Patrick DeBorde
Phoenix
Summary
Results-driven Senior Professional Services Consultant known for delivering high-quality projects on time and within budget. Specialize in strategic planning, customer relationship management, and process improvement to enhance operational efficiency. Excel in communication, problem-solving, and teamwork, leveraging these skills to collaborate with cross-functional teams and ensure client satisfaction.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Senior Professional Services Consultant/Product Owner
Bridgeway Benefit Technologies
01.2019 - Current
- Collaborate with cross-functional teams and various stakeholders to optimize current and new product offerings, including analytics, design/user experience, engineering, and user enablement
- Turns data insights into products with actionable outcomes to the customer.
- Works in an Agile environment and continuously reviews the business needs, refines priorities, outlines milestones and deliverables, and identifies opportunities and risks.
- Prioritizes and informs stakeholders of the product vision, strategy, features, and prioritization to internal and external.
- Works with user-focused departments to define self-service user experience, support, and monitoring for customers.
- Partners with sales departments to align prioritization with customer needs
- Translates product roadmap features into well-defined product requirements including features, Epics, user stories, and acceptance test criteria.
- Prioritize and maintain the sprint backlog for Claims Product, balancing stakeholder requirements
- Lead the product functional design process based on intimate knowledge of users and technology
- Leads the product functional design process based on an intimate knowledge of the users and technology.
- Defines and executes go-to-market plan, working to ensure that product management, marketing, and sales have what they need to be successful.
- Develops and maintains appropriate tracking and reporting of product performance post-launch to evaluate future investment.
- Provide an active role in mitigating impediments impacting successful team completion of Release/Sprint Goals.
- Research and analyze market, the users, and the roadmap for the product.
- Follow competitors and industry.
- Partners with Technical Writers to produce and maintain product documentation including release notes, user guides and customer communications.
- Actively participate in Process alignment, improvement and roll out strategy with Product and Engineering teams and leadership.
- Participate or lead product-related meetings like CCB, DRB, product showcases, UGC sessions, VOC’s, etc. within respective product space.
Medicare/Medicaid Data Integration (MMDI) Account Manager
FEI Systems, Inc.
01.2014 - 01.2019
- Led a team of programmers and policy experts in developing state specific use cases that use integrated Medicare and Medicaid data.
- Assessed the state’s current effort to integrate Medicare data, analyzing areas for improvement; and assisting in the development of common taxonomies, protocols and/or algorithms to link and integrate Medicare data for the state’s Medicare/Medicaid Dual Eligible demonstrations.
- Assisted MMDI management in reviewing staff status reports and managing the overall project schedule.
- Led the development and quality assurance of several MMDI tools and documents.
- Provided subject matter expertise for X12 EDI transactions, including the implementation of the Chiapas EDI translator and accompanying SAS load scripts.
Senior Associate
Pricewaterhouse Coopers (PwC)
01.2010 - 01.2014
- Wrote Business Requirements Documentation (BRD) for a government agency’s automated Medicare Crossover claims implementation.
- Performed a gap analysis of the current data transactions to the CMS requirements, as well as updates to the Medicare crossover process to include any changes from the Healthcare Clearinghouse (HCCH), Medicare Coordination of Benefits Contractor (COBC), and Pharmacy Benefit Manager (PBM).
- Led JAD sessions and wrote BRDs for a government agency’s system to manage common data elements for traumatic brain injury.
- Provided guidance and recommendations to clients on various data related activities, including development of a Data Management strategy, data integration protocols, governance, requirements and various project management functions, including quality, risk and project planning.
- Identified trends and performed ad-hoc analyses to support client project managers and teams.
- Presented findings to client leadership at a monthly Executive Briefing.
- Led or assisted in numerous client presentations with stakeholders at all levels, i.e. C-level executives, directors, managers, analysts, etc.
- Used Entity Relationship Diagramming and Logical Modelling to build and implement a database from which to conduct analyses of claims, payments, pharmacy and eligibility revenue-related EDI transactions.
