Virginia Beach, Virginia, United States
Hello LinkedIn Community, I'm Gordon C. Davis, an agile-minded leader adept at transforming complex business requirements into executable product strategies. • My career trajectory spans hands-on development roles to senior product leadership within highly regulated sectors like healthcare. • I specialize in leading enterprise-scale Agile transformations, optimizing pharmaceutical formulary processes, and crafting data-driven solutions that enhance business outcomes. • My technical foundation in database architecture, ETL processes, and healthcare analytics complements my strategic role, allowing me to bridge the gap between technical possibilities and business objectives effectively. • Known for my creative problem-solving abilities, I excel at fostering cross-functional stakeholder collaboration, mentoring diverse development teams, and instituting robust product governance frameworks that support both organizational goals and adapt to market demands. • Let’s connect to discuss how we can drive product innovation and strategic transformations in your organization. Areas of Expertise • Product Strategy & Innovation • Solution Architecture & Design • Enterprise Change Management • Product Roadmap Development • Business Requirements Analysis • Stakeholder Relationship Management • Regulatory Compliance Management • Process Optimization & Automation • Vendor & Contract Management • Resource Allocation & Planning • Product Performance Analytics • Risk Assessment & Mitigation • Team Leadership & Training • Agile Program Leadership • Business Intelligence (BI) Technical Proficiencies • Project Management Tools: AHA | Rally • Azure Databricks • Database: MS-SQL Server 2005, 2008 | MS-Access | Oracle 10g, 9i • ETL: Data Transformation Service (DTS 2005) | Microsoft SQL Server 2005, 2008 • Languages: SQL | T-SQL | PL, SQL | VB6.0 | VBScript
At OptumRx, I leveraged my analytical, technical, and leadership skills to serve as the Product Owner for the Optum Drug Class Modeling (ODCM) tool. This innovative web-based application aids in therapeutic drug class modeling by utilizing current data to analyze rebate performance, identify rebate opportunities, and project financial impacts for strategic formulary decisions. My leadership within an Agile Scrum team drove significant enhancements in efficiency and effectiveness. Key contributions include: • Agile Leadership: Directed all Agile ceremonies, including daily stand-ups, backlog refinement, sprint reviews, retrospectives, and planning sessions, ensuring robust project management and team coordination. • Product Development: Authored user stories based on complex business requirements and crafted detailed sprint summary reports for executive-level presentations. • Strategic Oversight: Managed the product roadmap, ensuring precise tracking and reporting of deliverables, aligning product development with strategic business goals. • Technical Support and Process Enhancements: Provided continuous technical support and drove process enhancements for the Formulary Consulting Group, enhancing operational efficiency. • Application Management: Administered the development, maintenance, and support of key stakeholder tools, ensuring their alignment with business needs. • Stakeholder Engagement: Collaborated with diverse stakeholders to refine operational processes, significantly enhancing overall business efficiency. • SharePoint Administration: Orchestrated SharePoint administration and secure access controls for the business unit, safeguarding critical data and enhancing collaboration. • Efficiency Improvements: Achieved a 50% improvement in drug class modeling efficiency by leading the development and launch of a web-based modeling tool, significantly advancing project capabilities.
During this tenure, I steered the evaluation of state file extract requests, ensuring compliance with regulatory requirements and facilitating collaboration between Encounter Operations and IT to develop technical solutions aligned with strategic business objectives. I played a pivotal role in supporting ongoing business software operations and spearheading new software implementation projects to enhance system functionality. I also provided technical guidance for process improvement projects, including the development of interim manual solutions to operational challenges. Key achievements include: • Team Skill Enhancement: Elevated the technical proficiency of the Encounter Management Operations team through targeted training initiatives, significantly improving team capabilities. • Rapid Solution Delivery: Delivered critical solutions under stringent time constraints by effectively managing advanced technical requests, ensuring timely compliance with business needs. • SQL Programming Training: Boosted the skill set of 75% of the department’s personnel through the development and execution of custom SQL programming training, enhancing departmental efficiency and technical acumen.
I utilized my strong teamwork and interpersonal skills to collaborate with market leads across all contracted states. My focus was on identifying and cultivating opportunities to enhance weekly or monthly business operational processes. I also served as Release Manager, overseeing the allocation of SharePoint Requests and Defects to TriZetto or Amerigroup releases, and was responsible for developing and maintaining weekly reports that tracked current release statuses and any outstanding issues impacting production deployment. Key contributions include: • Premium Risk Adjustment Accuracy (PRAA) Project: Designed processes to reorder diagnosis codes and generated files for database updates, including scripting the MEDSIII file for encounter file resubmission in New York. • Operational Oversight: Managed the preparation and submission of New York's MEDSIII file for state encounters, resolving batch issues, and processing state response files to address and rectify causes of rejections for resubmission. • Automation Innovation: Created an automated system to generate Professional, Institutional, Pharmacy, and Vendor files for New York's MEDSII and MEDSIII formats, significantly expediting file resubmission processes, including encounter reject resolutions and the NY Risk Optimization initiative. • Diagnostic Code Optimization: Led a development initiative to reorder diagnosis codes, enhancing the accuracy of the Premium Risk Adjustment (PRAA) project and contributing to improved risk adjustment processes.
It is worth mentioning that I oversaw and guided a team, ensuring the timely delivery of all projects and reports while overseeing personnel. Also, I directed all key phases of the Data Quality project, managing consultant staff involved in the project's design, development, and implementation. My role also involved leading multiple projects simultaneously and liaising with business analysts to guarantee on-time delivery of all state reports. Key contributions include: • Software Development Lifecycle: Independently coded, tested, debugged, documented, implemented, and maintained stored procedures using T-SQL and PL/SQL across all phases of the software development lifecycle and change control process. • Regulatory Reporting: Produced state regulatory reports, including financial analysis of claims payments and detailed provider network analysis. • Procedure Modernization: Modernized stored procedures to fulfill reporting requirements for 12 states across 9 functional areas, including Behavioral Health, Claims, Cost Containment, Enrollment, Health Plan, Medical Finance, Medical Management, Provider Configuration, and Quality Management. • Report Optimization: Executed optimization enhancements on existing reports and applications to better align with state reporting requirements. • Mentorship: Acted as a mentor to new team members, facilitating their onboarding process and providing training on new business processes. • Leadership and Improvement: Engaged in the departmental leadership team to identify improvement opportunities and align strategies with corporate initiatives.
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