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Senior Vice President & Chief Product Officer Resume Example

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SENIOR VICE PRESIDENT & CHIEF PRODUCT OFFICER
Executive Profile
  • Proven strategic and operational leader with success building and delivering great products and services by listening to the market. 
  • Grounded innovator who combines strategic thought leadership with operational execution.
  • In-depth knowledge of the Healthcare Insurance and Integrated Payments ecosystems.
  • High-energy business professional who launched a successful healthcare payments platform business in the infancy of HIPAA compliance and helped lead its growth through ACA and beyond.
  • Focused on creating long-term and profitable recurring revenue relationships through exceptional delivery and service.
  • Passionate professional with a talent for taking innovative ideas from concept to launch.
  • Comprehensive experience in business management, finance, and sales.
Areas of Expertise
  • Health Insurance
  • Electronic Payments (ACH, Card)
  • SaaS
  • Platform & Network Software
  • Alternative Payment Models
  • Risk Contracting



  • Strategic Planning
  • Financial Planning
  • Product Management
  • Operational Execution & Delivery
  • Ideation & Prototyping
  • Business Architecture & Integration


Professional Experience
04/2015 - Current
Payspan, Inc. － Atlanta, GASenior Vice President & Chief Product Officer
  • Responsible for product strategy and management, strategic integration and innovation
  • Refocused product portfolio with CEO and Chief Growth Officer
  • Provided strategic design guidance to business requirements development for the company's Patient Financial Engagement solution, including auto-collection, future settlement, and payment plan features
  • Assisted requirements elicitation for the company's multi-application configuration and servicing portal, known as Paypoint
  • Business Architect of Payspan Direct agreement that combines card processing and consumer-ACH
  • Strategic planning oversight for the Premium Collection solution's present & pay capability
  • Leading strategic integration discussions with alternative payment solution providers and non-traditional healthcare payers
  • Leading the analysis of future technology-enabled finance initiatives for medical practice lending, advance claim funding, and patient lending
  • Business Architect of an "off-rail" solution for a Medicaid MCO solution to financially engage Medicaid recipients
  • Collaborative roadmap planning with Chief Operating Officer
08/2011 - 04/2015
Payspan, Inc. － Atlanta, GASenior Vice President & Chief Knowledge Officer
  • Responsible for strategic market intelligence, knowledge management, intellectual property, prototype development, and ideation
  • Led design of the company's private rail (fee-based ACH) capability
  • Business Architect of Payspan Direct; "PayPal-esque" capability
  • Oversaw termination of the company's ISO relationship with Bancorp Bank for merchant services, which was inherited via acquisition; negotiated the company's ISO Sponsorship with Vantiv
  • Business Architect of a differentiated merchant funding model for pre-payment of medical services, incorporating an escrow account for custody of funds
  • Established and implemented the company's first technology-enabled finance (TEF) partnership for medical practice lending
  • Business Architect of a unique prefunding debit model for virtual cards; including just-in-time virtual card issuance
  • Led business development efforts to partner with commercial banks as resellers of the company's Patient Financial Engagement solution
  • Led the incubation of the company's Provider Economics business unit from October 2012 until December 2014
  • Charged to establish a Program Management function in January 2015, which became Product Management in April 2015
01/2008 - 08/2011
Payformance Corporation － Jacksonville, FLExecutive Vice President & Chief Operating Officer
  • Responsible for Development, Quality Assurance, IT, Delivery, Service, Product Management, and Marketing
  • Published Accountability Maps for Senior Management transparency
  • Obtained EHNAC HNAP-EHN certification
  • Authored the company's Healthcare Payment Exchange strategy
  • Completed initial work on PCI-DSS certification
  • Moved SDLC to Agile Methodology, JIRA for Ticketing, Enterprise Architect for UML Modeling
  • Implemented automated testing in Quality Assurance
  • Led special EFT/835 Professional Services engagement at BCBS FL
  • Sold and Delivered 2 of the company's Top 5 clients during this time (16% of current revenue); cumulatively since 2005, 7 of the company's Top 8 (64% of current revenue)
09/2005 - 12/2007
Payformance Corporation － Jacksonville, FLGeneral Manager, Healthcare Division
  • Responsible for Sales, Marketing, Service, Operations, Delivery, and Product Management
  • Established PMO and Account Management functions
