KENNETH R. MOORE

Harrisburg, PA 412-374-2760 kmoore17110@verizon.net

VP / DIRECTOR OF DATA & ANALYTICS – SR. DATA ARCHITECT

Business Intelligence / Data Reporting & Analysis / Database Management / Change Management / Performance Improvement / Systems & Data Architecture / Business Process Development / Enterprise Solutions / Project & Program Management / Compliance / Oracle / KPIs / HIPAA /

Needs Assessment / Government & Regulatory Affairs / Data Warehousing / Cost Reduction / Information Security & Privacy / Agile / SCRUM / ACA / ACOs / Team Building / IT & Systems / Market Research / Process Reengineering / Strategic Alliances / Big Data / Strategic Planning / Crisis Management / Product Development / Client Relations / Public Policy / Joint Commission

As a leader in data and analytics, IT and systems, I have an outstanding record of developing solutions to meet complex business requirements. My record is one of constant innovation, continuous process improvements and dramatic performance gains. At healthcare management organizations, hospital/managed care networks and regional healthcare collaboratives, my efforts have generated proven gains in nearly every performance parameter from cost control to clinical outcomes.

At organizations such as Penn Medicine/Lancaster General Health, Pittsburgh Regional Health Initiative and UnitedHealth Group, I have directed diverse multidisciplinary teams that developed and leveraged systems and advanced data analytics to drive improvements across a multitude of key metrics including delivery quality, payer reimbursements, patient safety and satisfaction, among other KPIs. At WebMD, I deployed those same skills to develop and deliver game-changing health information products and services.

I am recognized for expertise in deploying analytics to reduce costs, manage risk and ensure strict regulatory compliance. I am well versed in meeting the demands of emerging and constantly evolving methodologies, rules, standards and mandates such as the Affordable Care Act (ACA), Accountable Care Organizations (ACOs), electronic clinical quality measures (ECQMs) and Ongoing Professional Practice Evaluation Programs (OPPEs), among others and I have collaborated closely with organizations such as the Center for Medicare/Medicaid Services (CMS).

At your organization, I could make a strong impact by:

! Capturing, managing & securing mission critical information ! Devising innovative approaches to mining insights from data ! Designing & delivering value-added data & analytics products ! Building cost-effective systems & business process solutions ! Translating analytics into performance improvement strategies ! Leveraging systems & technology solutions to drive down costs ! Ensuring rigorous compliance & privacy/data security protection ! Providing deep-dive analyses to guide high-level decision support ! Managing sensitive stakeholder, policy-maker & regulatory relations ! Planning & implementing highly nimble change management roadmaps ! Recruiting, mentoring & motivating top-performing multidisciplinary teams

Others have described me as a natural leader, penetrating analyst, tireless innovator and persuasive communicator. Priding myself on strong relationship management skills, I have been relied on as a trusted advisor by senior executives from my own organizations and those of clients.

My education includes an MBA and a BBA degree in Management from the University of Massachusetts at Amherst, as well as extensive ongoing professional development studies in a wide variety of methodologies, technologies and systems.

KENNETH R. MOORE Harrisburg, PA 412-374-2760 kmoore17110@verizon.net

CAREER HISTORY SELECTED HIGHLIGHTS

Manager Analytics/Business Intelligence, Penn Medicine/Lancaster General Health (Penn/Lancaster), 2015-2016. Recruited to direct all data, reporting and analytics for a 631-bed hospital network. Led development of data-rich tools for tracking and improving performance, outcomes, reimbursements and regulatory compliance. Notable accomplishments include:

Cured a methodological error, boosting STARS scores five-fold. Penn/Lancaster was severely undercounting BMI metrics, resulting in artificially deflated Medicare reimbursements. Identified and corrected flawed data collection/analysis methods. Elevated BMI STAR scores from 1 to 5. Contributed to an increase in overall rating from <3.7 to >4.1, directly driving reimbursements from neutral to positive ranking.

Directed an ACO data integration initiative. Penn/Lancaster needed to meet Accountable Care Organization (ACO) standards and mandates. Drove a multi-phased program, creating a multi-payer claims data mart and EHR data exchange portals. Completed the program ahead of schedule, meeting or exceeding all ACO guidelines. The program is projected to contribute to significant reductions in costs and readmissions, as well as improvements in clinical outcomes.

Chief Analytics Officer Pittsburgh Regional Health Initiative (PRHI), 2014. Recruited to develop a strategic roadmap for analyzing and publicly reporting data on clinical outcomes, utilization and costs. Managed relations with policy makers, consumers, payers and providers. Part of a reduction in force/reorganization in December 2014. Key contributions include:

Established a robust Medicare claims review structure. PRHI needed to establish a secure, HIPAA-compliant means for physicians to respond to comments/reviews from patients gathered from Medicare Parts A and B and commercial claims data. Assembled and led a multidisciplinary task force comprising representatives of CMS, regional medical associations and a private third-party data analytics firm to devise processes for managing attribution of comments. Forged a consensus around a rigorous set of review, approval and multi-stage appeal processes for physicians.

