Vyc V.

Experience

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  21st Century Insurance

  Jan 2003 - Jan 2007

  Sr. IT Application Development Manager

  Reported to the Vice-President of System Development. In-charge of directing a cross-functional team of 50 full-time and contract technical professionals in enhancing the Claims Systems portfolio in support of the company’s nationwide expansion objectives. MAJOR CONTRIBUTIONS* Maintained an annual budget of over 5 million and portfolio of Claims’ projects of varying sizes up to 10 million* Executed the strategic and tactical roadmaps of the company’s objectives to expand nationwide. Annual Revenue = $300M* Implemented Sarbanes-Oxley controls, standard procedures for System Development and Quality Assurance procedures* Re-engineered the company’s mainframe Claims system to a web-based system under stringent deadlines to allow the processing of new claims for California, which is its biggest book of business of about 1 million policies* Led the study to improve the System Development Life Cycle process using Lean Six Sigma methodology, reducing software defects by 50%. Show less

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  CT Lien Solutions

  Jan 2007 - Sept 2009

  Sr. IT Project Manager

  Reported to the Chief Information Officer. Responsible for program management of the residential and commercial real estate systems, used by large banks and mortgage companies across the nation to support the real estate filings in over 3000 Counties. MAJOR CONTRIBUTIONS: * Responsible for annual Capital Projects of various complexities and duration from 500K to 5 Million Dollars* Installed a Production Support framework leveraging offshore resource contingency.* Effectively collaborated with senior leaders in planning and executing the company’s road map of expanding the Mortgage Services business into the Commercial real estate market. Increased Market share to 30%, Annual Revenue = $1M* Implemented CMMI standard methodology, SAS70 and PCI controls, as well as, the process for requirements gathering, test planning, defect tracking, escalation and reporting using Mercury’s Quality Center tool Show less

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  California Insurance Guarantee Association

  Dec 2009 - Sept 2010

  Assistant IT Director

  Directed all IT operations to meet internal and external customer requirements. Provided oversight of existing applications and managed the development of new technical solutions in alignment with organizational goals. Directed the effective delivery of networks, Database Re-design, Help-Desk Support, and disaster recovery systems and processes.MAJOR CONTRIBUTIONS:* Played a vital role in ensuring that a company’s information technology is continuously available and secure * Managed the application systems associated with Claims processing, Financial reporting, and Computer Operations and Help Desk management. * Supervised an IT team size of 15 full-time and contract resources. Show less

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  ADP

  Sept 2010 - Jul 2016

  Senior Technical Program/Portfolio Manager

  Provided the management oversight in support of building and enhancing the Tax Products and Financial Services for ADP’s Added Value Services organization. Responsible for the strategic & tactical planning, organizing and execution of IT Functions for Added Value Services Business organization. Led high-performing and cross-functional project teams throughout the System Development Cycle for the Open Systems Development group in delivering mission-critical business and technical solutions. MAJOR CONTRIBUTIONS:* Led the development effort of two multi-year, large scale and complex projects (Tax Manager - Exception Handling and Tax Entry Hub) using SCRUM methodology. Tax Entry Hub cost savings, $12M annually* Managed the incorporation of MasterTax into ADP’s infrastructure to provide clients a more robust, secure and scalable application system* Played a key role and collaborated on building the Smart Compliance Web Portal providing better client experience and enhanced Product Offerings* Implemented Business Process improvement for Defect reporting and Tracking using Quality Center* Led an enterprise-wide team in evaluating Agility tools and was in the forefront of ADP's transformation to Agility Show less

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  New Century Health

  Jul 2016 - Jul 2017

  IT Director, Claims and B2B Systems

  Responsible for planning, organizing, directing and providing strategic and tactical leadership on all aspects of the Claims Engine System, Referral/Authorization, Drug Fulfillment, Clinical and Data Warehouse Interfaces, Data Management and EDI/B2B systems. MAJOR CONTRIBUTIONS:*Managed multiple system initiatives as it relates to the Claims Engine, Referral/Authorization, Clinical and Data warehouse Interfaces, Drug Fulfillment and EDI/B2B systems to provide better client experience*Coached, motivated and directed resources in delivering strategic initiatives under regulatory deadlines. Implemented SDLC rigors. Monitored and Analyzed metrics to ensure teams sustain a high-level of performance, adhere to project schedule, and align with business objectives and commitments*Applied the Agile/Scrum framework across the organization. As a Change Agent, led process changes and continuous improvements, facilitated training of leaders and resources, and implemented tools to support the Agile framework*Collaborated with Business Partners, Senior Executives, IT Project Leaders, and key Stakeholders in developing the Product roadmap, conducting Product Grooming, Release Planning, Sprint Planning, Product Demo and Retrospectives*Interfaced with Health Plans, Provider Groups, Clearing-Houses in integrating data and building EDI/B2B solutions; Built new EDI transactions per Health Plan needsManaged Operational budget up to $5M, for both FTE, Consulting resources, as well as, Project Budgets*Led the effort to evaluate tools and technology to provide a secured and robust Business to Business data gateway, as well as re-engineering/platforming the Claims Engine system*Increased automation and efficiencies in creating/sending Encounter files and Daily Authorizations to Health Plans *Improved Claims Adjudication processes and rules. Built new capitation payment models for risk business; improving the management drug costs and risk-sharing with Providers Show less

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  LA Care Health Plan

  Sept 2017 - now

  Sr. IT Manager, IT Solutions Delivery

  Oversee the delivery of enterprise solutions associated with Customer Relationship Management, Salesforce platform (Marketing, Sales & Service, Community Experience, Govt. Cloud) and Healthcare portals associated with Broker, Agents, Provider and Member experience.MAJOR CONTRIBUTIONS: *Directed the migration of the Salesforce platform to the Government Cloud to secure and encrypt member's PHI/PII Information*Implemented new Products (CalAIM and DSNP) in support of special needs and vulnerable members*Directed the creation of Provider Network self-service platform to streamline the creation of new Provider networks for the organization, resulting in approximately $1M in annual savings and ability to quickly pivot to address market demands and regulations*Directed the implementation of the VOICE of the customer program to streamline the workflows of call center representatives and improve member interaction experience, resulting in 25% increase in productivity of call center representatives, a saving of ~over 1M annually*Directed the Broker/Agency portal platform enhancements to improve lead generation and member conversion*Collaborate with cross-functional IT and Business Stakeholders to execute Security and Infrastructure initiatives*Led the re-engineering of legacy CRM platforms into using Salesforce with latest 'lightning' technology This allowed the team to build robust capabilities and features to deliver better customer experience*Managed systems associated with Provider data management, credentialing, facility site reviews, provider directory, provider claims, EDI, plan partner interfaces etc. Show less