Summary
Overview
Work History
Education
Skills
Timeline

Bryan Farris

Spokane,WA

Summary

With an extensive 18-year background in healthcare Business and IT operations, I am a highly seasoned professional recognized for driving transformative initiatives and new business development, particularly for Fortune 500 companies. During my impactful decade at CVS, I led groundbreaking programs, orchestrating the successful launch of CVS's Virtual Care program and seamlessly integrating Aetna's membership and programs into CVS systems. Noteworthy accomplishments include steering the implementation of the three largest clients for CVS Pharmacy Benefit Manager business unit and pioneering a value pool approach to investment strategy and portfolio management within the Pharmacy Services business unit. My skill set encompasses proficiency in system architecture estimation, portfolio and project management, as well as account/client management and analytics/reporting. I have a proven track record of achieving operational goals, managing budgets, and implementing innovative initiatives to drive continuous improvement in quality, productivity, and staffing.

Overview

19
19
years of professional experience

Work History

Portfolio Owner, PSS Strategic Programs

CVS HEALTH CORPORATION
02.2023 - Current
  • Successfully manage multimillion-dollar annual budgets, strategically allocating resources across diverse value pools (Infrastructure, Clinical, Client Commitment, and Client Engagement) to drive revenue growth
  • Work collaboratively with cross-functional teams, encompassing both clinical and non-clinical units, to define annual budgets and delineate accountability linked to capital expenditures
  • Oversee end-to-end investment process, conducting initial analyses of business cases and strategically prioritizing projects
  • Track and analyze key performance metrics, including earnings before interest, taxes, depreciation (EBITDA) and return on investments (ROI)
  • Provide financial insights for strategic decision-making, optimizing resource allocation to maximize CVS revenue growth
  • Collaborate effectively with cross-functional teams, fostering innovation with engineering, data, marketing, and sales
  • Lead comprehensive project tracking efforts, ensuring diligent monitoring of timelines, budgets, and deliverables for successful execution of initiatives and investments
  • Drive transfer and integration of strategic projects, aligning Health Care Data Analytics (HCDA) and ActiveHealth initiatives with CVS's platform capabilities and customer experiences
  • Partner with executive leadership to transition from a business unit-oriented budget allocation approach to developing a process aligned with product model allocations allowing for greater flexibility in how we invest and prioritize work.

Lead Director, Performance Management Enterprise Virtual Care

CVS HEALTH CORPORATION
02.2021 - 02.2023
  • Executed CVS Enterprise Virtual Care Performance Management and Reporting strategy, securing executive sponsorship and external plan sponsor approvals
  • Designed and implemented reporting dashboards using Google Cloud Platform, Tableau, EPIC, and external plan sponsor reporting tools
  • Tracked utilization, HEDIS metrics, sales, and patient satisfaction for comprehensive insights
  • Collaborated with cross-business leaders to establish consensus on strategy and roadmap for key metrics and sales points crucial for showcasing virtual care program success
  • Partnered with Go-To-Market team to delineate B2B and DTC sales strategies
  • Conducted product market research, generating sales and marketing collateral for each virtual care product using reporting tools and metrics
  • Guided cross-functional performance management team, fostering collaboration with clinical and technology teams
  • Conceptualized virtual offerings in urgent care, behavioral health, and primary care
  • Monitored and reported on client contractual compliance regarding reporting and system stability requirements.

Executive Advisor, Client Service Advisor

CVS HEALTH CORPORATION
05.2018 - 01.2021
  • Designed and led the Anthem Project Request Form (PRF) Estimation tower, overseeing all Anthem Project Requests
  • Conducted project request form reviews, identified impacted IT teams, created estimations for work, and managed Estimation Steering Committee reviews
  • Generated nearly 500 estimates for project work dating back to November 2017, totaling almost 330,000 hours of IT Development work as of December 2020
  • Served as Joint IT Co-Chair for the CVS/Anthem Joint Change Board (JCB)
  • Focused on new project and product development requests, with the JCB team, under joint leadership, receiving and reviewing over 220 new product and project requests through December 2020
  • Functioned as IT Work Stream Lead for the CVS Stakeholder Management Communications team
  • Oversaw the development of new product tools to support Anthem's members mailings
  • Accountable for monitoring and reporting on CVS IT System Performance Guarantees, including claims adjudication, system uptime, and call center performance.

Senior Advisor, IT Client Implementation and Delivery

CVS HEALTH CORPORATION
01.2016 - 05.2018
  • Led client-facing responsibilities with a focus on successful delivery of large-scale, multi-business IT projects
  • Provided comprehensive oversight to a team of IT business analysts, QA testing team, and Unit Acceptance Testing teams, guiding them in the development and analysis of business and functional requirements for various corporate IT project initiatives
  • Functioned as the primary IT liaison between CVS and prominent PBM clients, cultivating collaborative relationships with major entities such as Aetna, WellCare Centene, and Medica
  • Directed the determination, design, and management of IT program deliverables across multiple lines of business, covering Medicare, Medicaid, Commercial, and Exchange sectors
  • Orchestrated end-to-end IT program delivery for new projects and client implementations, involving strategic planning, design documentation, IT development, quality testing, go-live responsibilities, and production push
  • Guided various special projects centered on enhancing processes and implementing strategic initiatives, resulting in substantial financial gains for the CVS Pharmacy Benefit business unit.

