Expert Details

Expert in Healthcare and Healthcare Strategy: Advanced Analytics, Process Optimization and Operations, Business Intelligence, Product Development, Sales and Marketing

Expert ID: 732900 Pennsylvania, USA

Request Expert

Expert has 7+ years' experience as a senior executive or consultant in the health care field with deep knowledge across a range of products, functions, and solution providers. These include:

Products: Medicare, Medicaid, Commercial (national, middle market, small group), Individual, Voluntary, Student, and Catastrophic.

Functions: Data Management, Advanced Analytics, Machine Learning, Big Data, Care Management, Risk Identification, Government Measure Sets, Fraud, Claims Processing, Clinical Analytics, 2nd Opinions, Vendor Management, Out-Sourcing, and Contact Management.

Solution Providers: Payers (large and small), IDNs, IPAs, MSOs, ACOs, etc.

Expert is an accomplished leader with a passion for achieving excellence in process and outcome through analytic-driven, innovation and evidence-based decision making. He has expertise in the health care, financial services, insurance and retail industry.

He is a recognized industry expert at using sophisticated analytics and leveraging big data to generate new revenues, realize operational efficiencies, and achieve sustainable competitive advantage. He has consistently proven a keen ability to address complex and diverse business challenges on budget, generate profits, drive operational excellence, foster esprit de corps, exceed customer expectations and create enterprise value.

His core skills include:

Business Intelligence/Advanced Analytics/Big Data ● Multi-Channel/Digital Expertise ● Dashboarding ● Process Optimization ● Pricing Optimization ● Product Development ● Project Management ● P & L Owner Sales ● Risk Management ● Data Management/Governance ● Market Research ● Talent Management

Design & deployment of enterprise business intelligence solutions, Business Intelligence gap analysis, Data governance, Consumer Engagement platform deployment, Enterprise Project management

Education

Year Degree Subject Institution
Year: 1985 Degree: Ph.D. Subject: Political Science Institution: University of Michigan
Year: 1975 Degree: MA Subject: International Relations Institution: Johns Hopkins, School for Advanced International Studies
Year: 1973 Degree: BS Subject: Industrial & Labor Relations Institution: Cornell University

Work History

Years Employer Title Department
Years: 2016 to 2018 Employer: MBNA America (Bank of America) Title: SVP Department: Data Management & Science
Responsibilities:
An alliance of 46 Fortune 250 companies working together to provide better heath care quality and cost outcomes to their employees. Lead managing working with IBM Watson building a Data/Analytics platform comprised of a diversity of Member health care data (300mm+ record Database), advanced cognitive/AI tools (Machine learning, NLP), data visualization dashboards, and digital solutions to engage both providers and employees in the provision of health care solutions. Responsibilities include lead project oversight, contracting, data security, design development, Member data onboarding, analytic projects, and Master Data Management.
Years Employer Title Department
Years: 2014 to 2016 Employer: ANALYTIC INSIGHTS Title: Principal Department:
Responsibilities:
As an independent consultant, Expert has worked on a variety of healthcare-related assignments, including: facilitating deployment of a Big Data platform; leading team building ensemble of data visualization dashboards for integration into a SaaS care delivery platform; part of national sales team offering diabetes monitoring service using Bluetooth-enabled glucometers; and recommending technology platform migration strategy for risk adjustment solution providers.
Years Employer Title Department
Years: 2010 to 2014 Employer: AETNA INSURANCE Title: Head of Analytics and Optimization Department: Analytics and Optimization
Responsibilities:
Recruited and built corporate-wide business intelligence solution for $52B international managed care provider as it transitioned from B2B to B2C. Helped lead transformation toward disciplined, data driven decision making through: construction and use of 360 degree prospect and member data marts; disciplined deployment of sophisticated analytics (modeling, Big Data, digital analytics, simulation) to increase revenues, improve care management & optimize business processes; and fostered an ethos that success is never final – test and refine.
Years Employer Title Department
Years: 2009 to 2010 Employer: CSI/DELEEUW Title: Senior Enterprise Consultant Department:
Responsibilities:
Senior leader hired to help co-manage broad range of activities associated with the merger of PNC and National City Bank. Responsible for 2 phases of a 4-phase conversion effort.
Years Employer Title Department
Years: 2006 to 2009 Employer: West End Financial Advisors Title: COO Department:
Responsibilities:
Streamlined back office processes; led sales and marketing efforts; and developed and deployed the sales tracking system.
Years Employer Title Department
Years: 1993 to 2005 Employer: MBNA America (Bank of America) Title: Senior Executive Vice President Department: Business Development
Responsibilities:
Held a variety of senior management roles including business intelligence, marketing strategy, pricing, operations, product development, internet infrastructure development, e-commerce, digital initiatives, market research, and business process optimization.
Years Employer Title Department
Years: 1990 to 1993 Employer: MBNA America (Bank of America) Title: Senior VP Department: Citibank Telemarketing Services
Responsibilities:
Ran all IT, telecommunication, and operational support functions for a 400 seat in=bound/out-bound 2-site 24/7 telemarketing operation. Authored several process flow innovations.
Years Employer Title Department
Years: 1987 to 1989 Employer: Self Employed Title: President and Founder Department:
Responsibilities:
Expert led the growth of this start-up company which marketed analytic software for financial institutions and retail chains, specializing in site location/branch network optimization, measurement of store performance, and multi-channel marketing for bank branches and retail outlets. Clients included banks, retailers, and ad agencies.
Years Employer Title Department
Years: 1989 to 1990 Employer: Title: Consultant Department: Marketing Science
Responsibilities:
Contributed to corporate-wide re-tooling of how GM marketed cars. Managed projects designed to sell cars in new ways at new venues. Evaluated competitor strategies and threats to market share.

International Experience

Years Country / Region Summary
Years: 1997 to 2000 Country / Region: England, Ireland Summary: Worked for MBNA International building prospect and customer databases for acquisition, activation, cross-sell, and retention

Career Accomplishments

Professional Appointments
Speaking appointments:
- 2016 Healthcare Education Associates, Predictive Modeling & Data Analytics Summit, “Interpreting & Analyzing What the Data Means,’ co-presented with Geisinger Health
- 2014 Predictive Analytics Innovation Summit, San Diego
- 2013 CIO Talk-Radio (topic: Big Data)
- 2009 Miami, Florida (topic: alternative investing, life insurance, and annuities)
- 2007 Infovest – Meet the Manager Forum, San Francisco
- 2004 Net.Fin@nce Conference, Chicago, Ill
- 2004 eTail Conference on Multi-channel Marketing
Publications and Patents Summary
Expert has co-authored a financial management book as well as several articles on government expenditures, political campaigning, and public policy.

Additional Experience

Marketing Experience
Extensive experience as a multi-channel marketer including direct mail, phone, VRU, e-mail, SEO, banner ads, interstitials, other digital forms in support of a broad range of marketing objectives including acquisition, activation, cross-sell, up-sell, retention, risk management, etc.
Other Relevant Experience
30+ year experience leveraging technology, data, and analytics for competitive advantage with experience in multiple verticals including political consulting, retail, automotive, financial services, and health care. Expert has held many senior management assignments wherein he assumed responsibility for a wide range of functions.

Language Skills

Language Proficiency
English Native speaker

Fields of Expertise

Request Expert

Dev Tool:

Request: expert/healthcare-and-healthcare-strategy-advanced-analytics-process-optimization-and-operations-business-intelligence-product-development-sales-and-marketing
Matched Rewrite Rule: expert/([^/]+)(?:/([0-9]+))?/?$
Matched Rewrite Query: experts=healthcare-and-healthcare-strategy-advanced-analytics-process-optimization-and-operations-business-intelligence-product-development-sales-and-marketing&page=
Loaded Template: single-experts.php