Don Reid Bryant
Atlanta,GA
Summary
Dynamic Project/Program Manager with extensive experience driving strategic initiatives and enhancing operational efficiency. Expert in project management methodologies, including Agile and PMBOK, and skilled in data analytics. Proven track record of leading cross-functional teams to achieve compliance and improve healthcare delivery, while fostering collaboration and innovation.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Program Manager
Sentara HealthPlan
Virginia Beach, Virginia
02.2023 - Current
- Directed development, review, and approval of PMBOK and Agile artifacts for effective project management.
- Integrated CredentialStream and Axual systems, enhancing case reviews and performance tracking.
- Planned activities utilizing AI technologies for precise disease diagnosis and customized treatment options.
- Examined technologies to advance patient care while protecting data privacy.
- Streamlined vendor approval processes, minimizing redundancies in project execution.
- Facilitated tool development that supports clinicians in making informed decisions with AI insights.
- Evaluated implementation of new technologies across various healthcare environments.
- Fostered collaboration among stakeholders to drive innovation in patient care delivery.
Program Manager - NASCO
Ernst and Young, BCBS Transition Project
Atlanta, Georgia
09.2022 - 06.2023
- Evaluated program strengths and weaknesses to identify areas for improvement.
- Monitored project progress and supervised project managers to achieve objectives.
- Facilitated stakeholder meetings to provide updates on program status and goals.
- Analyzed integration of AI technologies to enhance payer IT processes utilized by NASCO.
- Tracked key performance indicators and service level agreements to ensure compliance.
Program Manager
Medicaid Services State of Alabama
Montgomery, Alabama
03.2022 - 08.2022
- Formulated data warehouse strategies in collaboration with vendors during RFP process.
- Created, reviewed, and approved all PMBOK and Agile artifacts to ensure project compliance.
- Conducted MITA strategy reviews and planning to enhance project alignment and effectiveness.
Sr. Project Manager (TPA)
Public Consulting Group
Boston, MA
02.2021 - 02.2022
- Implemented new MAPD (Medicare Advantage) product for client success.
- Integrated Trizetto QLINK claims platform and portals to enhance efficiency.
- Managed cloud-based database using Altruista Vendor for streamlined access.
- Contributed to design and project artifacts from charter through closure.
- Oversaw project deliverables and support activities, including status updates and change management.
- Managed a portfolio exceeding $20 million while ensuring budget adherence.
- Utilized hybrid Agile and PMBOK methodologies via Jira and Confluence for project tracking.
Project Manager - HITRUST
UHG Vision
Los Angeles, CA
10.2021 - 12.2021
- Guided clients through HITRUST remediation for certification assessment.
- Evaluated findings and allocated assessment tasks to relevant workstreams.
Proxy Product Owner (Claims) / Medicare / Medicaid Program Manager
Advantasure
Richmond, VA
08.2019 - 02.2021
- Advised on claims projects across Medicare Advantage, Medicaid, and Duals programs.
- Prepared pre-MITA certification documentation to ensure compliance.
- Contributed to design documents for various methodologies, including SDLC and Agile processes.
- Facilitated sprint delivery in collaboration with scrum master to enhance project outcomes.
- Managed integration of IkaSystems claims acquisition and portals for operational efficiency.
- Oversaw Medicare and Medicaid initiatives as Proxy Program Manager to implement policy changes.
Sr. Program Manager
Anthem Health Plans
Atlanta, GA
05.2017 - 08.2019
- Managed Medicare and Medicaid initiatives to implement policy and product changes for open enrollment.
- Customized Employer Group Retiree Medicare Advantage product for client retiree groups.
- Facilitated sprint delivery through effective backlog management and collaboration with scrum master.
- Implemented PEGA CRM application, enhancing configurations within the framework.
- Oversaw full program-level budget, ensuring alignment with financial goals.
- Conducted advanced health data analytics using Tableau for predictive insights.
- Assisted PMO Director with process improvement procedures and change management strategies.
- Enhanced Salesforce integration to streamline operations across departments.
Sr. Program Manager
Hewlett-Packard
Columbus, OH
01.2017 - 05.2017
- Oversaw multiple Medicaid projects, implementing significant policy changes for Ohio.
- Managed health data analytics using Microsoft SQL Server for state reporting.
- Conducted MITA assessments to ensure compliance with federal guidelines.
- Led Opioid Crisis program initiatives, enhancing IT support and resources.
- Directed development of CRM interface to streamline operations.
- Coordinated interfaces and data extracts from Electronic Health Record systems.
Sr. Project / Program Manager
Harmony Technology Services
Miami, FL
08.2016 - 01.2017
- Collaborated with primary contractor of HHS and ORR at UAC facility in Homestead, FL to estimate costs for case management and medical procedure tracking systems.
