as the number one technology project for organizations in 2007. Implementing BPM using IT solutions like a BPM suite can help organizations reduce process lag times, have a single view of tasks, ensure tasks don't get lost, only enter data once, and better manage business rules and policies.
CIA Quebec 11 Sept 2015 Presentation C Louis FinalClaire Louis
油
Digitalization is transforming the insurance claims process. Key technologies impacting claims include predictive analytics, business process management, and the internet of things. These allow for early intervention, optimized claims handling, and a shift to loss prevention. However, insurers face compliance risks regarding good faith, privacy, discrimination, and unfair trade practices. The future claims environment is expected to have larger and shorter claims, new types of claims, and fewer traditional claims due to loss prevention technologies. Performance metrics will also change for the next generation of claims management.
Justifying data quality projects requires demonstrating the effects of poor data quality, calculating ROI, involving stakeholders, finding funding sources, and requesting executive approval. Specifically, tactics include listing missed opportunities from bad data, targeting critical systems like CRM, quantifying costs of poor data like lost customers, and presenting alternatives like top-down or bottom-up approaches. The justification should show how improved data quality will increase revenue, reduce costs and risks to contribute positive ROI.
Implementing an Effective Third-party & Vendor Risk Management ProgramKannan Subbiah
油
This document discusses implementing an effective third-party and vendor risk management program. It covers selecting a framework, the relationship lifecycle which includes strategy, due diligence, contracting, ongoing monitoring and re-evaluation. Key focus areas are scope, segmentation, due diligence, control systems, risk assessments, governance, organization, policy, tools and data. Recommendations include building a cross-functional team, being comprehensive without complexity, staying agile with risk-based intelligence, and complementing decision making with risk-based intelligence. The document also discusses compliance challenges, recovering from breach, next steps of integrating the approach and leveraging automation.
Cost benefit analysis vs confidentialityPrithvi Ghag
油
Cost-benefit analysis provides a framework to identify, quantify, and compare the costs and benefits of policy actions in dollar terms. There are four basic steps: 1) identify alternatives, 2) describe inputs/outputs, 3) estimate costs and benefits, and 4) compare. It helps managers understand impacts and identify most beneficial alternatives. While it simplifies complex concepts, limitations include difficulties valuing indirect impacts and benefits.
Capgemini Consulting Claims Ops Model Alignment Program 3 13 2015Claire Louis
油
The document discusses aligning an insurance company's claims operating model with its enterprise strategy. It provides an overview of key insurance trends related to claims transformation, customer experience, digitization, and product innovation. It outlines how aligning the claims model supports business goals like risk management, customer retention, and profitability. The document then describes components of an effective claims operating model and a strategy to guide insurers through assessing their current model and developing a targeted model through initiatives related to process, people, technology, and change management.
IT Service Management (ITSM) Model for Business & IT AlignementRick Lemieux
油
Todays multi-faceted business world demands that Information Technology provide its services in the context of a fully integrated corporate strategic model. This transformation becomes possible when IT evolves from its technological heritage into a Business Technical Organization, or an internal service provider. This paper describes how the itSM Solutions reference model integrates five widely used service management domains to create a powerful model to guide IT in its journey into the business leadership circle.
Julie Krasnoff has over 20 years of experience in physician and healthcare billing, accounts management, and medical administration. She currently works as a Processing Manager, where she oversees billing and claims processing for 36 medical practices. Previously, she held positions as an Edit Manager and Assistant Supervisor, where she managed teams and coordinated billing operations. She has extensive expertise in billing systems, coding, accounts receivable, and ensuring compliance.
13 Top GRC Tools for an Integrated Governance, Risk and Compliance StrategyQuekelsBaro
油
Integrate business governance, risk, and compliance control using these top 13 GRC tools. Lower business costs, collaborate and meet compliance mandates.
Cyber fraud and Security - What risks does family office's face intoday's wo...Kannan Subbiah
油
Presented at the Private Wealth Management Summit 2017 held at Mumbai, India.
Security has to be considered as the foundation on which one can build a business. Gone are the days when we can build a perimeter, sit back and feel secure. In todays digital environment we partner with others, we outsource, we have alliances, we let our customers into our systems and as we extend our networks.
In the digital economy, effective cyber security can mean the difference between a businesss success and its failure.
Ilta 2005 - Evaluating Managed Services - Benchmarks and Case Studies by Dave...David Cunningham
油
The document discusses evaluating managed IT services through case studies of law firms. It defines managed services and the most common types. Case studies describe how smaller and larger firms used managed services to improve IT capabilities, efficiency and consistency across offices. A litigation firm used managed storage services to address massive data growth. Business process outsourcing reduced costs and increased efficiency. An internal IT scorecard helped firms understand service levels and costs to determine if managed services were appropriate.
Crossland Advisors provides IT risk and control services to a variety of industries. They use a process-focused, risk-based approach to develop solutions to complex IT challenges. Their services include IT compliance programs and processes, readiness assessments, IT risk and control assessments, IT internal audit, and IT process and effectiveness assessments. Crossland Advisors works to satisfy clients' IT risk and control needs.
No one size fits all managed services solution will ever be ideal for every business. When evaluating prospective providers, consider important services such as monitoring, reporting, backup, remote management and security. Also consider key provider qualifications including location, third-party certifications, customer references, in-house staffing resources and contract items. After outsourcing, you should see immediate results in cost controls and service delivery.
Data and the enterprise mission: putting data at the corecorfinancial
油
Data matters to Financial Services firms. It is their stock-in-trade, a strategic asset that without an accurate and timely data set they cannot operate effectively, they cannot price risk fully and their capital allocation calls are unlikely to be optimal. Data is the ultimate collateral of these firms. For many, it requires a transformational change in their systems, technology and processes How then do you embed strategic data into your enterprise architecture?
Read 2 minute guide
DEPL Consulting is an IT audit and advisory firm based in Lagos Nigeria. We provide a high-quality information technology consulting services that cut across governance and risk management, cybersecurity, compliance program, audit and assurance services.
HealthSpan Solutions has been serving the healthcare community since 1999 by delivering solutions that improve financial returns and reduce expenses. Through its consultants and Preferred Partner Network, HealthSpan is able to provide the right solutions for its clients. HealthSpan is dedicated to helping healthcare providers access the best systems and services through its network to streamline the process of evaluating vendors and support strategic goals. When organizations partner with HealthSpan, they gain access to its experienced network of partners and the support needed to achieve their objectives.
Welcome to The Bowman Agency, a full-service independent insurance agency serving 際際滷ll, New Orleans, and the surrounding areas in Louisiana and the Mississippi Gulf Coasts. Since Wayne Bowman first opened the doors in 1958 you could depend on a 際際滷ll Auto Insurance policy, Homeowners, Louisiana Workers Compensation, Surety Bonds or an array of business products and services for one or a thousand employees. The Bowman Agency is here to help you protect your home, family, and business.
Unnatural disasters like identity theft and software viruses pose a significant threat to enterprises and can be more costly than natural disasters. The document outlines six steps that IT organizations should follow to build an effective IT Service Continuity Management (ITSCM) program to protect against unnatural disasters: 1) Manage the big picture of IT's contribution to the business, 2) Conduct scenario planning for disaster recovery, 3) Consult experts and provide training, 4) Determine what continuity services to in-source vs outsource, 5) Consider automation software, and 6) Streamline documentation for quick disaster recovery. ITSCM is important for establishing risk tolerance and providing recovery guidance to ensure business continuity.
Axis Technology, LLC provides entitlement management consulting services to analyze clients' current entitlement frameworks and implementations. They gather information to determine how entitlements can be improved and provide recommendations. An implementation plan outlines options for redesigning entitlement provisioning processes. The services help clients understand who has access to what resources and ensure entitlements comply with security and audit requirements.
A Case Study of the
Auckland District Health Board
Information Management and Technology Service
Johan Vendrig, Chief Information Officer
HINZ Conference Rotorua - October 2007
This document discusses how service desks can optimize their operations through automation, integration, and workflow. It provides examples of how these tools can be used, such as automatically populating incident records, capturing resolution details for knowledge articles, and streamlining self-service. While full automation and integration of all processes is not feasible, the document recommends prioritizing the two or three areas that can demonstrate early success and ease processes.
An ably led, well defined, pragmatic, measured, and adequately funded enterprise-wide Data Risk Management (DRM) program is not an executive prerogative; it is a tacit mandate from the shareholders for the very survival of a business in todays data-driven economy.
Scenario
After 10 years of working in the construction industry, you and 4 of your friends want to start up a construction
or property development company with RM 3 million as capital.
Prepare a report about your construction company or development construction company.
Dokumen ini membahas adiponektin, hormon yang disekresi oleh jaringan lemak. Adiponektin berperan dalam regulasi metabolisme glukosa dan lemak serta memiliki efek anti-inflamasi dan antiaterogenik. Kadar adiponektin berkorelasi negatif dengan obesitas, diabetes tipe 2, dan penyakit jantung. Pemeriksaan kadar adiponektin dapat dilakukan dengan metode ELISA atau RIA untuk keperluan diagnosis dan penelitian.
Cost benefit analysis vs confidentialityPrithvi Ghag
油
Cost-benefit analysis provides a framework to identify, quantify, and compare the costs and benefits of policy actions in dollar terms. There are four basic steps: 1) identify alternatives, 2) describe inputs/outputs, 3) estimate costs and benefits, and 4) compare. It helps managers understand impacts and identify most beneficial alternatives. While it simplifies complex concepts, limitations include difficulties valuing indirect impacts and benefits.
Capgemini Consulting Claims Ops Model Alignment Program 3 13 2015Claire Louis
油
The document discusses aligning an insurance company's claims operating model with its enterprise strategy. It provides an overview of key insurance trends related to claims transformation, customer experience, digitization, and product innovation. It outlines how aligning the claims model supports business goals like risk management, customer retention, and profitability. The document then describes components of an effective claims operating model and a strategy to guide insurers through assessing their current model and developing a targeted model through initiatives related to process, people, technology, and change management.
IT Service Management (ITSM) Model for Business & IT AlignementRick Lemieux
油
Todays multi-faceted business world demands that Information Technology provide its services in the context of a fully integrated corporate strategic model. This transformation becomes possible when IT evolves from its technological heritage into a Business Technical Organization, or an internal service provider. This paper describes how the itSM Solutions reference model integrates five widely used service management domains to create a powerful model to guide IT in its journey into the business leadership circle.
Julie Krasnoff has over 20 years of experience in physician and healthcare billing, accounts management, and medical administration. She currently works as a Processing Manager, where she oversees billing and claims processing for 36 medical practices. Previously, she held positions as an Edit Manager and Assistant Supervisor, where she managed teams and coordinated billing operations. She has extensive expertise in billing systems, coding, accounts receivable, and ensuring compliance.
13 Top GRC Tools for an Integrated Governance, Risk and Compliance StrategyQuekelsBaro
油
Integrate business governance, risk, and compliance control using these top 13 GRC tools. Lower business costs, collaborate and meet compliance mandates.
Cyber fraud and Security - What risks does family office's face intoday's wo...Kannan Subbiah
油
Presented at the Private Wealth Management Summit 2017 held at Mumbai, India.
Security has to be considered as the foundation on which one can build a business. Gone are the days when we can build a perimeter, sit back and feel secure. In todays digital environment we partner with others, we outsource, we have alliances, we let our customers into our systems and as we extend our networks.
In the digital economy, effective cyber security can mean the difference between a businesss success and its failure.
Ilta 2005 - Evaluating Managed Services - Benchmarks and Case Studies by Dave...David Cunningham
油
The document discusses evaluating managed IT services through case studies of law firms. It defines managed services and the most common types. Case studies describe how smaller and larger firms used managed services to improve IT capabilities, efficiency and consistency across offices. A litigation firm used managed storage services to address massive data growth. Business process outsourcing reduced costs and increased efficiency. An internal IT scorecard helped firms understand service levels and costs to determine if managed services were appropriate.
Crossland Advisors provides IT risk and control services to a variety of industries. They use a process-focused, risk-based approach to develop solutions to complex IT challenges. Their services include IT compliance programs and processes, readiness assessments, IT risk and control assessments, IT internal audit, and IT process and effectiveness assessments. Crossland Advisors works to satisfy clients' IT risk and control needs.
No one size fits all managed services solution will ever be ideal for every business. When evaluating prospective providers, consider important services such as monitoring, reporting, backup, remote management and security. Also consider key provider qualifications including location, third-party certifications, customer references, in-house staffing resources and contract items. After outsourcing, you should see immediate results in cost controls and service delivery.
Data and the enterprise mission: putting data at the corecorfinancial
油
Data matters to Financial Services firms. It is their stock-in-trade, a strategic asset that without an accurate and timely data set they cannot operate effectively, they cannot price risk fully and their capital allocation calls are unlikely to be optimal. Data is the ultimate collateral of these firms. For many, it requires a transformational change in their systems, technology and processes How then do you embed strategic data into your enterprise architecture?
Read 2 minute guide
DEPL Consulting is an IT audit and advisory firm based in Lagos Nigeria. We provide a high-quality information technology consulting services that cut across governance and risk management, cybersecurity, compliance program, audit and assurance services.
HealthSpan Solutions has been serving the healthcare community since 1999 by delivering solutions that improve financial returns and reduce expenses. Through its consultants and Preferred Partner Network, HealthSpan is able to provide the right solutions for its clients. HealthSpan is dedicated to helping healthcare providers access the best systems and services through its network to streamline the process of evaluating vendors and support strategic goals. When organizations partner with HealthSpan, they gain access to its experienced network of partners and the support needed to achieve their objectives.
Welcome to The Bowman Agency, a full-service independent insurance agency serving 際際滷ll, New Orleans, and the surrounding areas in Louisiana and the Mississippi Gulf Coasts. Since Wayne Bowman first opened the doors in 1958 you could depend on a 際際滷ll Auto Insurance policy, Homeowners, Louisiana Workers Compensation, Surety Bonds or an array of business products and services for one or a thousand employees. The Bowman Agency is here to help you protect your home, family, and business.
Unnatural disasters like identity theft and software viruses pose a significant threat to enterprises and can be more costly than natural disasters. The document outlines six steps that IT organizations should follow to build an effective IT Service Continuity Management (ITSCM) program to protect against unnatural disasters: 1) Manage the big picture of IT's contribution to the business, 2) Conduct scenario planning for disaster recovery, 3) Consult experts and provide training, 4) Determine what continuity services to in-source vs outsource, 5) Consider automation software, and 6) Streamline documentation for quick disaster recovery. ITSCM is important for establishing risk tolerance and providing recovery guidance to ensure business continuity.
Axis Technology, LLC provides entitlement management consulting services to analyze clients' current entitlement frameworks and implementations. They gather information to determine how entitlements can be improved and provide recommendations. An implementation plan outlines options for redesigning entitlement provisioning processes. The services help clients understand who has access to what resources and ensure entitlements comply with security and audit requirements.
A Case Study of the
Auckland District Health Board
Information Management and Technology Service
Johan Vendrig, Chief Information Officer
HINZ Conference Rotorua - October 2007
This document discusses how service desks can optimize their operations through automation, integration, and workflow. It provides examples of how these tools can be used, such as automatically populating incident records, capturing resolution details for knowledge articles, and streamlining self-service. While full automation and integration of all processes is not feasible, the document recommends prioritizing the two or three areas that can demonstrate early success and ease processes.
An ably led, well defined, pragmatic, measured, and adequately funded enterprise-wide Data Risk Management (DRM) program is not an executive prerogative; it is a tacit mandate from the shareholders for the very survival of a business in todays data-driven economy.
Scenario
After 10 years of working in the construction industry, you and 4 of your friends want to start up a construction
or property development company with RM 3 million as capital.
Prepare a report about your construction company or development construction company.
Dokumen ini membahas adiponektin, hormon yang disekresi oleh jaringan lemak. Adiponektin berperan dalam regulasi metabolisme glukosa dan lemak serta memiliki efek anti-inflamasi dan antiaterogenik. Kadar adiponektin berkorelasi negatif dengan obesitas, diabetes tipe 2, dan penyakit jantung. Pemeriksaan kadar adiponektin dapat dilakukan dengan metode ELISA atau RIA untuk keperluan diagnosis dan penelitian.
The document discusses digital natives and digital immigrants in the context of using information and communication technologies (ICT). It notes that digital natives, who are typically under 25-30 years old, have grown up with technology being central to their lives, while digital immigrants, those 25-30 or older, have had to learn to use technology. This can lead to differences in how the two groups access and process information. The document also briefly outlines the evolution of the web from Web 1.0, which required programming knowledge, to Web 2.0, which allows anyone to publish content, to the potential for Web 3.0 to involve simulated environments and immersive experiences.
The document provides information on assistive technologies available for Apple devices. It discusses dictation software like Dragon Dictate, concept mapping tools like Inspiration and MindManager, organization tools like Outlook and Audio Notebooks, text-to-speech support from Read & Write and ClaroRead, and visual tools like the Visual Thesaurus. It also provides updates on new releases of devices and software like the iPhone, iPad, Mac OS X Lion, and iLife and iWork suites. The document promotes Apple products as providing built-in accessibility features and a range of options to support learning.
NIIT Technologies is a global IT and BPO services company with a focus on travel, insurance, and banking industries. It has delivery centers in the US, Spain, Philippines, and India. The company is recognized for its process expertise through tools like ProcessGym and TermsMonitor. It delivers business process services like finance & accounting, contact center support, and research & analytics using its global delivery model.
This document promotes the health benefits of consuming high-quality fats and provides a recipe for a chocolate chia pudding breakfast. It notes that essential fats are important for brain and heart health as well as reducing inflammation. The chocolate chia pudding recipe calls for almond milk, honey or stevia, vanilla, chia seeds, and cocoa powder. The pudding can be refrigerated for up to five days and customized to one's taste preferences. Overall, the document encourages mindful food choices and discusses how an integrative dietitian can help incorporate nutrients into an everyday diet.
Shibu Abdul Rasheed has over 13 years of experience in storekeeping, inventory control, delivery supervision, and sales. He currently works as a Warehouse Incharge/Delivery Supervisor for PixelDigital Systems LLC in Dubai, where he is responsible for warehouse operations, delivery supervision, and contributing to team efforts. Previously, he worked for 8 years as a Storekeeper, Inventory Clerk, and Delivery Supervisor for Juma Al Majid Est. in Abu Dhabi, where he managed inventory control, materials management, sales, and delivery. He holds a Bachelor's degree from the University of Kerala in India.
