Lanesville Junior - Senior High School

Indiana University Southeast

Senior Vice President, Information Technology at Humana Inc.

Corydon, Indiana

Humana

Senior Vice President

- Lead All Application, Solution Engineering and Integration teams and related activities for a fortune 100 company•	Directly accountable and leading the efforts of over 3,700 IT professional located in multiple U.S. locations and global sites•	Leading IT teams currently delivering solutions across all aspects of the business including Digital, Analytics and Big Data, Clinical, CRM, HR, Finance, Provider, Claims, Enrollment, Billing, Etc.•	Manage a large operating budget and capital budget for new IT asset development and cloud-based initiatives•	Member of the steering team and directly accountable for the implementation of major portions of a new services based IT operating model which included the largest IT reorganization in the company’s history•	Served as the acting CIO for Humana Government Business for approximately a year•	Member of the Corporate Management Operating Committee•	Leading the IT teams implementing a large scale CRM implementation (across all channels) including currently one of the largest <a href="http://Salesforce.com">Salesforce.com</a> implementations in Healthcare in the U.S.•	Steering Committee Member of the Corporate Inclusion and Diversity council

Enterprise Vice President

Note: (promoted from VP to EVP in March 2014)•	Lead the all development, maintenance and support teams and related activities for the systems and applications supporting the Retail (Medicare and Individual) and the Group Insurance Lines of Business•	Directed the efforts of over 2,500 FTE’s across the globe and in multiple time zones•	Lead many successful large scale programs including the implementation of a new company wide messaging eco-system combing communication history, preferences, campaign and channel optimization, guaranteed delivery and message prioritization•	IT Steering committee member which included the development and annual refresh of the corporate IT strategy and its alignment to the business strategy•	Lead the teams implementing required changes to support the Accountable Care Act including the implementation of a new sales platform to supporting the new model•	Member of the IT operating committee responsible for day-to-day operations of IT

- Lead the IT teams accountable for:o	Corporate acquisitions including the follow on systems integration and shut down activitieso	Strategy, Design and Implementation of the companies large scale data assets such as the enterprise data warehouse, Big Data infrastructure, Core Analytics and Modeling capabilities o	Social, Mobile and Web platforms, applications and capabilitieso	The implementation of a new identity and access management strategy and associated systemso	Redevelopment of the companies Enterprise Architecture disciplineo	The core backend systems such as Enrollment, Billing, Claims platforms, HR and Financial systems and Call Center applications

Vice President

- Lead the IT teams accountable for:o	The systems used to bill for over $30 billion in revenue annuallyo	Front-end and back-end systems used by Humana’s group and retail businesses to enrollment members into various insurance and supplemental productso	All call center related applications including the CRM systems, IVR, the call center knowledge base system and call recording systemso	The systems used to support spending accounts including banking integration and the associated PCI enclave requirementso	Day to day workforce planning for the call centers across the enterprise

Director Billing, Enrollment, Contact Centers, Spending Accounts & Workforce Mgmt.

- Promoted within 12 months and given responsibility for all IT Front End Enrollment Systems•	Successfully reorganized the area within first 30 days bringing together teams previously reporting across 3 different directors and 3 different vice-presidents•	Directed a staff of over 180 associates and contractors.•	Responsible for an annual budget of approximately 15 million dollars•	Responsible for onshore & offshore management and development teams•	Responsible for the reengineering of the front end membership enrollment process•	Responsible for both strategic and tactical planning•	Implemented a vendor relationship management program•	Implemented several quality assurance processes and implemented a process that provides for daily/monthly/quarterly metric reporting for key processes

Director IT Enrollment Systems

- Responsible for several enterprise level applications, associated staff and budget.  Areas of responsibility included:o	Web Security, Web Content Management and Secured Messagingo	Web Personalizationo	Communications Opt In/Out systemo	Enterprise Inbound claims routing systemso	Enterprise Eligibility systemso	Enterprise file transmissions areao	Claims workflow•	Successfully standardized reporting and estimating practices across 6 different and very diverse teams.  The application and associated processes developed by my team to improve the IT estimating process is now being rolled out company wide.•	Reorganized area within first 60 days.  Result was improved efficiency, elimination of redundant positions and improved quality.•	One of a select number of people within the organization asked to serve on both the Application Architecture Review Board and the Software Process Engineering Group.•	Responsible for several very large and key initiatives for the organization.  All were delivered on time.

Director Enterprise Applications

- Built a profitable multi-million dollar consulting practice while continuing to personally provide management consulting services to Fortune 500 clients.•	Worked as a managing consultant to one of the nations leading EDI transaction clearinghouse companies as their operations and project manager. •	Designed, built and implemented a web-based transaction clearinghouse to process medical claims for many of the largest health insurance carriers in the country.•	Worked with a leading health care credentialing service to design, build and implement an application for handheld devices to gather standardized information in the field and to download this information remotely to a central database in order to reduce errors, improve efficiency and reduce cost.•	Also managed the migration of this national EDI transaction processing system from a processing center in the Midwest to one in Plano, Texas.  The move included the coordination of the staffs of over 20 Blue Cross and Blue Shield plans, more than 30 national healthcare insurance providers, software vendors and value added networks.•	Worked on projects that include: wireless software that has been deployed on the NASCAR circuit and software in which a banking client used the product to launch successful national gift certificate system.•	Managed a customer service improvement project that resulted in staffing changes, process changes and the design and development of new tracking software that resulted in a reduction in call turn around times from days to less than an hour, the elimination of double digit abandonment rates and an increase in overall satisfaction.•	Developed Electronic Commerce and EDI objectives and strategies for clients.•	Worked as a process improvement consultant and analyst on several projects.•	Worked with a manufacturing and retail distribution company to analyze their existing Point-of-Sale software and business practices and recommended areas for improvement.

Genesys Development Corp.

President

- In charge of:  daily operations, information systems, customer service, product and software development, new business implementation and budgeting•	Responsible for the day to day operation of a national medical claims clearinghouse•	Planned, assigned and directed the technical development efforts and daily operations of the staff.  This also included staff development and performance management.•	A member of the EDI strategic planning team for Anthem corporate operations.•	Approved departmental budgets and development combined budgets for the area.•	In charge of the provider EDI customer support department.

Administar Communications dba Anthem Blue Cross and Blue Shield

Director EDI Operations

- In charge of:  customer service, information systems, product development, finance, inventory control, budgeting, pricing, vendor and client contract negotiations•	Part of the management team that had P&L responsibility for the Demand Management subsidiary of Anthem•	Planned, assigned, directed and appraised the performance of the organizations staff.  •	A member of the business strategy and planning team•	Responsible for successful implementation of business strategies and objectives•	Full budgetary responsibility for the division.

Anthem Demand Management dba Anthem Blue Cross and Blue Shield

Director of Operations

Held Various positions including:- Vice President Sales and Operations- Corporate Operations Manager- Office Manager- Manager Information Systems•       In charge of sales and operations of a $26million year multi-state corporation•	Responsible for 9 branches and over 100 employees with physical location in 4 states and operations in 6 states.•	Profit and Loss responsibilities•	In charge of corporate salary administration•	Handled all corporate legal, HR, accounting and financial functions•	Headed up technical sales promotion as well as new product development, procurement and vendor negotiations•	Developed and directed department and branch managers•	Led collection efforts (mechanic liens, etc.)

Brian Keinsley

Brian Keinsley