FATIMA RAHMAN
Highland
Summary
Accomplished I.T. Strategy and Transformation Director with over 20 years of experience driving growth, innovation, and clinical excellence working with Fortune 500 companies, the National Health Service (England), and Managed Care Organizations (U.S.A). Proven ability to lead cross-functional teams and develop Member and Provider centric strategies. Delivered multi-million-dollar improvements through strategy and digital transformation. Adept at aligning corporate vision with actionable initiatives in fast-paced industries. Supported NAMM (CDO in California) in reaching yearly goals up to $19 million in medical cost savings (yearly).
Overview
23
23
years of professional experience
1
1
Certification
Work History
DIRECTOR OF I.T STRATEGY & TRANSFORMATION – OPTUM WEST REGION
Optum
11.2022 - Current
- I.T Strategy development & Education – Developed the Mountain West I.T Strategic plan to drive growth and transformation across regional, market and business unit levels
- Enterprise-wide strategies- Developed and implemented strategies in Clinical Interoperability, CRM, Telephony, and Population Health to enhance efficiency and care delivery.
- Developed an approach to Strategy for Optum Mountain West-
- Partnered with business leaders to define their top Business strategies
- Conducted Internal and External analysis including SWOT, Fishbone, and Market analysis for strategic focus areas.
- Developed the IT Strategy including the Strategy Map, Balanced Scorecard and Strategic pillars. The Strategic pillars included Member/Provider communications, Employed Clinic, IPA, Member Experience, Population Health and Clinical Excellence and Growth.
- Led Strategic ideation with cross functional teams and then project prioritization to align IT and business objectives
- Built business cases, CBAs and the I.T Strategic plan.
- Stakeholder engagement and Leadership – Collaborated with cross-functional teams and C-Suite executives to drive Managed Care initiatives.
- Technology & Operational integration- Led integration of Athena E.M.R with Optum’s Risk/Quality platforms, enabling over 34 practices to streamline attestations resulting in a 30% increase in submissions year-over-year.
MEDICAL MANAGEMENT & TECH PMO PORTFOLIO DIRECTOR
Optum
12.2021 - 11.2022
- Led strategic portfolio management, overseeing multiple complex initiatives across clinical and technology domains for Optum Care Delivery Organizations in California.
- Built and guided high-performing teams, driving organizational change and innovation.
- Developed and executed Optum California’s Medical Management Strategy
- Led the development of the enterprise strategy for an internal UM/CM system across Medical Management in Optum throughout the U.S.A
- Drove organizational change and cultivated a high-performing team.
SENIOR PROGRAM MANAGER (DIGITAL HEALTH & MEDICAL MANAGEMENT)
NAMM (CDO of Optum)
07.2012 - 11.2021
- Portfolio & Strategy Leadership – Managed multiple portfolios across Medical Management, Growth, Network Operations, Security, and Digital Health Technology for Optum California. Earned Employee of the Year award in 2015.
- Medical Management & Special Programs – Developed Medical Management strategy and led implementation of key programs, including ESRD/CKD member management, Skilled Nursing Facility Program, Social Determinants of Health, Post-Acute Medication Reconciliation, Embedded Case Management and PACT.
- Performance and ROI Optimization – Built ROI models for programs with HEC, tracking metrics such as ER utilization, ALOS, 30-Day acute readmissions and total cost of care improvements.
- Digital Health and Enterprise Implementation – Successfully deployed new digital health technologies including Manifest Medex and Tiger Connect. Led a critical enterprise project to rebuild and roll out NAMM’s utilization management system to 800+ providers within three weeks before vendor closure.
PRESIDENT/Program Director
Health-e-Computing
07.2005 - 06.2012
- Health Informatics Training Program – Led the design and implementation of a 10-week Health Informatics Training Program at Fontana Technology Center, covering Health Technology and Project Management. Attracted interest from healthcare professionals across 14 states and 4 countries. Achieved a 50% employment rate among the unemployed participants following completion of the course.
INFORMATION SYSTEMS MANAGER
National Health Service
07.2002 - 05.2005
- Web-Based Information system for inter-agency working and data sharing
- Developed and led the Implementation of a pioneering web-based system connecting N.H.S hospitals, physician practices, schools, and voluntary organizations across South London. The system was successfully expanded to 40 towns across the U.K.
- Designed and developed an integrated information system improving healthcare, education, and social services for vulnerable children and families living in deprived areas.
- Managed mobile technology deployment for real-time patient data entry at the point of care
- Featured speaker at British Government events, educating the public sector on system interoperability, data sharing and information security compliance.
Education
Masters (MS) - Information Technology
Kingston University
06.2013
BSc (Hons) - Mathematics, Modelling & Computing
Kingston University
06.2011
Skills
- IT Strategy development for the Managed Care organization
- Value-Based care and Reimbursement models
- Business Transformation and Change Leadership
- Stakeholder and Executive Communication
- IT Budgeting and Financial planning
- Agile to Waterfall Methodologies
- AI initiatives related to Epic and Population Health
- Strong Problem-Solving and Strategic Analysis
- Digital Transformation, Innovation and Continuous improvement experience
- Vendor and Payor Tech Management
Certification
- Certified Agile Leader 1 (CAL 1) - Scrum Alliance June 2024-Current
- Certified Scrum Product Owner (CSPO)- Scrum Alliance June 2022-Current
- Project Management Professional (PMP) July 2011-Current
- Certified Professional in Health information management systems (CPHIMSS) April 2010-Current
Timeline
DIRECTOR OF I.T STRATEGY & TRANSFORMATION – OPTUM WEST REGION
Optum
11.2022 - Current
MEDICAL MANAGEMENT & TECH PMO PORTFOLIO DIRECTOR
Optum
12.2021 - 11.2022
SENIOR PROGRAM MANAGER (DIGITAL HEALTH & MEDICAL MANAGEMENT)
NAMM (CDO of Optum)
07.2012 - 11.2021
PRESIDENT/Program Director
Health-e-Computing
07.2005 - 06.2012
INFORMATION SYSTEMS MANAGER
National Health Service
07.2002 - 05.2005
BSc (Hons) - Mathematics, Modelling & Computing
Kingston University
Masters (MS) - Information Technology
Kingston University
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