Sheila Maguire

• Directed and developed cross-functional IT teams (managers, DBAs, architects, engineers, analysts, developers) to modernize 21 enterprise systems with full cloud migration, cutting costs 30% while enhancing scalability, interoperability, and performance.
• Established enterprise data governance and implemented an enterprise data warehouse and analytics, creating a data-driven culture that improved compliance, reporting, and executive decision-making.
• Delivered measurable business impact with 12% membership growth and $100M in recovered revenue through improved data accuracy, premium reconciliation, and claims reserve corrections.
• Advanced population health outcomes and improved HEDIS/QARR quality scores by deploying dashboards, predictive analytics, and data-driven care initiatives.

Led a team of 11 to drive enterprise-wide IT and data initiatives for a major hospital system, reporting to the Chief Data Scientist.

• Directed CMO Enterprise Data Warehouse, EPIC EMR integration, Business Intelligence, and data governance programs, supporting population health, financial, and operational initiatives for up to 1M lives.
• Managed system modernization, including SAS VA/VS implementation, RHIO connectivity, web migration, and PPM deployment, improving reliability and performance.
• Partnered with key vendors (e.g., 1199, Emblem, Healthfirst, UHC, 3M, Milliman) to support shared savings, risk management, and quality programs.
• Implemented SOPs, data governance processes, and controls to improve data quality, reduce errors, and establish actionable metrics.
• Oversaw infrastructure, integration, and analytics platforms, ensuring optimal performance, scalability, and security.
• Negotiated technology contracts and managed budgets, delivering cost-effective solutions aligned with strategic objectives.

• ed technology and cross-functional teams to build enterprise IT and data operations for the largest and fastest-growing U.S. commercial health insurance startup.
• Replaced and implemented key systems for Customer Relations (CRM) and Quality (HEDIS/QARR), as well as Enterprise Data Warehouse, BI, ERP, portals, EDI, and regulatory reporting, optimizing enrollment, claims, care management, finance, and decision-making functions.
• Established data governance for 14+ vendors and internal systems, improving data quality, operational efficiency, and compliance.
• Applied analytics to inform decisions, saving $2M+ in vendor costs, and developed strategic IT roadmaps aligned with business objectives.
• Built government agency relationships (DFS, DOH, CMS) for timely reporting and regulatory compliance.
• Negotiated vendor contracts, implemented SDLC processes, and led system deployments, ensuring minimal disruption and measurable performance gains

• Over 15 years leading 29 direct staff and 250 cross-functional team members across several healthcare organizations, architecting and delivering enterprise software applications that automated healthcare operations and drove client revenue growth.
• Provided services and managed client relations for six+ major healthcare organizations across Philadelphia, Florida, New Jersey, and New York, effectively functioning as an internal software company.
• Implemented Enterprise Data Management, Data Warehouse, Business Intelligence, and Data Governance frameworks, improving data accuracy, operational performance, and executive decision-making.
• Delivered CRM/ERP integrations, analytics solutions, and client software products that optimized operations, reduced costs, and ensured compliance, saving $32M in fines and $35M in regulatory penalties.
• Developed strategic technology roadmaps, executed POCs with IBM and EMC, and mentored high-performing teams to strengthen technical capabilities and delivery excellence across multiple organizations.

• Provided help desk and technical support (desktop, network, and systems) while supporting financial and IT audit functions; delivered data analysis and developed data tracking applications to mitigate organizational risk.
• Developed reporting tools and automated processes, enhancing audit efficiency and regulatory compliance.
• Conducted audits identifying claims, provider, payroll, and financial fraud, as well as mainframe security and coding performance issues.

• Managed technology, data, and operational support for the organization, ensuring smooth day-to-day operations across fundraising, marketing, and administrative functions.
• Designed and implemented the Pet Savers database and fundraising applications, supporting donor management, marketing campaigns, and event operations.
• Planned and executed major fundraising events and awareness campaigns, contributing to millions in donations and organizational visibility.
• Provided cross-platform technical support, streamlined customer service processes, and maintained operational workflows.
• Conducted data analysis and partnership assessments, informing strategy and supporting the organization’s mission.