- Wrote and tested SQL queries and developed pivot tables to automate monthly metrics reports.
- Managed the ICD-10 testing initiative for a large commercial payer, leading a team of 20 testers at PwC’s Virtual Testing Center in writing and executing ICD-10 test cases for the client’s system and internal end-to-end testing efforts of its Facets claims system.
- Developed an Enterprise Test Strategy that outlines the approach for internal End-to-End testing, Provider Testing, Test Data Creation, and test environment selection.
- Developed test scenarios for testing critical end-to-end business processes impacted by ICD-10.
- Developed and managed a detailed Testing project plan to report on progress of testing tasks.
- Advised clients on legislative initiatives such as HIPAA Privacy and Compliance, ICD-10, HITECH Meaningful Use and the adoption and implementation of ACA Operating Rules and Health Plan ID.
- Wrote a Request for Proposal for the client to identify a software vendor for test data creation and testing evaluation tools and helped facilitate the review process.
- Actively participated in X12 and WEDI conferences and work groups.
Programmer/Analyst
Coventry Healthcare
01.2007 - 01.2010
- Researched, analyzed and designed complex worker’s compensation processes and developed EDI solutions in the Sun/See Beyond JCAPS developer environment.
- Developed technical specifications and user documentation.
- Unit tested applications to provide verification of functionality and data validation prior to quality assurance and deployment.
- Served as Team lead in mentoring junior developers and performing code reviews.
Systems Analyst
Sharp Healthcare
01.2005 - 01.2007
- Led requirements sessions with End Users and translated those requirements into functional specifications.
- Performed ongoing analysis and issue resolution of the IDX Managed Care Application and Practice Management interfaces that process claims and payments.
- Conducted user training and wrote support documentation to end users for new modules.
- Implemented EDI claims and remittance transactions, including integration and testing using the IDX EDI Toolkit.
- Managed the day-to-day operations of those transactions and worked with QA and Developers to report and manage defects.
- Managed trading partner relationships with providers, payers and vendors (clearinghouses).
Technical Support Engineer/Consultant
Sybase, Inc.
01.1999 - 01.2005
- Assisted clients in troubleshooting product installation issues and recommended implementation configurations solutions.
- Reported defects identified by clients to developers and assisted in testing/resolution of those issues.
- Worked with over 200 healthcare clients to design, develop and test critical EDI translation and compliance maps and processing scripts using the Sybase EDI Server tool.
Education
MS - Information Technology
George Mason University
Fairfax, Virginia01-2005
BA - Journalism/Political Science
James Madison University
Harrisonburg, Virginia01-1997
Skills
- Electronic Data Interchange (EDI)
- SDLC
- Requirements
- JAD
- Use Case
- Flow Diagramming
- Entity Relationship Diagramming
- Logical Modeling
- RTM
- MS Application Suite
- MS Visio
- MS Project
- SharePoint
- Trizetto Facets
- Sun JCAPS
- Sybase EDI Server (Paperfree)
- IDX Managed Care Application
- Practice Management Systems
- E/R Studio
- CMS Virtual Research Data Center (VRDC)
- SQL Server
- Oracle
- Java
- MySQL
Certification
- Certified Associate in Project Management (CAPM), 2012
- Project Management Professional (PMP), 2019
Timeline
Senior Professional Services Consultant/Product Owner
Bridgeway Benefit Technologies
01.2019 - Current
Medicare/Medicaid Data Integration (MMDI) Account Manager
FEI Systems, Inc.
01.2014 - 01.2019
Senior Associate
Pricewaterhouse Coopers (PwC)
01.2010 - 01.2014
Programmer/Analyst
Coventry Healthcare
01.2007 - 01.2010
Systems Analyst
Sharp Healthcare
01.2005 - 01.2007
Technical Support Engineer/Consultant
Sybase, Inc.
01.1999 - 01.2005
MS - Information Technology
George Mason University
BA - Journalism/Political Science
James Madison University