Bijal P.

Vice President IT @ CVS Health | ex-Cigna Tech Leader | Generative AI | Technology Transformation | Empathetic Leader | Cricket Aficionado | Horology Enthusiast

Franklin Lakes, New Jersey, United States

About

As Vice President of Information Technology at Elsevier, I lead a global team of innovative engineers and architects dedicated to developing and maintaining applications with a multi-million-dollar bottom-line impact. With over 20 years of experience in the healthcare technology sector, I have consistently delivered high- quality solutions that improve patient outcomes, optimize business processes, and leverage data insights. My expertise spans several key areas, including Generative AI, large-scale technology transformation, enterprise architecture, business process management, application engineering, and data strategy. I have successfully led multiple transformational initiatives, such as overhauling Medicare and regulatory technologies, migrating data warehouses to Hadoop/Tableau, re-platforming and integrating CRM and prior authorization applications, and steering M&A integration efforts. I am deeply passionate about the potential of generative AI to create novel and personalized healthcare content and services. As a visionary leader, I thrive on challenging the status quo and driving innovation within the healthcare industry.

Experience

  • Vice President Information Technology at CVS Health
    Oct 2024 - Present · 1 yr 10 mos

  • Vice President Information Technology - Health Markets (NHE) at Elsevier
    Sep 2022 - Oct 2024 · 2 yrs 2 mos

  • Senior Director Of Information Technology at Cigna
    Dec 2018 - Sep 2022 · 3 yrs 10 mos

  • Director Of Software Development at Express Scripts
    Apr 2012 - Dec 2018 · 6 yrs 9 mos

    Lead product delivery globally as head of 250-person engineering organization in US, Brazil, India, and Philippines noted for delivering high-quality solutions within challenging restrictions. Drive business agility as execution lead for Express Scripts coverage review platform comprising multiple PEGA/BPM-driven products. ▶︎ Accelerated time to market as driving force behind enterprise transition to Agile/Scrum and deployed software factory model for strategic asset reuse and follow-the-sun model for 24/7/365 support. ▶︎ Led data model transformation to migrate prior authorization data warehouse to Hadoop/Tableau; set stage for Health Connect 360, the industry’s first outcomes-based connected health engine. ▶︎ Helmed end-to-end execution of One PA platform (projected savings upwards of $450M), which has already captured $85M in pilot stages for key clients. ▶︎ Directed product rationalization, portfolio prioritization, and phased migration of all clients onto existing Medco platform following Express Scripts acquisition.

  • Director Of Information Technology at Medco health solutions
    May 2005 - Apr 2012 · 7 yrs

    Recruited in advance of high-priority re-platforming initiative and rapidly scaled team to 36 resources, before designing/implementing prior authorization technology roadmap and strategy that set stage for the next 10 years of product and market share expansion. ▶︎ Completed re-platforming in 11 months, successfully migrating prescription drug engines from legacy environment to new technology and refactoring to enable deployment of key features on iPhones, iPads, and Android devices. ▶︎ Captured millions in savings as technical lead/architect for PEGA-driven Maximum Allowable Cost (MAC) Appeals system that is used by thousands of retail pharmacies for pricing appeals. ▶︎ Chaired vendor selection, negotiation, design, development, and enterprise deployment of enterprise content management solution that generates upwards of 250,000 patient/physician letters weekly. ▶︎ Reduced call handling times, significantly improving turn-around time (TAT) metric critical to Medicare compliance and ratings. ▶︎ Led data transformation, from application-specific to centralized warehouse, providing enhanced visibility and cost savings across clients’ coverage universe along with