This document provides an overview of diseases that can affect the external ear, including the pinna and external auditory canal. It discusses various congenital, traumatic, inflammatory, and neoplastic conditions. Congenital deformities include microtia and atresia of the ear canal. Common traumatic injuries are lacerations and hematomas. Inflammatory diseases include infections like otitis externa caused by bacteria, viruses, or fungi. Some examples of neoplastic conditions mentioned are squamous cell carcinoma and malignant melanoma. The document provides details on symptoms, causes, and treatment approaches for many of these external ear diseases.
This document discusses various types of organizational development (OD) interventions. It categorizes and describes interventions such as survey feedback activities, education and training, techno-structural activities, process consultation, grid organization development, third-party peacemaking, coaching and counseling, life- and career-planning, planning and goal-setting, strategic management, and organizational transformation. It also discusses team building and inter-group interventions in more detail. The overall purpose of these interventions is to improve organizational effectiveness and performance through activities designed to enhance skills, structures, processes, and relationships within the organization.
Este documento presenta una exploraci坦n del escritorio de Windows y la interfaz de Microsoft Word. Define un sistema operativo como el software b叩sico de una computadora que provee una interfaz entre programas, hardware y usuario. Menciona tres ejemplos de sistemas operativos (Apple, Android, Microsoft) y cinco versiones de Windows. Define un procesador de palabras como un programa para crear documentos de texto con formatos, im叩genes y otros elementos, e incluye cinco ejemplos como Word, AbiWord y Zoho Writer.
Robert Skowronski has over 20 years of experience in health insurance and managed care. He is currently the Deputy Commissioner of Vermont Health Connect, where he was recruited to fix development and implementation issues. Prior to this role, he held various project management and process improvement positions at UnitedHealthcare, focusing on initiatives to improve clinical quality, reduce costs, and increase efficiency. He has a background in data analytics, process redesign, and problem solving to meet business goals.
Deborah Brown has over 20 years of experience in operations management, client relationship management, and regulatory compliance for insurance companies. She holds an MBA and currently works as a Manager of Customer Experience at Houghton Mifflin Harcourt, where she is responsible for managing customer service, training staff, and maintaining customer relations. Previously she held director level positions at Dearborn National and Coventry HealthCare, overseeing service operations, strategic accounts, and regulatory compliance.
Rita P M Bonnici Borsellino Accomplishmentsrpmbonnici
油
Rita Bonnici-Borsellino has 18 years of experience in finance and operations roles across various industries. She started in restaurants and bars and worked her way up to Director roles through skills development. She offers experience in finance, accounting, HR, IT, customer service, and executive management. She is looking for a growing organization that values employees and offers opportunities for growth and impact.
Healthcare business transformation cut sheetVeronica McKee
油
SolomonEdwards is a national professional services firm that provides expertise in business transformation, accounting and finance, governance and regulatory compliance, and mergers and acquisitions. They work with healthcare providers, payers, and suppliers to tackle initiatives, improve operations, and enhance patient care. Their services include program and project management, change management, communications, and business process optimization. They have deep experience in the healthcare industry and help clients execute strategies to achieve tangible results.
Align Patient Outcomes with Financial Data: a Formula for Correlating Cost an...Perficient, Inc.
油
Perficient is an IT consulting firm that helps clients implement business technology solutions. The document discusses Perficient's healthcare solutions and services, including business intelligence, ERP, mobile platforms, and its Oracle partnership. It then provides biographies of two speakers, Lesli Adams and William Bercik, before outlining a presentation on using data and analytics to understand healthcare costs and their relationship to quality of care.
A2M Resources LLC is a consulting firm that assists healthcare organizations in improving operations and financial performance. They analyze clients' processes and systems, develop tailored action plans for improvement, and help implement changes. Their consultants have extensive experience in areas like revenue cycle management, IT strategy, clinical management software, and physician compensation. A2M Resources provides operational assessments, process redesign, management advisory services, and has successfully completed projects involving revenue cycle optimization, affiliation agreement development, due diligence for mergers and acquisitions, and EMR technology expansion plans.
An accomplished senior leader with over 25 years in progressive leadership roles in Information Technology, the last 15 years have been in executive level positions (VP/SVP/CIO/Consultant). Experience ranges across industries with current in Hospitality.
Owner of Technology Advisory Services, Inc. which provides technology leadership and advisory services in support of delivering the right solutions at the right time using effective right-sized governance practices.
Specialties include Business IT alignment, Governances including Executive Council and Steering Committee, Project Portfolio Management, Change Management, Resource Management, Vendor Management, Financial Management, contracts and agreements, effective communication, leadership and leadership development and talent optimization.
Dawns Information Technology Management experience is strong and encompasses all IT domain areas. She views IT as an integrated business and all departments need to operate in unison in support of delivering continuous results. Security, compliance and data protection are always in the forefront, strong talent management is expected and continuous improvement is part of core operations with expected high customer satisfaction results.
