Keep in touch with meI'm using Intch to connect with new people. Use this link to open chat with me via Intch app
Work Background
KUOG CorporationDirector, Technology Programs
Oct. 2024 - Jun. 2025• Directed enterprise-wide IT program execution aligned with executive objectives and operational KPIs.
• Reported directly to SVP, driving strategic alignment between business priorities and technical initiatives.
• Oversaw uptime and performance of mission-critical systems, infrastructure, and security frameworks.
• Functioned as the primary liaison between business units and technology teams.
• Key Achievement: Led organization to achieve CMMC compliance within 6 months by managing the architecting and execution of a secure infrastructure roadmap resulting in the passing the C3PAO audit on the first attempt.
KUOG CorporationTechnology Program Manager
Jul. 2024 - Oct. 2024• Orchestrated the end-to-end execution of high-impact enterprise technology initiatives.
• Led program planning, vendor negotiations, budgeting, and execution for IT modernization.
• Designed and executed the organization’s innovation roadmap, integrating advanced R&D tools.
• Collaborated with executive leadership to develop scalable, compliant infrastructure solutions.
Tegria Services GroupSenior Clinical Business Analyst
Sep. 2022 - Sep. 2024• Led the client through a multi-department clinical systems implementation/integration and data migration following the acquisition of two health plans.
• Managed business analysis and requirements gathering for the clinical workstream (e.g. UM, Case Management, Pharmacy, Population Health, Grievance & Appeals, Quality, and Quality).
• Directed requirements gathering and data migration for system implementations.
• Managed reporting strategy and cross-system compliance initiatives across enterprise clients.
• Mentored business analysts and implemented standardized process documentation frameworks.
Clearlink PartnersClinical Nurse Consultant
Apr. 2022 - Sep. 2022• Oversaw Medical Director case workflows and vendor compliance within medical review platforms.
• Implemented process improvements to streamline case reviews and ensure federal regulatory alignment.
• Supported optimization projects using VITAL, EPIC, PREST, and MRIoA.
Maxim Healthcare ServicesTravel Nurse
Jan. 2022 - Apr. 2022InnovAge Colorado PACE, Cherrelynn Healthcare Center
• Delivered patient care to geriatric populations in an outpatient clinic and a LTC facility.
WellMed Medical ManagementSpecialty Drug Review Nurse
Oct. 2020 - Dec. 2021• Managed specialty drug reviews per clinical policy guidelines, improving SLAs.
• Executed analytics-based case reviews for appeals and prior authorizations with regulatory compliance.
WellMed Medical Management / OptumClinical Business Analyst
Mar. 2019 - Oct. 2020• Managed CMS/HEDIS/NCQA compliance initiatives across multiple IT platforms (ServiceNow, BI dashboards).
• Built performance and compliance reporting solutions to support enterprise operations and audits.
Molina HealthcareClinical Lead, HCS - UM, Centralized Medicare Unit
Sep. 2017 - Mar. 2019• Oversaw UM operations, provider escalations, and clinical workflows.
• Monitored metrics to drive case throughput and implemented service quality enhancements.
• Implemented corrective action plans, designed clinical workflows, and updated organizational UM tools in alignment regulatory guideline updates and health plan support initiatives.
Molina HealthcareProgram Manager, HCS - Operational Oversight, Centralized Medicare Unit
Aug. 2016 - Sep. 2017• Directed CMS compliance programs and audit remediation for Medicare operations.
• Designed risk mitigation strategies and corrective action plans to improve audit readiness.
• Monitored and reported monthly, quarterly, and annual KPI metrics to regulatory agencies.
Molina HealthcareClinical Auditor, HCS - Corporate, Centralized Medicare Unit
Jun. 2016 - Aug. 2016• Developed audit reporting tools to monitor Medicare determination timelines.
• Drove root cause analysis standardization and implemented remediation workflows.
• Promoted to Program Manager within 90 days of hire.
Molina HealthcareCare Review Clinician, HCS - Texas Health Plan
May. 2015 - Jun. 2016• Performed case reviews for Medicare and Medicaid populations.
• Streamlined wheelchair medical necessity processes and optimized training documentation.
• Promoted to corporate Clinical Auditor on the operational oversight team for the new Centralized Medicare Unit.
Maxim Healthcare ServicesPRN Nurse
Feb. 2015 - Jun. 2015Kindred Hospital, PAM Warm Springs Rehabilitation Hospital, St. Luke’s Baptist Hospital
• Delivery exemplary patient care in hospital settings with specialty in LTAC, ICU, Step Down, Sub-Acute, Post-Acute Rehab, and Med-Surg.
Nexus Medical ConsultingUtilization Review Nurse
Oct. 2014 - Feb. 2015• Performed multi-state case reviews for worker’s compensation disability claims in accordance with the state’s worker’s agency guidelines.
• Processed second/third level Maximus appeals and furnished detailed reports for review by the board of specialized Medical Directors.
United States Army68C Practical Nursing Specialist / LPN
Oct. 2011 - Oct. 2014C Company Medical Corps at Walter Reed National Military Medical Center (WRNMMC)
• Supervised medical personnel (Combat Medics, Corpsmen and CNAs) and led Joint Commission-aligned training programs.
• Managed patient safety programs and Wounded Warrior Program initiatives.
United States Army68W Combat Medic / EMT
Aug. 2007 - Oct. 2011212th Combat Support Hospital at Landstuhl Regional Medical Center (LRMC)
• Led field hospital triage operations, emergency response simulations, and EMT training.
• Managed equipment, logistics, and tactical medical readiness for deployment.
• Trained and certified over 80 soldiers in Combat Life Support protocols in alignment with the pre-deployment warfighter initiative.
United States Army Reserve68W Combat Medic / EMT
Jan. 2005 - Aug. 20075501st Combat Support Hospital at Brooke Army Medical Center (BAMC)
• Managed training programs and medical records for soldiers in the EMT Platoon.
• