Summary
Overview
Work History
Skills
Certification
Languages
Timeline
Generic

Russell Oppenheimer

Milford,CT

Summary

Decades of client focused healthcare IT leadership experience. A diversified career including Technical Program Management, Sales Engineering, Software Development/Design/Architecture, Implementations, Data Analysis, Product Management, Agile Scrum Master, Technical Consulting, Technical Support, Technical Training, Technical Writing

Overview

24
24
years of professional experience
1
1
Certification

Work History

Technical Program Manager

HealthEdge
Alexandria, VA
05.2023 - 08.2024
  • Managed migration of entire application portfolio from app & SQL VM’s to Azure AKS containers & Azure PaaS SQL
  • Managed creation of new AI based product Help function
  • Managed development of several new Microservice based products
  • Leveraged Azure Service Bus to cut claim processing time in half
  • Pioneered new Fabric DataLake/DWH product
  • Managed corporate migration to Azure ADO boards
  • Managed GitHub CoPilot AI rollout, with 97% adoption rate
  • Managed team that created new user defined claims Edits application in just 5 weeks
  • Created Program Playbook for Cloud based application

Principal Business Analyst

Optum
Hartford, CT
08.2021 - 02.2023
  • Prospective Payment System (PPS) implementations and Professional Services consulting
  • Technical Account Management/concierge support
  • Developed semi-automated process for applying, monitoring, and inspecting the complex bi-weekly sequence of performing PPS Regulatory Updates, reducing time by over 35%, significantly reducing potential for user error, and detecting quality issues
  • Developed process for performing complex semi-monthly updates to a ~2TB SQL DB
  • Created standardized model for documentation layout
  • Developed documentation catalog for accessing and managing documents
  • Created user managed process for creating and accessing Optum VM’s
  • Created authorized process for moving Production SQL databases across VM’s

Principal Data Analyst

Optum
Hartford, CT
06.2019 - 08.2021
  • Data and system analysis, implementations and consulting of Big Data systems using PL/SQL
  • Created successful Proof of Concept (POC) to asses viability of HIPAA EDI x12 transactions (837i, 837p) as Payment Integrity (Pre-pay/Post-pay) data intake
  • Co-led team that performed evaluation and selection of internal and commercial Data Governance solutions
  • Selected as the only team member to support both Prepay/Postpay Implementations and EDC (Emergency Department Claims) Implementations

Senior Software Engineer/Technical Product Manager

Optum
Rocky Hill, CT
07.2013 - 06.2019
  • Software development and consulting
  • Technical Product Management
  • Sales Engineering
  • Data Analysis
  • Software Architect
  • Scrum Master
  • Principal Architect of Optum Brazil IPG project
  • Lead cross-functional team to completion on-time and below budget
  • Facing vague requirements and a challenging deadline, pioneered an MVP/Lean Startup methodology that became a model for future projects, and commissioned Optum International PPS (iPPS)
  • Designed architecture and led Agile team that developed creative new Post-pay solution to discover overpaid claims by reprocessing using historical versions of pricing software
  • In its first full year of product workload solution decreased contract load times by 100%, eliminating up to 30 days of audit delay and provided over 500 hours of auditor efficiencies
  • Created and incubated the products that would become Optum OEPPS and Prospective Systems Interface (PSI)
  • PSI alone has brought $3M revenue in its first year and over $7M year 2
  • TPM for EDC (Emergency Department Claims) PPS project
  • Substitute Scrum Master for all projects

Software Engineer/Sales Engineer, Implementations

Ingenix
Rocky Hill, CT
07.2002 - 07.2013
  • Guerrilla Software Development within client facing PPS Implementations Team
  • Typically delivering from concept to working product in days or weeks
  • Performing all SDLC roles, Product Owner, Product Manager, Business Analyst, Architect, Software Engineer, QA, Tech Writer, Sales Engineer, Implementation, Tech Support
  • Created and ran a ‘Lean-Startup’ operation to incubate new product ideas
  • This included CDS, an Enterprise class multi-threaded, multiple access point gateway to Optum processing engines
  • Utilizing plug-in API technology to allow format mapping to virtually any client layout
  • Initially deployed to over 20 clients, representing over $2M in revenue
  • Integrated with 2 Optum processing engines, Optimizer PPS, and CES Claims Processor
  • Eventually solution rebranded as OEPPS & PSI, and became the centerpiece of the Optum PPS portfolio
  • Created 10 new API dll’s that facilitated sales of over 50 new systems
  • Developed boilerplate template that cut custom interface development time in half
  • Designed and developed Web.Strat HL7 TCP/IP Listener/Sender interface, using Orion Symphonia as the core engine
  • Allowed building and editing parsing rules on the fly without need to edit code or compile
  • Created HIS-CAC API dll interface (Computer Assisted Coding system interface to hospital enterprise information system)
  • Created application to apply and manage software patches that clients could apply themselves, alleviating Customer Service and Implementations teams from burden of applying manually to each client

Project Manager

HSS
Hamden, CT
12.2000 - 07.2002
  • Brought on board to solve organizations #1 sales deterrent, lack of host interfaces
  • Began creating a suite of interface solutions, personally negotiating favorable runtime-license pricing with 3rd party tool vendors
  • Designed an Electronic Distribution System for New Product and Regulatory Update downloads, then managed cross-functional team that developed and implemented it
  • System included process to securely register users, and allow them to download from any PC within their organization or from their registered PC at any other location, without needing logon credentials
  • Shortened mission-critical lag between Regulatory Update development and Regulatory Update distribution from days to hours, while also dramatically reducing media production and shipping costs

Skills

  • Cloud Migration, Containerization
  • Azure cloud services
  • AWS cloud services
  • Kubernetes
  • Azure Fabric/ADF
  • Data Warehouse, DataLake
  • Azure Service Bus
  • SaaS, PaaS
  • ChatGPT LLM AI
  • RESTful API, SOAP
  • XML, JSON
  • C#, NET, C, Python
  • MS SQL, Oracle, SQL, PL/SQL, ETL
  • Agile, Scrum, Kanban
  • Full SDLC
  • ICD-10-CM, ICD-10-PCS, HCPCS, DRG, APC
  • HL7, X12 EDI, HIPAA 837i/837p/835
  • HCIT
  • Integration
  • Microsoft Project, Excel, Visio, Powerpoint - Jira, Rally, Service Now

Certification

  • AWS Certified Cloud Practitioner
  • Microsoft Certified Systems Engineer (MCSE)

Languages

Spanish
Full Professional
Chinese (Mandarin)
Limited
English
Native/ Bilingual

Timeline

Technical Program Manager

HealthEdge
05.2023 - 08.2024

Principal Business Analyst

Optum
08.2021 - 02.2023

Principal Data Analyst

Optum
06.2019 - 08.2021

Senior Software Engineer/Technical Product Manager

Optum
07.2013 - 06.2019

Software Engineer/Sales Engineer, Implementations

Ingenix
07.2002 - 07.2013

Project Manager

HSS
12.2000 - 07.2002

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Russell Oppenheimer