Resumes
The resume of each proposed project team member is found on the following pages.
RESUME for
John Thurman
Client Executive
John Thurman is an Information Technology, MMIS and HIPAA subject matter expert with over 30 years of complex information systems experience. He possesses in-depth knowledge of all phases of the MMIS procurement and implementation process. He is directing over 25 nationwide projects in MMIS, HIPAA and System Development and Implementation.
overview
John Thurman is FOX Systems, Inc.’s Director of Consulting Services and an MMIS and HIPAA subject matter expert. He has 30 years of information technology experience that includes significant project management experience on complex mainframe, client server, and web-enabled applications. This experience includes utilizing translator software for the creation of a paperless claim processing, case management, disease management and the provider authorization process for an HMO. He has 21 years of health care systems and operations experience, which encompasses experience as a Chief Information Officer with hospitals, teaching medical centers, provider practices, HMOs, State Government, and clearinghouses. Mr. Thurman’s responsibilities have included evaluation of business systems and software; analysis and review of business processes, procedures, policies, legislation, budgets, and contracts; workflow and process analysis, both within and between organizations; and the development of business impact analysis reports, risk management plans, contingency plans, gap analyses, risk analyses, and feasibility studies.
key qualifications
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Extensive quality assurance and IV&V experience
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Knowledge of MMIS technology
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Experience with Federal MMIS certification
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Knowledge of FFP maximization strategies and requirements
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Knowledge of relationships between HIPAA policies and procedures and applicable Federal and state regulations
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Cost/benefit analysis experience
employment summary
Organization
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Position
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Dates
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FOX Systems, Inc.
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Director of Consulting
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08/2001 – Present
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Health-eSolutions and
Clinicient Corporation
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Advisory Board Member and Chief Technology Officer
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6/1999 – Present
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Outlook Associates
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HIPAA Practice Director
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7/2000 – 4/2001
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Certus Corporation
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HIPAA Technology Consultant
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8/1999 – 6/2000 *
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Outlook Associates
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Acting CIO
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7/1999 – 12/1999 *
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MatureWell, Inc.
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Vice President/CIO
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11/1996 – 6/1999
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Viasoft, Inc.
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Vendor Partner Director
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11/1995 – 11/1996
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CACI, Inc.
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Program Director
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1/1995 – 11/1995
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Computer Power Group
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Project Manager
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1/1994 – 1/1995
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National Medical Enterprises
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Project Manager
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5/1993 – 1/1994
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Arizona Department of Health Services
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CIO
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10/1991 – 4/1993
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Isuzu Motors of America
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Project Manager
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9/1989 – 10/1991
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Centurion Capital
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CIO & Operations Manager
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1/1987 – 8/1989
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Hughes Micro-Electronics
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Team Leader
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1/1986 – 4/1987
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University Medical Center at the University of Arizona
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System Selection Consultant
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3/1985 – 12/1985
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Honda Motors
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Project Manager
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12/1984 – 3/1985
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First Interstate Bank
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Lead EDI Developer
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5/1984 – 11/1984
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University of California, Irvine Medical Center
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CIO
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5/1982 – 5/1984
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Kaiser Permanente
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Project Leader
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3/1979 – 5/1982
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Touche-Ross & Co.
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Project Leader
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8/1978 – 3/1979
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Southern California Edison
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Manager
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8/1977 – 8/1978
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Union Oil Corporation
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Technical & Education Support
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11/1975 – 12/1976
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National/CSS
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Analyst & Developer
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2/1974 – 10/1975
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Transamerica Insurance Group
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Analyst/Programmer
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11/1971 – 2/1974
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* Overlap of dates with Outlook Associates and Certus Corporation exist due to Certus’ acquisition of Mr. Thurman’s consulting contracts in August of 1999. As part of the agreement, he became a consultant for Certus and was promoted to Vice President in January 2000. In that position, he was responsible for continuing the acting CIO contract for Outlook Associates. With the collapse of the Venture Capital market, Certus divested the consulting and development businesses and a final divestiture agreement was reached in June 2000.
project experience
Mr. Thurman has provided oversight and quality assurance for current and recent FOX MMIS projects, including:
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Procurement of a new MMIS for the State of Alaska that supports the needs of all Department of Health and Social Services (DHSS) healthcare programs, is HIPAA compliant, implements new technologies, and provides new functionality. This five-year project includes requirements, cost/benefit, and alternatives analyses; development of an APD and RFP; proposal evaluation support; and, currently, IV&V services for implementation. The contract was amended in March 2001 to include a full HIPAA gap analysis and training for DHSS staff on the transaction formats and security and privacy requirements.
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Requirements definition for a replacement MMIS for the State of Oregon Department of Human Services. The project included gathering requirements based on a definition of the current business and system functions and the future needs for a new MMIS, using a data and process model; researching IT solutions in other states; identifying alternative options and applicable new technologies; and performing a cost benefit analysis of the alternatives to help the Department select the best option for Oregon.
