MARK A.

GARGANO
125 Lancaster Way
Cheshire, CT 06410
Cell: (203) 824-4669
Work: (203) 239-8301
OBJECTIVE: To pursue a career that will enable me to both leverage and further e
nhance my knowledge and skills for: partnering with health care business areas (
internal and external) to transform business strategy, data and technology into
strategic business intelligence solutions for empowerment with actionable inform
ation and tools.
EDUCATION: Bachelor of Science Degree in Computer Science/ Mathematics-Actuarial
Science University of Connecticut, Six Sigma Black Belt Candidate, PMP Certific
ation (PMI Member), FAST Facilitation Certification.
TECHNICAL KNOWLEDGE/EXPERIENCE: TERADATA 12, BUSINESS OBJECTS XIR2/3.1, SAS 91.3
./9.2 (including EBI, DI, Portal, DataFlux, eMiner,
Scoring Accelerator, Model Manager, Forecast Server, Text Miner), J2EE, JAVA TOO
LKIT, WEBSPHERE 6.1/PORTAL FACTORY/ACTIVE INSIGHT, INFORMATICA, COGNOS, BRIO, WE
BLOGIC 8.1, SQL 2005 ENTERPRISE (OLAP), PROCLARITY, WINDOWS XP/7, MS PROJECT/OFF
ICE, VISIO, TRIZETTO CCA and MODELER, SAS CM, TERADATA TRM, THOMPSON REUTERS CL
IENT REPORTING, TIERMED, AMERICAN HEALTHWAYS, DB2, ORACLE, UNIX, BAXTER MEDICAL
SYSTEMS SOFTWARE, MEDADVICE SOFTWARE.
EXPERIENCE: WELLPOINT, INC (01/2005 - Present). Serve as the Director of Informa
tion Management Business Intelligence Solutions (In
formation Technology Division) accountable for: 1) enterprise business intellige
nce technical solutions and 2) enterprise business intelligence infrastructure a
nd toolsets to host IT applications and
corresponding business users (SAS 9.1.3/9.2, Business Objects XiR2/R3.1, WebSphe
re Portal 6.1, MSAS 2005) working in conjunction with Teradata 12 data warehouse
environments.
KEY RESPONSIBILITIES INCLUDE:
- partnering with key business areas (actuarial, population health/medical manag
ement - utilization
management/ case management/ care - disease management, sales & marketing - seni
or/individual/state-sponsored/commercial, provider & consumer transparency, prov
ider network/contract management, service operations, regulatory & compliance -
senior/state sponsored/ERISA, underwriting/rating, quality management - NCQA, em
ployer account reporting, pharmacy, etc.) to thoroughly understand business stra
tegy/the business process IM IT BI supports in order to prioritize/translate in
to business needs/capabilities
- refinement of business needs/capabilities into technical program initiatives/p
rojects for calendar year/rolling
12month high level scope/deliverables
- lead project initiatives thru Discovery (business requirements, technical solu
tioning options and
recommendation, project estimates including labor resources and hardware/softwar
e requirements and architecture/technical design approach) and Enterprise Projec
t Management lifecycle (planning, execute, implementation/closing and warranty)
for design, development and implementation of end-to-end enterprise business int
elligence applications (data, application and web)
- staff responsibilities include: management of project manager, solution engine
er, business system analyst,
developer (both associate and external resources) roles - and management team co
mprised application development managers. External vendor partners include Accen
ture, SAS, Business Objects, Teradata/ Claraview, Cognizant, InfoSys , IBM
- accountable for vendor relationship management including hardware/software pu
rchase and renewals for
BI infrastructure & toolsets and SOWs (statements of work)/MSAs (Master Service
Agreements) for contract resources. Software vendors include SAS, Business Objec
ts, Thompson Reuters, TierMed, IBM, Trizetto
- accountable for financial management for: annual plan of record (project) budg
et of approximately $60 - 65
million, lights-on and discretionary budget of approximately $15 - 20 million.

