Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Ryan Nguyen

Frisco,TX

Summary

Results-driven technical leader with a proven track record in successfully delivering critical, large-scale projects in the healthcare industry. Eager to apply servant leadership skills and extensive technological expertise to implement cutting-edge solutions. Seeking a dynamic team environment to provide integral solutions, solve business problems, and contribute to the growth of the company.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Lead Software Engineer

Humana Inc.
12.2021 - Current
  • Lead cross-functional scrum teams of 15+ engineers with diverse backgrounds and skills, covering all architecture layers: user interfaces, web services, database, and cloud technologies
  • Responsible for architecture design and development plan of the Medicaid projects within the clinical systems, also handling estimation, full stack end-end integrated solution designs, technical requirements, code review, testing strategy, and warranty support
  • Play a pivotal role in winning new state government Medicaid contracts during bids, providing MVP architectural plans and estimates, offering speed-to-market technical insights for business solutions
  • Successfully integrated Louisiana and Illinois state requirements into Humana systems with a budget of 9.8 million, completing architecture design and initiating Oklahoma and Indiana state implementation
  • A liaison between business users and the implementation team, to ensure effective communication and implementation
  • Aligns roadmaps, defines technical approach for software engineers and collaborates closely with project managers, product owners, and business leaders
  • Motivate and coach senior engineers on code quality, collaboration skills, and effective leadership in a fast-paced environment
  • Explore new technologies and methodologies for integrated designs compatible with state government and Humana clinical systems, demonstrating strong analytical skills
  • Design and lead all cloud development activities in the Medicaid clinical workspace, earned the Azure Solutions Architecture badge from Microsoft.

Founder

GIA Consulting
06.2022 - 12.2023
  • Troubleshoot FICO Blaze business rules code for the state of Missouri Department of Revenue
  • Performed SQL data fixes caused by business rules error and bad data conversion
  • Analyzed and identified coding issues in business rules engine, recommended solution and implemented code fixes
  • Successfully addressed 50+ production defects.

Senior Software Engineer

Humana Inc.
01.2020 - 12.2021
  • Led implementation effort in integrating Humana clinical systems with new states
  • Successfully integrated the State of Louisiana Medicaid and Illinois Duals Program into the CGX application
  • Introduced reusable framework
  • Translated business vision and scopes into UI and API technical requirements, architecture diagrams, technical solutions, and application-level design to the implementation team
  • Collaborated closely with enterprise architects and product owners to maintain high project standards within tight deadlines, ensuring code quality and meeting non-functional and functional Medicaid IT requirements
  • Technical point of contact for coding roadblocks, standardizations, and low-level architecture clarifications throughout the project lifecycle, from requirements to code deployment
  • Act as an intermediary between the development team and business partners during the development cycle, providing clarifications, monitoring progress, and ensuring deliverables exceed business expectations.

Software Engineer II

Humana Inc.
04.2018 - 12.2019
  • Lead onsite developer responsible for UI, service, database, and system integration
  • Development during FL Medicaid LTSS implementation, ensuring optimal code performance and adherence to standards
  • Delivered an integrated Service Cart design solution for FL Medicaid business users by incorporating IBM ODM rules into the Humana CGX application, collaborating on object models, data flow, web service optimization, and performance tuning
  • Revamped the FL MCD Comprehensive Assessment architecture to leverage existing functionalities, eliminating the need for a complete solution rewrite
  • Pioneered the introduction of loosely coupled microservices, creating a framework for the development team to align with Humana/CGX architecture standards
  • This initiative enabled faster build deployment and reduced long-term code maintenance.

Applications Consultant

Humana Inc.
08.2014 - 04.2018
  • SME in FICO BRMS, emphasizing best practices, rules testing strategies, and rules repository deployment, facilitating the transformation of processes into clear business rules
  • Reviewed and approved business rule fixes in production and QA environments
  • Launched business rules solutions on time and on budget, aligning with business needs and the strategic business plan
  • Led business rules implementation on auto-dialer campaigns, reducing administrative time for Clinicians conducting outreach
  • Consolidated and refined Humana LifeSynch rule artifacts into an easy-to-read Behavioral Health logistic flow
  • Redesigned Humana Pre-Authorization business rules, increasing automation and enhanced customization
  • Migrated batch logic to a real-time decision management tool for enhanced adaptability and speed-to-market design
  • Introduced a flexible design pattern and algorithm within business decision management flow, accommodating the fast-growing LTSS business model and facilitating trouble-free code delivery.

Applications Developer

Humana Inc.
05.2012 - 08.2014
  • Wrote, updated, tested, and troubleshot FICO Blaze business rules code in .NET environment
  • Performed thorough systems integration testing for speed, security, accuracy, and usability
  • Contributed to requirement analysis and solution architecture design effort
  • Assisted project team with planning and resolving roadblocks
  • Responsible for code built and deployment in QA, Stage, and Production
  • Supported and troubleshoot production incidents during the warranty period
  • Built, designed, and managed a SharePoint website for business partners to submit a work order request to add or update existing business rules
  • The site allowed a project manager to manage and prioritize all work orders in one centralized place
  • Refactored Case Management and Utilization Management code repository
  • Designed and implemented manual referral creation and eligibility check from UI screen
  • Allowing the users to efficiently create referral from Business Rules system without waiting on workflow.

Education

MASTER OF BUSINESS ADMINISTRATION -

Indiana Wesleyan University
Marion
08.2018

BSBA COMPUTER INFORMATION SYSTEMS -

University of Louisville
Louisville
08.2018

Skills

  • FICO Blaze Advisor BRMS
  • SQL
  • NET
  • C#
  • Systems Integration
  • Technical Architecture
  • Applications Architect
  • Medicaid LTSS
  • SharePoint
  • Microsoft Office
  • XML
  • IBM ODM
  • HTML
  • CSS
  • JavaScript
  • OWASP
  • Dynatrace
  • VSTS GitHub
  • CI/CD
  • Intranet Web Apps
  • Azure Cloud
  • SDLC - Agile and Waterfall
  • Decision Making
  • Negotiation

Certification

  • 2023, AZURE SOLUTIONS ARCHITECT EXPERT, Microsoft Certified
  • 2022, AZURE ADMINISTRATOR ASSOCIATE, Microsoft Certified
  • 2021, CLOUD PRACTITIONER, AWS Certified
  • 2020, AZURE FUNDAMENTALS, Microsoft Certified

Timeline

Founder

GIA Consulting
06.2022 - 12.2023

Lead Software Engineer

Humana Inc.
12.2021 - Current

Senior Software Engineer

Humana Inc.
01.2020 - 12.2021

Software Engineer II

Humana Inc.
04.2018 - 12.2019

Applications Consultant

Humana Inc.
08.2014 - 04.2018

Applications Developer

Humana Inc.
05.2012 - 08.2014

MASTER OF BUSINESS ADMINISTRATION -

Indiana Wesleyan University

BSBA COMPUTER INFORMATION SYSTEMS -

University of Louisville
Ryan Nguyen