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For the Oregon Department of Human Services, providing project management, quality assurance, and subject matter expertise on a project to conduct a HIPAA assessment and remediation. The project is addressing both automated and manual systems that will be impacted by the transaction implementation effort and will result in reporting all HIPAA-compliant transactions that must be implemented by each Medicaid and public health division, new automation that must be effected, and identification of trading partner agreements that must be executed.
Mr. Thurman has conducted numerous HIPAA projects for state, county and private clients, including project oversight, quality assurance, and HIPAA subject matter expertise on State Medicaid agency contracts in Maine and Alaska where he was responsible for deliverable review, project personnel, and client awareness training. For the Colorado Department of Public Health and Environment, he provided overall project direction, quality assurance, and subject matter expertise. The department chose to utilize the Hybrid Entity approach to HIPAA, and each of the 39 program areas was analyzed for Covered Entity Status and for the impact of the Transaction Rule on the program. Based on the analysis, 10 of the programs were determined to be covered entities and were provided with full impact analysis, risk analysis an implementation cost benefit and feasibility study.
affiliations
Healthcare Information and Management Systems Society (HIMSS)
Microsoft Healthcare Users Group (MSHUG)
education
Bachelor of Arts, Communications, Westmont College
Minor in Business Economics
Postgraduate Certificate in Computer Science
references
Reference 1
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Reference 2
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Reference 3
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Dwayne Peeples, Director
Alaska Division of Health Care Services
(former) Medicaid Director
PO Box 110660
Juneau, Alaska 99811
(907) 465-3355
dwayne_peeples@health.state.ak.us
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Ann McNulty
HIPAA Coordinator
Colorado Department of Public Health and Environment
4300 Cherry Creek Drive South
Denver, CO 80246
(303) 692-2311
ann.mcnulty@state.co.us
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Jim Joyce
MMIS Project Manager
Oregon Department of Human Services
2850 Broadway St NE, Floor 2
Salem, OR 97303-6500
(503) 378-2101 ext. 357
jim.joyce@state.or.us
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RESUME for
Patrick Dahlen
Project Manager
Overview
Mr. Dahlen is a solutions-oriented management professional with a proven record of effectively managing management information resources demonstrated through 20 years of combining cross-functional, cross-technology experience in the design, staffing, budgeting and delivery of advanced systems and applications. He has extensive knowledge and success in developing and integrating technologies to support a broad range of operating, financial and organizational needs. He also is proficient in formulating a strategic vision and providing tactical implementation for enterprise infrastructure. Mr. Dahlen has a strong background collaborating with technical staff, internal/external customers, and contractors as well as with facilitating clear communications. He is a skilled manager and motivator who is able to direct multiple tasks effectively and master innovative software and tools. Mr. Dahlen also can identify problems in initial stages and execute quick effective resolutions.
key qualifications
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Team Building and Leadership
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Project Management
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Technology Needs Analysis and Solutions
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Consulting/Consulting Management
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Budget and Resource Forecasting Management
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Strong Organizational and Multi-Tasking Skills
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Change Management
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Office Management Techniques/Productivity Tools
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Training and Public Speaking
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Business Problem SolvingInternal/External
employment summary
organization
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position
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dates
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FOX Systems, Inc.
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Project Manager
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01/2006 - present
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GHS Data Management
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Operations Director
Site Operations Director
Systems Development Manager
Business Support Manager
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07/2005 – 01/2006
01/2005 – 07/2005
09/2004 – 01/2005
08/1999 – 05/2004
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Automatic Data Processing
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Business Systems Analyst/Team Supervisor
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1998 – 1999
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Principal Financial Group
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Information Analyst III
Systems Analyst
Helpdesk Supervisor
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1993 – 1998
1995 – 1997
1993 - 1995
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DTK Computers
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Regional Marketing Representative
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1990 - 1993
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Project Experience
GHS Data Management, Des Moines, Iowa
Operations Director
Managed pharmacy operations for the Iowa Medicaid Enterprise pharmacy unit.
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Implementation/Operations Manager for Point of Sales systems
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Direct preferred drug list and prior authorization operations projected to save $5 million in state dollars in the first year
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Hire and oversee staff for call centers exceeding a 90% service level
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MITA coordinator for Iowa Medicaid
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Spearheading Medicare Part D implementation for Iowa Medicaid
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Pharmacy unit exceeding performance measures for operations
ACS State Healthcare, Des Moines, Iowa
Site Operations Director
Managed and directed all aspects of the information services infrastructure for the Iowa Medicaid Fiscal Agent. Responsibility for 20 million in revenue and processing over $1 billion in Medicaid payment annually at location.
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Full profit and loss responsibility with 140 employees, and 10 direct reports
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Accountable for; operations, budgets, client services, systems and administration
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Cost containment initiatives and leadership has allowed excellent profit margins
Systems Development Manager
Directed information services infrastructure for the Iowa Medicaid Fiscal Agent, responsible for the technology infrastructure of the Iowa Medical Fiscal Agent.