EXPERIENCE: CIGNA (08/2002 - 01/2005). Serve as the Assistant Vice President of

Information Management Business Intelligence Solutions (Information Technology D
ivision) accountable for: 1) enterprise business intelligence technical solution
s and 2) enterprise business intelligence infrastructure and toolsets to host IT
applications and corresponding business users (SAS 8.1/8.2, COGNOS, SQL SERVER/
MSAS 2000).
KEY RESPONSIBILITIES INCLUDE:
- partnering with key business areas (actuarial, medical management - utilizatio
n management/ case
management/ care - disease management, provider & consumer transparency, provide
r network/contract management, quality management - NCQA, pharmacy, etc.) to tho
roughly understand business strategy/the business process IM IT BI supports in
order to prioritize/translate into business needs/capabilities
- refinement of business needs/capabilities into technical program initiatives/p
rojects for calendar year/rolling
12month high level scope/deliverables
- lead project initiatives thru Pre-Initiate (business requirements, technical s
olutioning options and
recommendation, project estimates including labor resources and hardware/softwar
e requirements and architecture/technical design approach) and Enterprise Projec
t Management lifecycle (initiate, planning, execute, implementation/closing and
warranty) for design, development and implementation of enterprise business inte
lligence end-to-end applications (data, application and web)
- staff responsibilities include: management of project manager, solution engine
er, business system analyst,
developer (both associate and external resources) roles - and management team co
mprised application development managers and directors. External vendor partners
include Satayam, SAS, ETI, COGNOS, American Health Ways, Health Share Technolog
ies
- accountable for vendor relationship management including hardware/software pu
rchase and renewals for
BI infrastructure & toolsets and SOWs (statements of work)/MSAs (Master Service
Agreements) for contract resources
- accountable for financial management for: annual plan of record (project) budg
et of approximately $30 - 35
million, lights-on and discretionary budget of approximately $5 - 10 million.
EXPERIENCE: URIX (now part of VERISK HEALTH) (07/1997 - 08/2002). Serve as the D
irector of Information Management (Information Technology) accountable for: 1)
enterprise information management
solutions for external clients - payers, reinsurers, hospitals, physician-hospit
al organizations, self-insured employer accounts and 2) enterprise information m
anagement infrastructure and toolsets to host IT applications and corresponding
internal business users and external clients (SAS 7/8, Microsoft SQL Server/Ana
lysis Services 7, ProClarity, ASP.NET).
KEY RESPONSIBILITIES INCLUDE:
- concept definition, system analysis and design, development, implementation an
d ongoing support of
the enterprise data warehouse (claim, membership, provider, UM/clinical and phar
macy) subject
area data structures and business intelligence applications (HEDIS, Pharmacy Ope
rations/Facilitation,
Predictive Modeling, Provider Contracting, Provider Profiling, Care-Disease Mana
gement, Stop Loss/
Reinsurance, Daily Census, Utilization Management/Case/Care-Disease Management,
Medical Cost Analysis,
Employer Account Reporting, Capitation Settlement/Membership)
- cooperative effort of working with internal client areas (Actuarial Servic
es, Finance, Provider
Contracting, Employer Account Reporting, Medical Management, etc.), external cli
ents (Hospital/PHO, HMO,
ASO, Reinsurer, Employer Groups), external hardware and software vendors (Comman
d Systems, DELL,
Health Cost Consultants, SAS Institute, DxCG, MedAdvice) and external entities p
roviding raw data files used
for data warehousing and analytics & reporting (Anthem BCBS, PHS, Oxford Health
Plans, MD Health Plans,
ConnectiCare, HealthChoice of Connecticut, CIGNA, AETNA/US HealthCare, United He
alth Care, HighMark
BCBSPA, etc)
- system administration of all hardware and software resources, budget and forec
ast for all IT
- account management for prospective accounts (presentations, proposals, estimat
es, project plans/timelines,
relationship management, etc.)
- maintenance of existing assigned accounts (Taft Hartley Coalition, Hospital/PH
Os, Renisurer, HMO)
- management of UM/CM/DM system support for Hospital/PHO clients/clinicians (Med
Advice)
- management of interactive analytic & reporting environment and tools for inter
nal and external clients,
the ongoing data analysis and reporting support for 18 external client entities
comprising book of business for 7+ million external covered lives.
EXPERIENCE: BLUE CROSS & BLUE SHIELD OF CT (02/1989 - 07/1997).
Serve as the IT Technical Program/Project Manager for the concept definition, sy
stem analysis and design, development, implementation and support of the BCBSCT
Risk Management/Clinical Data Warehouse System.
Responsibilities include the development/project management of the claim, member
ship, provider, premium, group, benefit and UM/Clinical subject area data struct
ures, analysis/reporting applications (HEDIS, Provider
Profiling, Utilization Management/Case Management, Medical Cost Analysis, Custom
er Reporting, Capitation Settlement), the direct supervision of 21 business and
programmer analysts and the cooperative effort of working
with internal client areas (Corporate Statistical Analysis, Actuarial Services,
Underwriting, Internal Audit, Utilization Management and Clinical Quality Manage
ment), external clients (Quest Diagnostics, Signal Radiological Group, instituti
onal and professional providers) and external hardware and software vendors (The
Medstat Group, IBM and C.W. Costello and Associates). Additional responsibiliti
es include adhoc analysis and reporting support for internal and external client
s (customer reporting).
Serve as the Utilization Review Program IT Manager for the concept definition, s
ystem analysis and design, implementation and support of the BCBSCT Utilization
Management Managed Care System. Responsibilities include the development/project
management of the firm/group, membership and provider data feeds to the UM Mana
ged Care System, the evaluation, selection, installation and maintenance of the
Baxter Optimed Medical System software, all data feeds from the Baxter Optimed M
edical System to the claims processing system, design, development and implement
ation of all BCBSCT managed care cost savings, daily census, utilization analysi
s, large case management and provider profiling reports for internal and externa
l clients, direct supervision of 10 Development/System/Information Analysts and
the ongoing Optimed System support, vendor management (Pyramid, Baxter Optimed M
edical Systems), data analysis, data extract and reporting support to five depar
tments of 60+ nurse clinicians and medical directors.
Serve as the Senior Business/Programmer Analyst for the concept definition, syst
em analysis and design, development, implementation and support of the BCBSCT Pr
ovider Incentive and Risk Withhold System. Responsibilities include the creation
of the claim, membership and provider subject area data structures, the creatio
n of provider utilization, provider patient panel and provider budget reports an
d the creation of care management, incentive and risk withholding payments and e
xplanation of payment information
sent to providers.
Serve as a Business/Programmer Analyst for the concept definition, system analys
is and design, development, implementation and turnover of the BCBSCT Risk Manag
ement System. Responsibilities include the creation
of the claim, membership, provider and premium subject area data structures and
the creation of both routine and adhoc statistical analysis and reconciliation r
eports.

REFERENCES: Furnished upon request.