Dawn is passionate about helping and guiding organizations to embrace change using innovative approaches that challenges and delivers business results. She is recognized as a steady, trusted leader and partner who fosters and builds deep connections among organizational stakeholders and teams at all levels.
Dawn continuous to challenge herself to become a better version of herself in everything she does and she is grateful for the opportunities she has been privileged to experience through great partnerships. She brings this approach and attitude to every client and delivers expected results and more. She may join a team as a leadership consultant but always leaves as a trusted partner and advocate.
Paul Hobson has over 25 years of experience leading operations and IT functions across healthcare, managed care, pharmaceuticals, and financial services organizations. He has a track record of driving revenue growth, cost reductions, and performance improvements through initiatives such as new product development, business expansions, mergers and acquisitions integrations, and process reengineering. Hobson holds a BA in Business Administration and Finance and has held senior roles such as COO, VP of Operations, and VP of IT at organizations including APP Pharmaceuticals, Molina Healthcare, and Harmony Health Plan.
Ken R. Wiens has over 20 years of experience in healthcare IT management. He is currently the CIO and VP of Infrastructure at Triple S Advantage, where he oversees a team of 34 professionals and an IT budget of $6.8 million. Previously, he was the CIO at Socios Mayores en Salud, where he helped increase revenue and improve claims processing. Wiens has extensive experience managing IT operations, infrastructure, security, and strategic planning. He has a master's degree in health administration and a bachelor's degree in computer science.
This document is a resume for Paul F. Schaney, an IT executive with 29 years of experience leading strategic IT projects and transformations. It summarizes his work history including roles at Fidelity Investments since 2006 where he currently leads risk and controls teams, and at Deloitte Consulting from 1992 to 2006 where he was a Director managing profitable projects over $150 million. The resume lists his core qualifications and highlights accomplishments such as recovering troubled projects, implementing governance models, and performing security and process assessments.
Pamela Davis has over 20 years of experience in healthcare operations and revenue cycle management. She seeks a manager or leadership role where she can utilize her experience to improve business operations, streamline services, and reduce costs while eliminating unnecessary processes. Her background includes implementing revenue cycle projects, evaluating processes, developing relationships across departments, and testing electronic remittance processes. She most recently served as the Manager of Revenue Cycle Remittance/Collections and Credit Resolution, overseeing operations across three locations.
The document discusses a consulting firm called Alvarez & Marsal (A&M) that provides technology services to help clients maximize value from their technology investments. A&M's services include IT transformations, helping execute "big bet" business initiatives, mergers/acquisitions support, and providing executive advisory services. Clients turn to A&M when they need to significantly improve IT, execute complex projects, integrate mergers/acquisitions, or get advice from experienced technology leaders. The firm aims to solve clients' most urgent challenges through senior expertise, action-oriented approaches, independence, and a track record of helping clients achieve rapid results.
Lamond Ayers is a full cycle corporate and agency recruiter with over 20 years of experience in human resources. He has expertise recruiting for a wide range of industries and positions. Ayers is currently a contract recruiter at Cornerstone Staffing specializing in executive, IT, healthcare, and commercial insurance roles. Prior experience includes senior staffing roles at APR Consulting and full desk generalist and corporate recruiting positions at Sears Holdings and Henry Ford Health Systems.
A three-stage approach is recommended for a successful global implementation of Salesforce.com:
1) Plan and prepare with a Center of Excellence to define standards and a governance model.
2) Roll out the implementation in countries using localization guidelines for processes, training and support.
3) Provide ongoing support through a combination of local and centralized support teams managed by the Center of Excellence.
A three-stage approach is recommended for a successful global implementation of Salesforce.com:
1) Plan and prepare with a Center of Excellence to define standards and a governance model.
2) Roll out the implementation in countries using localization guidelines for processes, training and support.
3) Provide ongoing support through a combination of local and centralized support teams managed by the Center of Excellence.
The document summarizes a Forrester report that evaluates 10 leading business transformation consultancies. It finds that Deloitte, Accenture, PwC, IBM, and Cognizant lead in offering complete solutions, innovative approaches, and high-quality delivery. Capgemini, KPMG, EY, TCS, and Infosys are also strong but have some limitations. The evaluation criteria include the consultancies' current offerings, strategies, and market presence. Business transformations are increasingly global, complex projects requiring expertise in areas like organizational change management.
Offering more than 11 years of experience providing senior-level sales and operations leadership in Healthcare Technology and Cost Management. Expertise includes Managed Health Care, Pharmacy Benefit Management, PPO, Claims Adjudication, Sales Management, Sales Forecasting and Planning, Project Management, Mediation, Software Development and HIPAA Compliance.