- Assisted customer in implementing Kronos and cloud-based ESB software integrated with electronic healthcare records.
- Executed implementation of cloud-based ESB software alongside EHR for enhanced operational efficiency.
- Facilitated data submission to CMS through QCDRs for MIPS program under Quality Payment Program.
- Utilized Tableau Software for health data analytics, focusing on advanced and predictive analytics.
- Integrated Salesforce CRM with Kronos to streamline operations and improve data management.
Sr. Project Manager
Independent Living Systems
Miami, FL
11.2015 - 07.2016
- Converted existing claims system to Trizetto QNXT, integrating all interfaces and extracts.
- Implemented new client (WellCare) into ILS business model covering memberships, provider networks, authorizations, claims, and financials.
- Managed a staff of 13 in a matrixed environment to enhance operational efficiency.
- Contributed to development of PMO program utilizing Agile and PMBOK methodologies.
ICD-10 Sr. Project Manager
Blue Cross Blue Shield of Tennessee
Chattanooga, TN
01.2015 - 09.2015
- Facilitated ICD-10 program activities for Bureau of TennCare Medicaid initiative.
- Managed Medicare program communications related to ICD-10, including web portals and intranet.
- Contributed to MITA assessment inputs for TennCare Medicaid Program evaluation.
- Administered PMO functions in alignment with SDLC and PMBOK methodologies.
ICD-10 Program Manager
Univita (Home Health)
Miami, FL
02.2014 - 11.2014
- Supported Enterprise ICD-10 project preparation and implementation for October 1, 2014 conversion date.
- Collaborated with senior leadership to develop standards and processes impacted by ICD-10.
- Implemented training plans and new data models to enhance operational efficiency.
- Researched and analyzed complex issues within organizational processes and systems.
- Communicated status updates, necessary process changes, and RAID to senior management.
- Utilized Agile Scrum methodology and tools to streamline project management activities.
- Facilitated effective collaboration among cross-functional teams to drive project success.
ICD-10 Sr. Project Manager
PHP
Lansing, MI
06.2013 - 01.2014
- Directed Enterprise ICD-10 project preparation and execution for mandated conversion by October 1, 2014.
Oversaw facilitation of ICD-10 conversion activities to meet defined project goals.
Administered capital and operating budgets with a focus on compliance monitoring.
Coordinated payer readiness initiatives for Medicare and Medicaid regarding ICD-10 implementation.
Formulated work plans while conducting regular management and status reviews.
Led resource allocation, issue resolution, risk assessment, and change control practices.
Maintained financial tracking with comprehensive executive reporting processes.
Utilized SDLC and Agile Scrum methodologies to enhance project management efficiency.
Facets Sr. Project Manager
KEBB Consulting (GEHA, CareMore)
Melbourne, FL
08.2012 - 05.2013
- Coordinated installation of Facets 4.8 across tracks, incorporating custom development and interfaces.
- Managed project scope, schedule, and costs through change management procedures.
- Consolidated project plans into a comprehensive integrated program project plan.
- Oversaw vendor management for integration services and collaboration with Trizetto teams.
- Facilitated client system and integration testing to ensure quality assurance.
- Streamlined communication channels between stakeholders to enhance project alignment.
- Influenced project team dynamics across multiple functional areas for effective collaboration.
- Organized team meetings and delivered status updates via dashboard reporting.
Facets Project Manager
United Healthcare
Hartford, CT
03.2012 - 07.2012
- Oversaw installation of 4.71 for new product expansion on NC River Valley Platform.
- Managed all project aspects leading to successful installation completion.
- Coordinated project plans to align with integrated program plan based on SDLC/PMBOK standards.
Facets Sr. Project Manager
CareMore Health Plan
Los Angeles, CA
09.2011 - 02.2012
- Analyze user and business requirements; to determine appropriate technical approach and develop specifications for implementation of Trizetto Facets 4.71.
- Directed Implementation effort of Trizetto Facets 4.71.
- Directed data conversion efforts to ensure smooth cutover. (Date of Service cutover).
- Directed development and implementation of interfaces to surround systems (i.e. Membership and Billing, Salesforce, Trading Partner interfaces)
- Directed first phase implementation of 5010 and started ICD10 assessment. (SDLC/PMBOK)
Program Manger
No World Borders
Newport Beach, CA
10.2009 - 08.2011
- Reviewed HIPAA migration plans, ensuring compliance and mitigating risks of missed deadlines and overspending.
- Evaluated IT technical and business requirements artifacts, including TriZetto Facets and BlueExchange.
- Developed mitigation strategies addressing third-party software compliance with required timelines.
- Assessed data integration hubs, configurations, and interchange standards for HIPAA 5010 / ICD10 implementation.
- Created 'as is' and 'to be' business process models to analyze HIPAA transaction changes.
Program Manager
KEBB Consulting
Raleigh, NC
12.2008 - 09.2009
- Analyzed user and business requirements to define technical approaches and implementation specifications.
Collaborated with cross-functional teams to establish goals and objectives related to system needs.
Coordinated with Application Architect and Technical Leads to design and develop solutions for business units.
Participated in SDLC processes to ensure alignment with organizational standards.
Program Manager
Blue Cross & Blue Shield of Rhode Island
Providence, Rhode Island
03.2007 - 11.2008
- Spearheaded planning, design, and implementation of all ITS Association products for BCBS/RI.
- Evaluated operational processes to enhance LRSP and FACETS efficiencies.
- Directed successful implementation of BCBS Association’s ITS 10.2 and Blue2 3.1 releases.
- Configured and supported BCBS Association applications and interfaces for optimal performance.
- Facilitated design strategy for seamless integration of front-end and back-end processes.
- Oversaw maintenance and delivery of project management artifacts within SDLC framework.
Sr. Project Manager
HMSA Blue Cross and Blue Shield of Hawaii
Honolulu, Hawaii
08.2006 - 02.2007
- Oversaw execution of assigned QNXT projects, managing project plans, resources, and deliverables.
- Evaluated and developed efficiencies, re-engineering internal control processes.
- Established management policies and procedures for key QNXT systems.
- Managed $3.5 million budget and directed 40-person staff.
- Identified and implemented infrastructure enhancements for EDI transaction support.
- Directed migration of core transactions to HIPAA-compliant formats, ensuring smooth flow during format changes.
- Analyzed business goals and requirements for system modifications.
- Recommended enhancements and process changes to improve system performance.
Medicare Program Manager
WellCare Health Plans
Tampa, Florida
01.2005 - 07.2006
- Provided executive leadership for WellCare’s Medicare HMO program.
- Directed strategic IT analysis, planning, and implementations to enhance operational effectiveness.
- Transformed IT performance into a strategic business unit through effective turnaround initiatives.
- Managed multiple large-scale projects, ensuring timely delivery within budget constraints.
- Oversaw budgeting, design, and technology support for Medicare program operations.
- Administered $2.5 million budget while leading a 60-person staff effectively.
- Resolved week-long help desk backlog by achieving 90% same-day responsiveness.
- Established enterprise-wide portfolio and project management processes to enhance efficiency.
Sr. Project Consultant
Blue Cross & Blue Shield of North Carolina
Durham, N.C.
09.2004 - 12.2004
- Managed delivery of all HIPAA and NPI projects ensuring compliance with regulations.
- Led assessment of HIPAA and BCBS Association mandates on existing systems.
- Directed technical design, development, and implementation of HIPAA changes to legacy systems.
- Oversaw $2 million budget while managing 20-person team.
- Identified and implemented new services applying industry best practices for IT service quality.
- Designed knowledge management function to enhance utilization of intellectual capital.
- Established web asset steering committee to define technology and branding standards for client-facing web assets.
Solutions Design Consultant
Kaiser Permanente
Dallas, Texas
07.2004 - 08.2004
- Directed prioritization of deliverables for customer solutions under Comprehensive Delivery Framework.
- Oversaw Electronic Data Management Project, improving automated enrollment process at Kaiser.
- Managed $4 million budget while leading team of 10 individuals to achieve project goals.
Director of Business System Development-Consulting
SeeBeyond
Redwood Shores, California
06.2002 - 06.2004
- Coordinated multi-disciplinary technical teams, ensuring successful on-time application implementation using project management methodologies.
- Managed a 20-person staff and $4 million budget, driving operational efficiency.
- Assisted clients and vendors in implementing Just In Time (JIT) delivery and electronic transaction flow management.
- Navigated complexities of EDI implementation, defining trading partner relationships and data integration.
- Facilitated contract negotiations for software, hardware, and services with clients including AT&T, IBM, and Oracle.
- Controlled information flow through EDI mechanisms utilizing Value Added Networks (VAN) and IP communications.
- Developed training center management elements, producing user manuals, training policies, and seminars to enhance sales training.
- Advised clients on HHS regulatory developments and HIPAA Privacy and Security impacts.
Director of Applied Technologies
Blue Cross Blue Shield Association
Chicago, Illinois
07.2000 - 06.2002
- Spearheaded delivery of BlueExchange and Blue Cross Blue Shield Association’s B2B Infrastructure service.
- Oversaw migration of BCBSA membership and billing system from IBM mainframe to Sun client server environment.
- Managed $10 million budget and 80-person staff for project execution.
- Implemented project management processes and quality assurance standards for HIPAA projects.
- Monitored regulatory developments and assessed impacts on projects concerning HIPAA Security/Privacy rules.
