DAWNE CHAMBERLAYNE
Milford,DE
Summary
A purpose-driven executive committed to reimagining pharmacy solutions and building the future of pharmacy benefit management, bringing 15+ years of progressive, high-impact leadership at the intersection of PBM implementation and enterprise PMO governance. Core focus on delivering measurable, member-first outcomes across government-sponsored Medicaid programs nationwide. Recognized for building AI-enabled portfolio analytics capabilities, instituting rigorous SDLC governance frameworks, and scaling enterprise PMO maturity across complex, matrixed organizations, Dawne translates broad portfolio vision into disciplined operational execution at every level. My leadership spans IT, enabling services, clinical operations, state government contracting, and C-suite health plan stakeholder relationships — orchestrating cross-functional alignment across diverse delivery environments with clarity and accountability. Dawne is deeply committed to translating complex pharmacy benefit strategy into operational excellence, long-term client value, and member-centered outcomes that reflect a different kind of PBM — one where purpose extends well beyond profits.
Overview
1
1
Certification
14
14
years of professional experience
Work History
Senior Director, Enterprise Portfolio, PBM
Gainwell Technologies
Remote, DE
03.2022 - Current
- Built and scaled enterprise PMO governance integrating AI-enabled monitoring, automated reporting, and predictive risk trending — reducing manual reporting effort by ~40% and establishing a delivery rhythm where 'on track' became a verifiable, data-driven claim.
- Upleveled delivery of complex enterprise implementations across Medicaid eligibility modernization, Provider Management, and PBM claims adjudication, ensuring consistent scope, schedule, and budget adherence across a $300M+ portfolio.
- Championed AI integration into delivery operations (predictive risk scoring, automated scheduling, intelligent resource allocation), enhancing decision velocity and improving forecast accuracy.
- Established enterprise KPI governance and executive dashboards, including risk heat maps and portfolio scorecards, enhancing real-time visibility across all delivery verticals.
- Architected a global delivery optimization model leveraging offshore centers in India, reducing blended delivery costs by 25–30% while maintaining SLA compliance and quality benchmarks.
- Led and developed cross-functional delivery teams of 150+, building a culture of ownership, accountability, and proactive risk management.
- Strengthened alignment with Government stakeholders across CMS-regulated programs and multi-year modernization initiatives, ensuring compliance with evolving federal policy mandates.
- Facilitated stakeholder meetings to align project goals with organizational objectives.
Director, Delivery & Portfolio Management
DXC Technology
Remote / Multiple Locations, DE
09.2015 - 03.2022
- Managed a global delivery portfolio of 50+ concurrent engagements valued at $500M+ across healthcare, financial services, and public sector verticals, providing unified governance, escalation management, and executive-level visibility.
- Led SAP S/4HANA transformation programs for large enterprise clients, orchestrating system integrations, data migration, cutover planning, and go-live readiness across complex multi-country deployments with zero critical post-go-live failures.
- Built and institutionalized an enterprise delivery governance framework — inclusive of stage-gate reviews, RAG status protocols, RAID log standards, and steering committee cadences — standardized across a 2,000+ person global delivery organization.
- Partnered with account executives and client CIOs to develop and execute strategic roadmaps, renewal strategies, and expansion initiatives — directly contributing to $80M in net new contract value over the engagement period.
- Managed budgets and resources to ensure project delivery within established guidelines.
Director of Nursing, Healthcare Operations & Technology Program Management
Harbor Healthcare
Delaware
01.2013 - 12.2017
- Led a technology-enabled healthcare operations transformation modernizing clinical data systems, billing platforms, and care coordination workflows across multiple facilities — improving operational throughput and reducing administrative cycle times.
- Directed implementation of Medicaid billing and compliance systems aligned with CMS standards, reducing claims denial rates by 22% and accelerating reimbursement cycles through streamlined adjudication and improved eligibility verification workflows.
- Managed EHR integration and interoperability programs connecting disparate clinical and administrative platforms across the organization, reducing manual data reconciliation burden by 50% and improving data fidelity for clinical decision support.
- Established the organization's PMO function from inception, implementing governance standards, project tracking methodologies, and executive reporting cadences that elevated portfolio visibility and dramatically increased C-suite confidence in technology delivery.
- Led vendor selection, negotiated contracts, and managed performance for clinical IT, revenue cycle, and managed care platform providers — aligning contracts with operational SLAs and achieving cost containment targets.
- Guided cross-departmental teams of clinical, operational, and IT professionals through regulatory audits and system upgrades, ensuring care continuity during complex technology transitions.
- Championed patient data quality and HIPAA compliance programs, maintaining zero material audit findings across three consecutive regulatory review cycles — positioning organization as a model for data governance in the region.
- Regional healthcare organization providing integrated clinical and administrative services across the mid-Atlantic region.
Education
Bachelor of Science - Nursing
Chamberlain University
04-2027
Skills
- Enterprise Program and Portfolio Governance
- Project Management Function Build-Out
- Large-Scale Enterprise Implementations
- Delivery Frameworks, Playbooks & Operating Rhythms
- KPI Governance, Dashboards & Portfolio Health
- Predictive Risk Trending & Executive Reporting
- Data-Driven Decision Making
- Global delivery optimization
- Healthcare Compliance Strategies
- Cost Containment and Budget Optimization
- Stakeholder Engagement (Government, C-Suite, Multi-Vendor)
Certification
- Certified Scrum Master (CSM) — Scrum Alliance
- ITIL Foundation — IT Service Management
- Healthcare IT Leadership Development — Executive Professional Development
- AI Strategy for Enterprise Leaders — Executive Education / Continuing Professional Development
- SAP Project Management Certification — SAP SE
Technology And Tools
- ServiceNow
- Jira
- Microsoft Project
- Azure DevOps
- Salesforce
- SAP S/4HANA
- Tableau
- Power BI
- SharePoint
- Smartsheet
- Microsoft Teams
- Workday
- AI/ML Delivery Platforms
- Synthetic Data Tools
Earlier Career
Earlier roles in IT program management, healthcare administration, and operations leadership established a deep foundation in enterprise systems, clinical workflows, and large-scale organizational change management across regulated industries — providing the operational credibility and cross-functional perspective that has informed executive leadership throughout the career.
Timeline
Senior Director, Enterprise Portfolio, PBM
Gainwell Technologies
03.2022 - Current
Director, Delivery & Portfolio Management
DXC Technology
09.2015 - 03.2022
Director of Nursing, Healthcare Operations & Technology Program Management
Harbor Healthcare
01.2013 - 12.2017
Bachelor of Science - Nursing
Chamberlain University