UnitedHealth Group (UHG), a $157B diversified healthcare management company, 2006-2013. Roles include:

Analytics Client Services Manager, Executive Health Resources, 2012-2013. Promoted to direct data analytics projects for provider customers to monitor and improve performance and Medicare compliance. Major achievements include:

Streamlined analytics project management, reducing costs & boosting efficiency. United Healthcare Group faced dual threats to its hospital analytics programs from rising costs and strained capacity. Developed new staffing assignment, resource allocation and project management strategies. Implemented virtual tools to significantly reduce costly and time-consuming travel demands. More than doubled project handling capacity from less 250 assignments to 500 annually.

Dramatically improved in reimbursements with a no-cost process improvement. A Nebraska hospital sought UHG’s expertise to identify and cure lower than expected Medicare reimbursements for in-patient care. Conducted extensive analysis of the client’s performance metrics, identifying a strong correlation in cases where in-patient status was denied between the time of day patients were discharged and the when nursing shift changes occurred. Recommended that hospital revamp schedules to improve continuity during discharges to avoid flaws in data collection and erroneous utilization reviews. Helped the client achieve a 70% jump in in-patient classifications and a more than $2M increase in related reimbursements.

KENNETH R. MOORE Harrisburg, PA 412-374-2760 kmoore17110@verizon.net

Product Manager, Optum Integrated Data Services, 2006-2012. Recruited to direct design, development and delivery of data-driven solutions utilizing claims data to drive health economics and outcome improvements. Contributions include:

Quickly resolved a potentially catastrophic data privacy/security breach. A major global pharmaceutical client of UHG discovered a confidential lab result with potentially identifiable patient information in an unsecured field in economic research portal. Tasked by UHG’s CEO and client leadership, convened a war room task force to isolate and cure the threat. After demonstrating that no actual breach occurred, directed an emergency operation to secure all personal patient information in the suspect databases. Resolved the crisis quietly and rapidly, avoiding all legal liability and inestimable reputational damage. Received commendations from senior leadership.

Reengineered processes, protecting proprietary data while meeting client needs. UHG was contractually obligated to share certain cost and payment data with pharmaceutical provider clients, but needed to safeguard crucial business secrets. Worked closely with internal and outside stakeholders to hammer out an agreement about calculating standardized CMS RVUs imputed from external sources. Met all client requirements while rigorously protecting essential trade secrets.

Earlier: Director of Development & Technology, WebMD / HealthShare Technolog; Assoc. Director, Institutional Research, Project Manager and Staff Asst., Office of the President, University of Massachusetts. Contributions in these roles include:

Leveraged a Cloud solution to drive three-fold growth. HealthShare’s dependence on delivering data products to hospitals via client-server solutions were costly, inefficient and lacked scalability. Directed migration to a Citrix-based virtual server farm solution, going from concept to go-live in less than six weeks. Streamlined client onboarding, delivery and maintenance. Simplified sales cycles and expanded capacity without increasing costs. Took advantage of the new efficiencies and scalability to grow the organization’s client base six-fold and boost revenues 200%.

EDUCATION

Master of Business Administration from the University of Massachusetts at Amherst.

Bachelor of Business Administration in Management from the University of Massachusetts at Amherst.

TECHNOLOGY TOOLBOX

Well versed in a wide variety of technology platforms, operating systems and software applications, including: ETL, MS Access, SAS 7.x, 8.x, 9.x, TeraData, Netezza, MYSQL, Microsoft SQL Server, Oracle, DB2, Hadoop, Oracle DBA studio and DBA tools, 4th Dimension, Epic, Midas, Press Ganey, PL/SQL, C++, C#, Visual Basic, Java/JavaScript, ASP and HTML.

PUBLICATIONS & RESEARCH PROJECTS

Stevenson, Kendall L., Ma, Liyuan, Moore, Kenneth R, Burke, Thomas A. (2010, May), “Improving Ascertainment of Vital Status using Social Security Death Master file (SSDMF) and the National Death Index (NDI).” International Society for Pharmacoeconomics and Outcomes Research. 15th Annual International Meeting. Atlanta, GA.

Principal Investigator, “Mortality in Multiple Sclerosis in the United States (MIMS-US).” A sub-project of the Mortality in MS (MIMS) project, April 2011. Match to National Death Index.

Principal Investigator, “Incidences of Adverse Events in Patients with Nonvalvular Atrial Fibrillation,” October 2011. Match to National Death Index.