Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Alan Lainez

Frisco,TX

Summary

Strategic program and project management leader with 15+ years of experience driving large-scale healthcare, technology, and government initiatives. Expert in project lifecycle management, process optimization, and cross-functional collaboration. Proven ability to implement innovative solutions, streamline workflows, and deliver measurable business value for enterprise clients.

Overview

30
30
years of professional experience
1
1
Certification

Work History

Marketing Project Consultant

BCBSTX
12.2013 - Current
  • Led a 3 year strategic roadmap for Enterprise National and Government Accounts, leading to realign product priorities to meet key customer needs and to ensure long-term goals were met.
  • Managed vendor relationships as the primary liaison, driving a rigorous vetting process that improved the quality and compliance of all integrated solutions.
  • Identified and eliminated procedural gaps, increasing team efficiency by 12% through the implementation of new, automated workflows.
  • Informed executive strategy for 14 jumbo accounts (900,000 members) by delivering comprehensive reports, risk analysis, and membership forecasts using Salesforce and Tableau.
  • Automated health assessment file feed for Catapult Health to BCBSTX, reducing manual intervention and improving efficiency.
  • Partnered with key stakeholders and early-adopter clients to pilot and iterate on a new product, resulting in a more robust and market-ready solution.
  • Leveraged design thinking to enhance wellness programs, increasing employee adoption
  • Maintained high performing team and served as project's advocate.

Project Manager

Health Care Service Corporation, HCSC
09.2006 - 12.2013
  • Oversaw ACA/Healthcare Reform implementations, IT infrastructure, and cross-state projects.
  • Managed the full project lifecycle, including budget oversight, completing projects 80% under budget by proactively mitigating risks and streamlining cross-functional workflows
  • Project manage eligibility and benefit transaction (270/271) integrations (Availity/RealMed) and formulary migration to PrimeRx.
  • Met project deadlines without sacrificing build quality or workplace safety.

Project Manager

AutoMed Technologies (Pharmacy Automation)
08.2004 - 09.2006
  • Delivered retail pharmacy automation projects generating $1–$1.5M monthly revenue.
  • Coordinated project resources, schedules, and client communications.
  • Key Achievements:
  • Managed pharmacy redesign and carousel installations across multiple locations.

Network Account Manager, E-Business

UnitedHealthcare
03.2003 - 04.2004

E-Commerce Consultant

Humana Health Plan
10.1998 - 12.2002

Special Projects Analyst

Caremark, Inc.
01.1996 - 10.1998

Education

BS - Health Administration

Northern Illinois University
DeKalb, IL

Skills

  • Strategic Planning & Process Improvement
  • Project Management Agile/Scrum SDLC
  • Strategic account oversight
  • Stakeholder & Vendor Management
  • Financial Management & Forecasting Change Management
  • Client retention strategies
  • System Analysis & Implementation CRM & EDI Integration
  • Project oversight

Accomplishments

  • Managed and provided oversite on $1B UTS RFP and other large-scale public sector accounts.
  • Optimized Performance Guarantee (PG) management by overseeing the development of forecasting models and Tableau dashboards, saving the organization $8M–$10M annually in PG payout penalties.
  • Led healthcare data trend review for BCBSTX's largest public sector accounts, identifying medical and pharmacy utilization patterns and gaps to support cost savings programs.
  • Oversaw resource planning for 700+ employees, ensuring staffing levels and skill sets were aligned to support Teacher Retire System Account.
  • Designed workflow on custom appeals processes for The University of Texas System resulting in a 10 % increase in approvals.

Certification

  • Certified ScrumMaster
  • Project Management Professional (PMP) – Previous Certified

Timeline

Marketing Project Consultant

BCBSTX
12.2013 - Current

Project Manager

Health Care Service Corporation, HCSC
09.2006 - 12.2013

Project Manager

AutoMed Technologies (Pharmacy Automation)
08.2004 - 09.2006

Network Account Manager, E-Business

UnitedHealthcare
03.2003 - 04.2004

E-Commerce Consultant

Humana Health Plan
10.1998 - 12.2002

Special Projects Analyst

Caremark, Inc.
01.1996 - 10.1998

BS - Health Administration

Northern Illinois University

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