I’m a Chief Enterprise Solutions Architecture with 26+ years of experience in the healthcare industry of which 20 years+ managing people, teams, budgets up to $600M, products, technical solutions, implementations, departments, vendors, and complex technical programs, from concept to deployment, across functional matrix teams (>1,000) in order to approve, define, design, develop and implement business requirements for software application/user interface, process improvement projects and driving change.

 

·   Lead the creation, implementation and execution of Enterprise Architecture strategy where I optimized the use of technology and process to support standardize product offerings and serviceability implementing processes and best practices following TOGAF, Zachman, MITA, FEA either explicitly or by taking components from each and create a POV, includes the definition, design and execution the Business Capabilities to Application Architecture

·   I have defined, designed and deployed Go-to-Market solutions for the private and public health sector, starting at business capabilities to traversing them into technical reference architecture to the development and deployment of the solution for both Exchange Types (HIE and HIX)…

o   Manage Consumer Experience, Shopper Portal and Health Risk Assessment - Health Insurance Exchanges (HIX) utilizing Oracle’s Seibel, Microsoft Dynamics, Pega CPM and SAP's Health CRM, Orchid Framework (.Net), SmarterCommerce

o   Clinical CareTeam Portal and Personal Health Record (PHR) Portal – for Health Information Exchanges (HIE) custom built solution using JEE, .Net, JBoss, SAML, SSO, Oracle 11g

·   I have brought more than 6 SaaS-based products to the global market to include a SaaS-based, business driven CRM platform I defined, designed, built and implemented (using Agile SCRUM) from scratch to meet the needs of 4 market segments (payer-Claims Sys, provider-EMR Application, pharma-CRM & Supply Chain and health & human services-CRM+) as the CTO and Product Chief, with more than two million lines of code and 1.5M hours of work over an 18-24 month period.

·   I have designed 6+ proprietary payer and provider healthcare systems (EMRs, Payer Claims Applications, Healthcare Portals), from scratch, in both provider and payer settings on both the IBM Mainframe zOS, on Open Source Technology, mainly JAVA EE and middle-tier.

·   I have improved productivity and through-put for Data-driven applications and transaction by executing business process transformation initiatives by more than 43%...

o   Designed and deployed a few Analytics platforms to identify behaviors, derive personas and attempt to predict behavior patterns in a multi-channel environment

o   Lead the tuning of MySQL to be implemented in a 2 million per day transaction production environment as a cost effective replacement to IBM DB2

o   Lead MDM Strategy and Executed the Strategy and Program for 3 separate Insurance Firms implementing a sustainable environment for Subscriber Hub, Provider / Vendor Hub, Claims – in one implementation, I lead the consolidation of data from 23 claims platforms.

o   Lead 3 separate ESB Execution Projects (WS MQ, JBoss, Active MQ, and AMPQ) and I’m currently leading MuleSoft CloudHub as the messaging tier replace for a large payer.

o   I’ve implemented 4 applications in the Amazon Cloud, supporting a SaaS model, moved 1 to the Rackspace Cloud and assessing the Google AppEngine (Cloud) to build out new applications; last we are utilizing the Appcelerator Mobile platform to build and deploy mobile apps on their native devices

·   I have lead the definition, design and execution of:

o   more than 7 PMOs (Enterprise and IT), include the hiring, training and mentor of more than 80 PMs

o   more than 10 IT Development and delivery organizations and frameworks

o   more than 6 Product Development organizations, framework, processes and artifacts

o   more than 8 enterprise and solutions architecture organizations, framework, processes and artifacts

·   An experience leader, I have been accountable for budgets (>$500M), up to 1,000 resources (direct/indirect and matrix) over 6 time zones.

 

 

 

 

 

PROFESSIONAL EXPERIENCE

June 2014 – PresentBig4 Consulting FirmNew York, NY

Director, Healthcare IT Strategy & Enterprise Architecture

As a Director, I provide an end-to-end solution offering to IT leadership (CIO, CTO, S/VP, etc.) from IT Strategy, Enterprise Architecture (Business, Application, Data, Information and Infrastructure/Technology), Blueprinting, Application Development, Application Integration, User Experience, Digital, Quality Management & Testing helping our clients determine the best applications to fit their business needs and integrate new and existing applications into their business.

·   Large Northeast Teaching Hospital & State #1 Trauma Ward – In the role of Acting CTO for assessing the viability of their entire IT Systems (EMRs, ERP, Infrastructure, etc.) and IT Groups to restructure, repurpose and re-engineering processes, people, tools and applications where necessary. I’m accountable for the management of PwC (13) and client staff (247, 16 direct) and an operation budget of $68M and influence over $500M Change Spend.

·   Large National Payer Consumer Experience Strategy - Leading the Payer Consumer Experience Strategy for a large payer in the Northeast to help them reinvent themselves or make them think like a start-up to react to customer needs.  I’m leading the customer and my team in redefining the Business Drivers, Goals, and Strategies down to Business Capabilities required to be more proactive.  Our solution recommendations entailed new COTs customer experience platform, business intelligence platforms, metrics and business rules to assist in mining data to discover customer behavior and buy patterns to base on insights we glean from the current social media ingests.

