Drew Carter is an accomplished health plan leader who thrives within the intersection of business and technology. He combines innovative solutions with tireless project execution to consistently deliver results.
Director, Service Delivery Operations @ From October 2015 to Present (3 months) Manager @ Health Payer Practice
- Managed up to four simultaneous statements of work; sold engagements with revenue between $0.25MM and $2.0MM
- Mentored, coached, and formally evaluated junior staff
Project Highlights
Current State Assessment and Strategy for Member Cost Transparency Solution
- Led Invoyent team through assessment of existing transparency solution; developed future state recommendations and roadmap
- Developed framework for evaluating and prioritizing updates to cost transparency solution
- Facilitated stakeholder interviews to understand current-state business rules and technical design, pain points, and future needs
- Presented recommendations to health plan’s Chief Technology Officer
Next Generation Provider Search and Cost Transparency Solution
- Guided client team through several iterations of the systems development lifecycle
- Engaged stakeholders across enterprise; Coordinated with external parties, including Vitals (transparency vendor), the BCBSA, and group / customer stakeholders
- Led delivery of custom solutions for health plan's key strategic accounts
- Created transparency solutions to accommodate Affordable Care Act (ACA) regulations, value-based insurance design (VBID) products, reference-based pricing, custom provider tiering, narrow provider networks, and stacked provider networks
- Authored, reviewed, and amended deliverables such as road-maps, project plans, RACIs, process maps, statements of customer needs, user stories, and both business and systems requirements
Cross Channel Marketing and Campaign Management Platform
- Managed five-person Invoyent team across four workstreams: Retail, “Over 65” (Government) Campaigns, Health Care Management (HCM), and Individual Member Discontinuance & Renewal
- Delivered strategic vision and directed the Invoyent associates responsible for each workstream
- Developed, reviewed, and approved deliverables and interfaced on behalf of team with client sponsors From January 2011 to October 2015 (4 years 10 months) Greater Chicago AreaConsultant @ Healthcare and Public Sector Practices
Project Highlights
Conversion of Large National Health Plan's Development Methodology from Waterfall to Rational Unified Process
- Authored training modules that addressed how to utilize Rational Unified Process (RUP) and Agile/Scrum development, and managed off-shore development team to develop the modules
- Created framework and technical approach to develop communities of practice, which allowed application developers to help one another succeed using the new development methodology
Web-based application development for state’s Department of Health and Family Services (Medicaid)
- Managed development team, and created project plans, resource estimates, technical designs, and test plans
- Facilitated requirement gathering sessions and design workshops consisting of up to twenty stakeholders From August 2007 to December 2010 (3 years 5 months) Network Engineer @ - Designed, implemented, and maintained computer networks for Kiva Networking and its customers From 2004 to 2005 (1 year)
Master of Business Administration (MBA) @ Northwestern University - Kellogg School of ManagementMS, Information Systems @ Indiana University - Kelley School of Business From 2005 to 2007 BS, Informatics @ Indiana University Bloomington From 2000 to 2004 Drew Carter is skilled in: Project Management, Program Management, IT Strategy, HIPAA, Business Analysis, Enterprise Architecture, Business Intelligence, Requirements Analysis, SQL, Web Development, Software Development Methodologies, Custom Software Development, Healthcare Information Technology, Healthcare Consulting, Cost Transparency, Management Consulting, Strategy, Management, Consulting