  • Published employee digital magazine NETMA
  • Implemented organizational operating controls, resulting in SAS 70 Type II certification; including detailed business continuity & disaster recovery
  • Certified compliance with the HIPAA transactional standard for healthcare payment and remittance
  • EFT/ERA platform chosen by BCBS as preferred solution
  • Sold and Delivered 5 of the company's Top 10 current clients during this time (48% of current revenue); including 3 of its Top 5 (39% of current revenue)
05/2004 - 08/2005
Payformance Corporation － Jacksonville, FLDirector, Healthcare Product Management
  • Recruited to launch the healthcare division at Payformance
  • Business architect of the company's healthcare product strategy
  • Developed and documented requirements for the EFT/ERA platform
  • Established standard operating controls, including HIPAA PHI policies and financial account verifications
  • Developed standardized service Task Order
  • Designed standardized Business Requirements Document (BRD)
  • Recruited healthcare talent to staff the division
  • Subject matter expert in support of sales efforts, landing first clients (including BCBS MA and Amerigroup)
09/1999 - 04/2004
Health Alliance Medical Plans － Urbana, ILDirector, Finance & Accounting
  • Responsible for the Accounting, Statutory Accounting, Financial Analysis, and Decision Support functions of the health plan
  • Accountable for budgeting and reporting of Revenues, Medical Expenses, and Administrative Cost
  • Automated the production of GAAP, Statutory Basis, Cash Basis, LA&H, HMO Blue, HMO Orange, and Consolidated Basis financials
  • Reduced the monthly closing process from 27 days to 5 (81% reduction) using automation and process improvement
  • Responsible for risk-based contract accounting, including global reimbursement models and joint ventures
  • Business Architect for development and launch of pioneering solutions for EFT/ERA (2001), Electronic Premium Collection (2002), Medical Economics/Population Health (2003), CDH (2004)
  • Developed and managed annual revenue budgets exceeding $1.2 Billion and medical expense budgets exceeding $1.0 Billion
  • Boosted company efficiency and profitability through technology upgrades and process improvements including: a new General Ledger System, Data Warehouse, Enterprise Ad-Hoc reporting solution, IP Telephony, and Contract Management
  • Primary contact for IRS, GAO, State DOI audits
01/1995 - 09/1999
Health Alliance Medical Plans － Urbana, ILManager, Financial Analysis
  • Modeled and negotiated provider risk contracts and global reimbursement models
  • Led the modeling, planning and execution of all financial processes
  • Automated 100% of the claims reserving process
  • Moved all administrative expense budgeting to a web-based system
  • Created detailed financial models to account for the company's joint ventures with other provider-sponsored health plans
  • Automated monthly medical expense and administrative variance reporting
  • Analyzed complex GAAP, NAIC, State, and Federal regulations with respect to revenue recognition, risk-based capital requirements, and liability accruals
  • Developed creative strategies to reach company and shareholder goals relating to parent and subsidiary accounting, as well as profit-sharing
  • Responsible for creation and presentation executive analysis reports highlighting financial performance and business risks
07/1992 - 01/1995
Health Alliance Medical Plans － Urbana, ILFinancial Analyst
  • Joined the company (<40 employees,="" ~$20="" million="" in="" revenue)="" as="" it="" accelerated="" growth="" from="" a="" small="" primarily="" aso="" shop="" into="" fully-insured="" plans="" and="" state="" and="" federal="">
  • Implemented its first budgeting and forecasting systems for Medical Loss Ratio, Claim Reserve Calculation (RBNP & IBNR), Utilization Management, and Reinsurance/Stop-Loss filing
  • Responsible for Risk-Pool Accounting, Specialty Carve-Outs, Capitation, and Out-of-Network utilization monitoring
  • Responsible for NAIC Statutory Accounting & State DOI Reporting
Education
1991
University of Illinois at Urbana-ChampaignUrbana, ILBachelor of Science: Finance Recipient of Illinois General Assembly Scholarship
Men's Basketball Manager, Varsity I Letterman
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Resume Overview

Companies Worked For:

  • Payspan, Inc.
  • Payformance Corporation
  • Health Alliance Medical Plans

School Attended

  • University of Illinois at Urbana-Champaign

Job Titles Held:

  • Senior Vice President & Chief Product Officer
  • Senior Vice President & Chief Knowledge Officer
  • Executive Vice President & Chief Operating Officer
  • General Manager, Healthcare Division
  • Director, Healthcare Product Management
  • Director, Finance & Accounting
  • Manager, Financial Analysis
  • Financial Analyst

Degrees

  • Bachelor of Science : Finance

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