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Responsible for planning and executing turnover plan for MMIS with the Iowa Medicaid Enterprise
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Coordinated change control process with the Iowa Department of Human Services
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Reorganized systems department to be customer centric improving relationship with client
Business Support Manager
Lead teams responsible for Decision Support and Executive Information Systems, programming and software support, local and wide area networks, call centers and phone systems. Oversee project management, quality of service and service level agreements with external/internal clients. Negotiate contracts and direct contract employees.
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Slashed department operating costs 20% within six months by reorganizing operations resulting in improved service level and quality of service
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Aggressively implemented project management, change control and job tracking procedures for network management, intranet development, application development, data requests and infrastructure maintenance, resulting in improved response time, accuracy and quality
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Built highly effective interdisciplinary team to develop and maintain applications, data warehouse, and internet/intranet sites in a mixed environment of Windows, Novell, UNIX and LINUX
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Reduced errors for budgeting and data requests from decision support and executive information systems by initiating new reporting processes
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Coordinated statistical sampling projects for Iowa Medicaid Project Surveillance and Utilization Review team
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Appointed HIPAA privacy/security officer for Iowa location
Automatic Data Processing, Des Moines, Iowa
Business Systems Analyst/Team Supervisor
Provided technical leadership for team providing benefit administration to 130,000 employees of a major telecommunications company. Directed all activities for the data clearinghouse that coordinated data flow and database replication for multiple locations nationwide. Recruited and developed successful team through the hiring and development of quality employees and contractors.
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Spearheaded implementation, maintenance and upgrades of databases, clearinghouse systems, and PeopleSoft software
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Provide critical technical interface to users requiring exceptional understanding of system applications, database administration, phone systems, computer and network support
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Implemented systematic change control process
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Consistently met high-volume objectives while cutting operation costs by 10%
Principal Financial Group, Des Moines, Iowa
Information Analyst III, Principal International
Provided leadership, project management and direction for Client/Server development team using Visual Basic, C++, Windows NT and SQL Server for large-scale international applications.
Systems Analyst, Pension Issue
Directed projects for Executive Information Systems from initial concept, feasibility, analysis and deployment. Defined systems approach, interface design, content and business strategies to enhance operations and provide workable solutions to business problems
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Created award winning data transfer application.
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DBA Microsoft SQL Server
Helpdesk Supervisor, Pension
Provided supervision and guidance for technical helpdesk. Assessed employee training needs and implemented training program to maximize staff’s effectiveness. Developed and implemented strategic marketing plans to benefit technical helpdesk.
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Implemented tiered support structure and performance metrics improving customer service ratings by 37%
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Developed Client/Server applications
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Recognized for outstanding customer service
DTK Computers, Des Moines, Iowa
Regional Marketing Representative
Created and implemented marketing plan for Midwest region creating profitable territory within one year.
Teaching Experience
William Penn University, Des Moines, Iowa, September 1999 – present
Upper Iowa University, Des Moines, Iowa, August 2000 – present
Adjunct Professor
Design and teach curriculum for Bachelor and Associate degree programs. Classes include Contemporary Management Theory, Lean Management Theory, Leadership, Information Strategies, Systems Integration, Systems Analysis and Design, Database Administration, Operating Systems and Networks, Small Systems Technology, Internet development, Microsoft Office, Business Ethics
Certifications & Associations
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Microsoft Certified Professional
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Health Insurance Association of America, Certified Insurance Associate
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Life Office Management Association, Fellow, Life Management Institute
Technical Background
Software: MS SQL Server, Sybase, DB2, Oracle, CITRIX, PeopleSoft, MS Office, MS Project, Visio, .NET, PHP, Perl, AWK, SED, VB Script, Java Script
Hardware: Dell, HP and Sun Servers; Avaya, Cisco and Nortel phone systems; Cisco switches and routers
Networks: Active Directory, Novell NDS, UNIX, LINUX
Education
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Drake University, Masters in Business Administration, International Marketing Emphasis
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Upper Iowa University, Bachelors of Science in Business Administration
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North Iowa Area Community College, Associate of Science Degree in Information Technology
References
Reference 1
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Reference 2
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Reference 3
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Jim Taylor
Core Unit Manager
Iowa Department of Human Services
100 Army Post Road
Des Moines, Iowa 50315
515-725-1234
Jtaylor1@dhs.state.ia.us
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Mary Tavegia
Unit/Operations Manager
Iowa Department of Human Services
100 Army Post Road
Des Moines, Iowa 50315
515-725-1110
mtavigi@dhs.state.ia.us
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Patti Ernstt-Becker
EO2 & Unit Manager IME
Iowa Department of Human Services
100 Army Post Road
Des Moines, Iowa 50315
515-725-1347
pernstb@dhs.state.ia.us
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RESUME for
Sally Klein, PMP
NPI Subject Matter Expert
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