- Developed and executed national e-logistics strategy for all Blue Cross Blue Shield Licensees.
- Negotiated contracts with key partners, including AT&T, IBM, Oracle, and Vitria.
- Recruited technical staff while conducting performance evaluations and compensation reviews.
Senior Systems Management Consultant
Blue Cross & Blue Shield of Florida/Georgia/Nebraska
07.1991 - 06.2000
- Directed development and implementation of corporate business systems by senior and mid-level staff.
- Managed $4 million budget while overseeing a 10-person team.
- Conducted cost-benefit analyses for multiple large project budgets.
- Planned and executed several healthcare business systems to enhance operational efficiency.
- Facilitated project management status meetings with end users and development teams to ensure alignment.
- Recruited talented staff, conducting performance evaluations and compensation reviews.
Education
AI in Health Care: From Strategies To Implementati
Harvard Medical School
Boston, MA10-2025
Leading Digital Transformation in Health Care
Harvard Medical School
Boston, MA10-2025
Bachelor of Science Degree - Computer and Information Sciences
University of Georgia
Athens, Georgia01-1985
Skills
- Business process re-engineering
- Strategic planning
- Project management
- Budgeting and cost control
- Vendor negotiations
- Healthcare applications expertise
- Data analytics and reporting
- Change management processes
- Cloud migration management
- Requirements gathering techniques
- Customer relationship management
- Electronic commerce strategy
- Staff development and management
Certification
- PMP certification from PMI. Virginia Beach, VA March 2015.
- IBM Blockchain Essentials
This badge earner has developed an understanding of Blockchain principles and practices and how they can be applied within a technology/business environment. Have an understanding of Blockchain and distributed ledger systems, the important concepts and key use cases of Blockchain and how assets can be transferred in a Blockchain network.
- HITRUST Certified
Common Security Framework (CSF) Practitioner by HITRUST. HITRUST is an organization that provides training to develop and maintain effective security programs for health care and life sciences companies that comply with security laws, regulations, and standards, including HITECH, HIPAA, PCI, JCAHO, CMS, ISO, NIST, and various other federal, state, and business requirements.
Custom
My newly published book on Amazon “The AI Revolution in Healthcare”.
Custom
•
References
References available upon request.
Timeline
Program Manager
Sentara HealthPlan
02.2023 - Current
Program Manager - NASCO
Ernst and Young, BCBS Transition Project
09.2022 - 06.2023
Program Manager
Medicaid Services State of Alabama
03.2022 - 08.2022
Project Manager - HITRUST
UHG Vision
10.2021 - 12.2021
Sr. Project Manager (TPA)
Public Consulting Group
02.2021 - 02.2022
Proxy Product Owner (Claims) / Medicare / Medicaid Program Manager
Advantasure
08.2019 - 02.2021
Sr. Program Manager
Anthem Health Plans
05.2017 - 08.2019
Sr. Program Manager
Hewlett-Packard
01.2017 - 05.2017
Sr. Project / Program Manager
Harmony Technology Services
08.2016 - 01.2017
Sr. Project Manager
Independent Living Systems
11.2015 - 07.2016
ICD-10 Sr. Project Manager
Blue Cross Blue Shield of Tennessee
01.2015 - 09.2015
ICD-10 Program Manager
Univita (Home Health)
02.2014 - 11.2014
ICD-10 Sr. Project Manager
PHP
06.2013 - 01.2014
Facets Sr. Project Manager
KEBB Consulting (GEHA, CareMore)
08.2012 - 05.2013
Facets Project Manager
United Healthcare
03.2012 - 07.2012
Facets Sr. Project Manager
CareMore Health Plan
09.2011 - 02.2012
Program Manger
No World Borders
10.2009 - 08.2011
Program Manager
KEBB Consulting
12.2008 - 09.2009
Program Manager
Blue Cross & Blue Shield of Rhode Island
03.2007 - 11.2008
Sr. Project Manager
HMSA Blue Cross and Blue Shield of Hawaii
08.2006 - 02.2007
Medicare Program Manager
WellCare Health Plans
01.2005 - 07.2006
Sr. Project Consultant
Blue Cross & Blue Shield of North Carolina
09.2004 - 12.2004
Solutions Design Consultant
Kaiser Permanente
07.2004 - 08.2004
Director of Business System Development-Consulting
SeeBeyond
06.2002 - 06.2004
Director of Applied Technologies
Blue Cross Blue Shield Association
07.2000 - 06.2002
Senior Systems Management Consultant
Blue Cross & Blue Shield of Florida/Georgia/Nebraska
07.1991 - 06.2000
AI in Health Care: From Strategies To Implementati
Harvard Medical School
Leading Digital Transformation in Health Care
Harvard Medical School
Bachelor of Science Degree - Computer and Information Sciences
University of Georgia
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