Expertise
Sales Management & Training
Operations Management
Managed Health Care
Strategic Sales Forecasting & Planning
P&L Management
Cross-functional Team Leadership
Software Development
Project Management
Cloud-Based Software Solutions
Channel Management
Key Account Management
Information Technology
Go-To-Market Plans
Startup Environments
SCRUM Framework
Contract Negotiations
Business Plan Development
Client Retention Strategies
This resume is for Justin Timmons, an experienced healthcare operations manager seeking a new position. Over his 11-year career, Timmons has held senior leadership roles in healthcare technology and cost management companies, where he oversaw sales, marketing, operations, IT development, and customer service. He has a proven track record of growing startup companies, most notably increasing sales at one company from $0 to $3 million. Timmons also has expertise in software development, project management, and building strong client relationships.
Lisa Scarsella has over 25 years of experience in strategic planning, project management, client relations, and business development in the healthcare and financial services industries. She has a track record of leading successful implementations of new products and accounts, improving processes, and motivating teams. Currently she works as a Program Coordinator consulting on product development and implementations at BCBSIL.
1. PAUL J. WICKER 720-556-9965
Littleton, CO www.linkedin.com/in/paul-wicker-429a5622 paulwicker9@gmail.com
PROGRAM MANAGER / SR. PROJECT MANAGER
IT & HEALTHCARE ADMINISTRATION SOLUTIONS
Enterprise Solutions / Business Process Reengineering / Strategic Technology Roadmaps / M&A /
Business Valuations & Appraisals / Systems Integration / Change Management / SLDC / ITSAs /
Continuous Process Improvements / Divestitures / Due Diligence / Healthcare Administration /
Post-M&A Integration / Migrations / Business Development / Infrastructure / Best Practices / CMS /
Startups / Turnarounds / Business Process Outsourcing / Contracts / Negotiations / Budgets /
Multisite Operations / Relationship Management / System Development & Implementation / HRIS /
Strategic Planning / Regulatory Compliance / Resource Management / EMR / MCOs / MSOs / EMR /
Financial Reporting & Analysis / Insurance & Reimbursement / Team Building / Six Sigma /
Provider & Payer Relations / Vendor Management / Software / Modeling & Forecasting
As a versatile program and project management professional, I offer a unique combination of skills and
experience with a record of accomplishment in two distinctly different facets of the healthcare industry. My
broad contributions in IT, systems and business process solutions and healthcare administration are
complemented by extensive achievements in the merger and acquisitions side of the industry.
At organizations such as Catholic Health Initiatives, Wellstar Health System, Kaiser Permanente
Health Plan and Health Capital Consultants, I have directed a wide variety of projects and programs
that delivered measurable improvements across a multitude of key performance metrics that includes
revenue, profits, and reimbursement rates. At the same time, I reengineered business processes and
systems to improve efficiency, productivity, quality accuracy and reliability while driving down costs and
ensuring regulatory compliance.
At several of those same organizations, I was instrumental in orchestrating M&A and divestiture deals,
including the purchase or sale of numerous hospitals and medical practices. In this capacity, I played a
key role in everything from planning, valuations and due diligence to negotiations and post-merger
integrations. I also have extensive experience in business development, managing the profitable sale of
ongoing IT and systems support services to the acquirers in many of those M&A transactions.
At your organization I could make a strong impact by:
! Streamlining processes & systems to maximize performance across a wide range of KPIs
! Aligning IT & systems to meet demanding corporate, client & stakeholder expectations
! Developing & implementing business transformation management & technology roadmaps
! Orchestrating complex M&A & divestiture transactions & post-closing transitions
! Recruiting, mentoring & motivating top performing multidisciplinary teams
! Negotiating aggressive contracts with suppliers, providers & payers
! Ensuring strict governance & rigorous regulatory compliance
Known as a natural leader, penetrating analyst, forward-thinking strategist, persuasive communicator,
trusted advisor and shrewd negotiator. Education includes a Master of Health Administration from
University of Missouri-Columbia, a BSBA in Economics from Northern Arizona University, a Six Sigma
Green Belt and Change Acceleration Process certification.
2. PAUL J. WICKER PAGE 2
720-556-9965 www.linkedin.com/in/paul-wicker-429a5622 paulwicker9@gmail.com
CAREER HISTORY & SELECTED HIGHLIGHTS
Sr. Healthcare Valuation Consultant, Health Capital Consultants, 2015-Present. Recruited to conduct
valuations/appraisals in potential hospital/practice M&A transactions, and subject matter expertise in
litigation support matters. Accomplishments include:
Played a key role winning a legal dispute. HCC was working with a client, Emergency
Physicians Limited (EPL), a hospital emergency room practice in WI, that believed the
practice and its patients were being overcharged by a third-party billing service firm.
Served as an expert witness in litigation that went to trial over the dispute. Provided
detailed testimony demonstrating misapplication of the contractually agreed upon
reimbursement formula that resulted in hundreds of thousands in excess charges.
