R. Todd Young MBA, PMP, SAFe

• Guided delivery of services and technology to large health plan (30mm +) clients for Cotiviti pre-pay and post-pay payment integrity products (Medicare, Medical, and Commercial markets).
• Coordinated implementation efforts by ensuring organizational execution against a custom work plan.
• Established and maintained internal IT/business unit resources to ensure coordination of project activities.
• Led and supported implementations process improvement and new product launch support initiatives.

Senior Manager in charge of CVS Health Specialty pharmacy product implementations for large health plans (Medicare, Medical, Commerical).

• Defined and implemented key operational processes across client implementations within specialty.
• Developed key performance indicators to ensure consistent, high quality outcomes.
• HR responsibility, including managing the performance and career development for a team of 8 direct reports.

• Project leader responsible for implementation of CVS Health Specialty pharmacy products for health plans (Medicare, Medicaid, and Commercial).
• Implemented CVS Health site of care, drug benefit alignment, medical drug prior authorization (Novologix), and Specialty Nurse Care Management (Accordant) programs.
• Implementation project lead for the largest disease/care management program in the industry.

• Responsible for timely and accurate loading of legacy PBM data (claims history, prior authorizations, pharmacy benefits accumulators, and open mail order refill prescriptions into CVS Health IT systems.
• Led a team of 18 direct reports in a multi-site and virtual environment.
• Via multi-year automation project, reduced head count from 18 to 13 and increased output of remaining FTE's by 12%.
• Implemented stringent contingency plans to eliminate member dissatisfaction/CMS fines due to missing data (i.e., data not sent from incumbent PBM).
• Led ‘Member Data Transition Process Improvement' project to revise entire file load process and automate whenever possible. Projects include revisions to all team processes, development of leading edge ETL tools to replace legacy Microsoft Excel and Access based systems.

Managed all aspects of PBM client implementations while exceeding department metrics and eliminating performance guarantee payouts (health plans, coalition, and employer clients).

• Implemented commercial, coalition, and health plan clients on a timely and accurate basis.
• Mentored junior level implementation managers.

• Systems analyst and project manager focused on migrating internal accounting system from legacy SAS platform to DB2.
• Facilitated requirements gathering sessions, created product specifications for use by developers, and provided on-site go live support.
• Wrote detailed descriptions of user needs, program function, and steps required to develop or modify computer programs.
• Created data mappings for DB2 developers based on client source files.
• Created specifications for DB2 developers by translating legacy SAS program code.