 

June 12 – May 14 HCL America, Inc.            New York, NY

Assoc, VP, Senior Principal, Chief Solutions Architect – Americas, Europe and United Kingdom Healthcare Practice

Accountable for providing industry thought leadership, creating and implementing business, program, product and technical strategy in partnership with C-Level executives.  I delivered thought leadership, consulting services based on business, market, product, enterprise, operational, technical and the Consumer Experience and Care Management strategy.

·   Defined / created the key HCL offerings and holistic business and technical view of HCL to our clients in the Americas, Europe and UK markets for Payers, Provider and Pharma.

·   Defined the Customer Experience (CX) Engagement Strategy and Business Capabilities executed on Pega, Dynamics, Seibel, Futrix and SAP and effectively leverage business intelligence (Futrix, Oracle OBIEE), big data, voice of customer (VOC), customer personas, digital and multi-channels to create a sustainable customer centric engagement strategy and culture that was leveraged for both the Health Information Exchange (HIE) and Health Insurance Exchange (HIX) private exchanges

·   Define the Care Management Engagement Strategy and Business Capabilities for chronic conditions (Cancer, Diabetes and HIV) to support the Health Information Exchange (HIE), Accountable Care Organizations, Population Health, and Clinically Integrated Networks and as a plug-in to the HIX to management health states from patient assessments executed on our various partner platforms.

·   Developed strategic alliances/relationships with a portfolio of software tools and vendors through our channel partners like Oracle (Seibel), Alere Care Manager, HealthEdge Care Management, Medhok, Pega (CPM, PRPC, Care Manager), IBM (SmarterCommerce), Microsoft (Dynamics, SharePoint, etc.), Futrix™, SAP™ Healthcare, etc. to build out, implement and support the HCL Health point of views (POV) and render them in the Cloud.

·   Lead the definition of HCL Healthcare and Client IT governance policy, RFPs, client/program structure, process, standards, etc. while enabling business capabilities through technology, program delivery and change management.

·   Lead a team of 70 solution architects, enterprise architects, business architects, developers and program managers across multiple time zones providing sales, account management and solution delivery support for all offerings across Pharma, Payer, Provider, Retail Pharmacy and Pharmaceutical business. 

·   Transformed the IT/Solution Architecture capabilities into a mature Enterprise Architecture for payers by defining, maintaining and enforcing Architecture principles, policies and standards around hybrid approaches.

 

March 09 – June 12               JonBra, LPNew York, NY

VP, CTO & Product Chief

For our Client as Technical Leader, I defined, designed, implemented and championed CollaborativeCare™ to create a SaaS Electronic Medical Record (EMR) Lite application with business capabilities for Healthcare Reform and in support of Health Information Exchange (HIE) for ACO and Clinical Integrated Network (CDN). I designed pluggable application that allowed health plans and health provider care teams to capture clinical data from multiple data sources in many formats (HL7 v2, v3, CDA, CCD, X12, LOINC, RxNorm, NCPDP, ICD, CPT, SNOMED, etc.).

·                        I lead the product definition and design of the flagship Clinical Decision Support (CDS) system called CareTeam™ for Care Management and the Health Information Exchange (HIE) consumption.

·                        I lead the design of a flexible Integrated Delivery Platform leveraging as much of the client’s environment while adhering to most of the theoretical and proven approaches recommended by (a) Integrating the Healthcare Enterprise (IHE) standards, (b) Healthcare Information Technology Standards Panel (HITSP), (c) Healthcare Information and Management Systems Society (HIMSS)

 

For JonBra, As CTO & Head of Product, I lead the 200+/- team of talented IT Directors, Solutions Architects, Product Managers, Program Manager and technical team members accountable for bringing the Enterprise CRM Platform, a process-driven SaaS (in the Amazon Cloud) application that supported 4 healthcare markets (payer, provider, human service and life sciences), to the global market in 18-24 months.

Head of Product (40%)

Chief Architect (40%)

As Product Leader, I lead the program level product definition, business capability mapping, product roadmap creation and business architecture documentation for which product managers, business analysts, functional testers and development teams used as guiding principles for SCRUM cycles and releases. ·   I set product vision, strategy for patient health state, population health, Provider Performance Measurements (Medicare Star, HEDIS, PQRI/PQRS) and for Data Ingest needs. ·   Lead the customer, product and market requirements definition process to include documentation of policy and process ensure all stakeholder needs are covered, especially that of the customer. ·   Researched the competitive market and landscape to understand other product offerings, customer needs and our desire to be different for growth opportunities.

As Scrum Master and Technical Leader, I lead the program level technical capability /component creation, complimentary technical maps, solution reference architecture and baseline conceptual and logical architecture for which QA testers, development teams used to validate the product requirements/needs. ·   Lead the JAD sessions to redesign, rewrite and the porting of the Legacy Human Service Application (VB) to K-Roo™ CRM Enterprise, a JAVA EE enterprise distributed application for the payer, provider, human service and life sciences industry…we leveraged tools like IntalioBPM, OpenESB, JBoss AS, JBoss BPM, JBoss BPEL, OpenSSO, SunPKI, OpenMDM, OpenPortal, MySQL (POC for Objectivity), etc. ·   At the IT Program Level, I managed the SDLC, software releases (quarterly) using Agile SCRUM as a framework/methodology to deliver the software in a matrix technical program fashion. ·   Researched technical industry and market standards to determining an implementation that would support a modularize technical product platform and business services.

A few JonBra Accomplishments:

·   Partnered with the customers and governing bodies to advance the product portfolio components and overall strategy to rebrand the Integrated Delivery Platform as K-Roo™ CRM Enterprise.

·   Lead the design, development and implementation of complex integration for end-to-end solutions at the middleware level utilizing and implementing SOA, API Integration, B2B and B2C Integration models and Web-services

·   Partnered with Health Account Leaders to drive innovation, product delivery and thought leadership in support of HIE, HIT, Payer Claims and Benefits Management and Electronic Medical / Health Record Solutions for the Provider Practices, Hospitals and Care Management Space. 

·   Delivered the K-Roo™ CRM Enterprise, a ready-to-ship Integrated Delivery Platform to the marketplace supporting Providers, Payers, Human Services and Life Sciences in a cloud environment (AMS).

·   Created a Product Development Office to include process and workflows

·   Created a formalized SDLC, implementing 2 separate methodologies (Waterfall and Agile SCRUM – for revenue ideas)

·   Lead the creation of healthcare-lite mobile applications (apps) for clinicians and patient to use on iPhone, iPad and Android devices in the following.

 

 

Jan 07 – Feb 09WellPoint, Inc., Anthem Blue Cross Blue Shield             Thousand Oaks, CA

Senior Manager, Technology - Solutions Architecture

·   I lead a team of talented JEE technologist (150) partnering with the VP/Technology, VPs of Business Operations, Domain Principal Architects managing the design, development and support for WellPoint/Anthem’s 17 Claims and Benefits Platforms.

·   I championed the mission, vision and technical strategy supporting my business partners managing 3 large enterprise applications and a technical program in excess of $78M supporting the rewrite, migration and implementation of the platforms across 4 business domains (Commercial, Mid-Size Groups, Worker’s Compensation and Consumer – Individual, Medicare, Medicaid) and 14 market segments).

·   I was a Subject-Matter Expert for the Care Management and Consumer Experience Platforms from design, build and deployment for the west coast systems.

 

Jan 2000 – Feb 2009JonBra, LPLos Angeles, CA

Director, Enterprise Solutions Architecture

I lead a team of 75 business analyst, architects, developers and testers in the design, development and support of all applications for our payer customers.

·   Lead the Technical Delivery of NASCO, Facets, Diamond 950/Payer-Peradigm COT, and a custom built payer systems implementations for several large health plans.

·   Lead the Mainframe Modernization Program to replace COBOL Routines, with Blaze Advisor and IMS DB to DB2.

 

Previous Roles from 1989 to 2000

Operations Manager, Project Manager, Application Developer, Enterprise Architecture Manager Blue Cross Blue Shield (NJ & SC)

 

EDUCATION

Kean University, Union, NJ - B.S., Management

 

CORE TECHNOLOGY

HSD Diamond 950/Payer Peradigm™, AMYSIS, HSII , NASCO, inForm™ EMR, CareLogic, QMACS, TriZetto FACETS, RESOLUTION™, Ingenix Rules Creation Manager (iCES) ™, Portico™ Provider Solution, MS Project, MS Office Suite,  Oracle 11g, MySQL, application design, Java J2EE Design/Development, JavaScript, HTML, RESTful WS, Web 2.0, SSO/SAML, oAuth, McKesson ClaimXten, Eclipsys EMR, Chordiant CRM, HIPAA, BizTalk, EDI 837i/p, 834, 835, 270/271, 277/278, HL7, HP PPM, Quality Center, PlanView, MS Project Server, Daptiv, Macromedia, Rational Unified Process (ClearQuest, ClearCase, Functional Tester, Requisite Pro) & Tools, Mercury Test & Bug Tracker, Adobe Flash (CS3), Netbeans, Eclipse, HIE (LOINC, MMIS, HL7 v2 and v3, CDA, CCR, CDD, SNOMED, ICD10, RXNORMS, RIM)

 

Certifications:Engineering Certifications: (SCJP, SCJD, SCWCD, SCBCD, SCWSD, SCEA, .Net/C#) Android and Ruby Development Learning In progress

Architecture Certification: Zachman and FEA Certification In progress

Project & Portfolio Tools: HP, Mercury ITG, PlanView, Daptiv, MS Project Server, Borland and Caliber, Agile Development and Rational Unified Process, ClearQuest, ClearCase, Requisite Pro, RallyDev, RAD6, Serena Agile, CollabNet COBIT, ITIL, BPM Service Oriented Architecture (SOA) Service OpenESB/GlassFish, WebLogic, OpenDS, OpenSSO, OpenMDM

Mobile Strategy: Android, iOS and Windows Architecture Target State Topology and Architecture Documentation