Contributed to a victorious judgment by the court in favor of EPL and the award of $500K
in monetary damages.
Sr. IT Transaction Manager, Catholic Health Initiatives, 2010-2015. Recruited to direct all IT functions
related to mergers, acquisitions, divestitures, partnerships and other transactions, managing applications,
tech services, data security, HR, networking and contracting teams. Negotiated Information Technology
Services Agreements. Notable achievements
Orchestrated an M&A transaction & profitable post-sale IT transition. Recruited by
CHI to direct all IT-related facets of mergers, acquisitions and divestitures, asked to
manage the sale of three large hospitals in the Northwest. Managed negotiations with the
acquirer, Trinity Health, for IT Service Agreements (ITSAs) with CHI providing ongoing
application, technical, network support and other services. Completed the transaction and
post-sale IT/systems transition on schedule. Generated $2.5M in annual IT-based
services revenue for CHI.
Negotiated a $15.5M multiyear IT services agreement. CHI was looking to divest a
large East Coast academic medical center. Assembled a team to plan and execute the IT
aspects of the transaction and post-sale transition. Developed and negotiated an IT
Services Agreement (ITSA) to provide ongoing support to the acquirer. Captured $5M+ in
profitable annual revenue from the three-year deal. Completed the transaction and
seamless transition on time.
Managed sensitive corporate communications in an M&A deal. While CHI was
planning the sale of St. Josephs Hospital to the University of Maryland Medical System,
rumors began to circulate among CHI staff. Developed a proactive communications
strategy. Serving as a single point of contact for stakeholders, squelched rumors,
eliminated confusion about future operations and maintained morale. Avoided potentially
damaging leaks that threatened violation of the mandated pre-closing quiet period and
staff retention. Enabled the $100M+ transaction to close without a hitch.
Sr. IT Project Manager, Wellstar Health System, 2010. Recruited for a one-year contract assignment to
manage post-M&A IT integrations. Conducted needs analyses and develop strategic technology
roadmaps. Served as an SME on infrastructure, networks, applications and other IT/IS matters.
Accomplishments include:
Directed seamless post-M&A integrations. Wellstar was engaged in a rapid growth
initiative, acquiring numerous medical practices. Recruited to lead the transitions and
startup of the new entities. Conducted comprehensive evaluations of IT and business
processes at the acquired practices. Identified requirements and gaps. Specified
3. PAUL J. WICKER PAGE 3
720-556-9965 www.linkedin.com/in/paul-wicker-429a5622 paulwicker9@gmail.com
applications, systems, connectivity solutions and systems integration vendors for the new
practices. Completed nine integrations well within tight time and budget constraints.
Kaiser Permanente Health Plan (Kaiser), 2001-2010. Steadily promoted, roles include:
Sr. Project Manager, Kaiser Permanente Health Plan, 2008-2010. Promoted to direct national
member administration projects. Developed business and compliance processes to meet CMS
Medicare-Medicaid regulatory mandates. Contributions include:
Cured costly compliance gaps, saving millions. Kaiser faced steep penalties for
failing to meet CMS-mandated Medicare reporting requirements. Led a team that
conducted thorough reviews of compliance, sales and membership operations. Identified
deficiencies, recommending and implementing process, policy, systems and training
improvements. Ensured 100% on-time compliance with all required secondary payer
reporting. Generated a potential 41-fold return on the $120K cost of the improvements by
avoiding upwards of $5M in fines.
Reengineered billing/reimbursement systems, capturing $8M in revenue. Flaws in
Kaisers systems resulted in millions failing to be paid by contracting hospitals for
services by Kaiser providers. Working with application specialists, revamped software for
capturing cost sharing plan details in billings. Streamlined processes for providers to
generate accurate, complete and timely bills. Recouped millions in previously unbilled
revenue from surgical and cardiology practices.
Earlier roles at Kaiser include:
Business Manager, 2007-2008. Promoted to develop and implement new billing and
reimbursement solutions.
Regional Project Manager, 2004-2006. Promoted to manage regulatory compliance, including
implementation of new CMS requirements (Medicare Part D).
Consultant, 2001-2004. Recruited to manage a wide variety of projects, including workflow
analyses, physician recruitment processes, knowledge management systems and financial/ROI
analyses.
Earlier: Recruited and repeatedly promoted at Health Capital Consultants; roles include Sr. Manager,
Manager and Associate. Began healthcare career as an intern during graduate school at Northern
Arizona Healthcare.
EDUCATION, TRAINING & CERTIFICATIONS
Master of Health Administration from University of Missouri-Columbia.
Bachelor of Science in Business Administration in Economics from Northern Arizona University.
Six Sigma Green Belt.
Change Acceleration Process certification.