Advisor/Project Manager, Business Systems

CVS HEALTH CORPORATION
10.2012 - 01.2016
  • Program owner for CVS IT Government Services projects, focusing on Center For Medicare and Medicaid Services (CMS) requirements and yearly deliverables
  • Led and directed multiple, cross-functional Medicare application development projects and programs through the entire project lifecycle
  • Developed and owned all internal IT Government Services Executive Dashboards and project plans dedicated to yearly CMS requirements
  • Oversaw the entire process for correspondence pieces for the 2014 and 2015 Annual Election Period (AEP), including ANOC’s, Low Income Subsidy, and Late Enrollment Penalty mailings
  • Undertook additional responsibilities assigned by leadership, including providing Project Management support to resolve CMS sanctions during 2013 for IT Government Services.

Consultant, Market Service Operations

Humana
02.2012 - 10.2012
  • Led cross-functional project teams for efficient implementation of new products and modifications aligned with Medicare HEDIS strategy
  • Spearheaded comprehensive education programs for Medicare providers in the northwest, emphasizing HEDIS and STAR reporting requirements, enhancing overall compliance and performance
  • Collaborated with the Contracting department to successfully launch new risk contracts, contributing significantly to the strategic growth of the provider network
  • Provided valuable support to vendors, providers, and Humana market offices by addressing billing inquiries, ensuring strict adherence to billing standards and compliance.

Cost Avoidance Consultant (Program Manager), Claims Administration

Kaiser Permanente
05.2011 - 01.2012
  • Successfully implemented an HCI project, resulting in over $200K in claims cost avoidance per month
  • Managed productivity standards for the Provider Configuration Team, ensuring consistent achievement and maintenance of production levels
  • Engineered a process for Non-Contract Loaders, leading to a substantial reduction in average pended claims from 700 to below 100 a month
  • Represented Claims Administration team on various committees and work groups, contributing valuable insights and collaboration
  • Oversaw the development of policies and documentation for Claims Administration, particularly related to monitoring fraud, waste, and abuse, as well as overpayments.

Product Development Consultant/Program Manager, Senior Products

Humana
02.2006 - 05.2011
  • Program Manager for Well Dine, overseeing relationships with external vendors and suppliers
  • Led the development of Humana's Chronic Condition Benefit through the Well Dine program, emphasizing healthier living post-diagnosis
  • Collaborated with Clinical Staff Managers and Medical Directors, achieving a 103% increase in Well Dine Food Program utilization from 2008 to 2010, resulting in an estimated $527.00 Per Member per Month savings
  • Redesigned the Well Dine Program, expanding membership by 500,000 from 2008 to 2009, generating over $5 million in annual cost savings
  • Developed a Member Communication Strategy, saving $97,000 annually through a Six Sigma Project via targeted mailings
  • Defined the regulatory compliance strategy for the program to ensure adherence to CMS rules and regulations during filing season
  • Rolled out annual operational feasibility plans for the Well Dine program, identifying concepts, strategies, barriers, and potential implementation dates.

Education

Masters in Business Administration -

Amberton UNIVERSITY, Frisco, TX
05.2015

Bachelors in Business Management -

University of kentucky, Lexington, KY
12.2005

Skills

  • Partnership Development
  • Budget Administration
  • KPI Management
  • Business Management
  • Labor Relations
  • Product Branding
  • Business Planning
  • Investor Relations
  • Budget Development
  • Strategic Planning
  • Talent Development
  • Operations Management
  • Project Management
  • Business Development
  • Cost Reduction
  • Project Estimating

Timeline

Portfolio Owner, PSS Strategic Programs - CVS HEALTH CORPORATION
02.2023 - Current
Lead Director, Performance Management Enterprise Virtual Care - CVS HEALTH CORPORATION
02.2021 - 02.2023
Executive Advisor, Client Service Advisor - CVS HEALTH CORPORATION
05.2018 - 01.2021
Senior Advisor, IT Client Implementation and Delivery - CVS HEALTH CORPORATION
01.2016 - 05.2018
Advisor/Project Manager, Business Systems - CVS HEALTH CORPORATION
10.2012 - 01.2016
Consultant, Market Service Operations - Humana
02.2012 - 10.2012
Cost Avoidance Consultant (Program Manager), Claims Administration - Kaiser Permanente
05.2011 - 01.2012
Product Development Consultant/Program Manager, Senior Products - Humana
02.2006 - 05.2011
Amberton UNIVERSITY - Masters in Business Administration,
University of kentucky - Bachelors in Business Management,
Bryan Farris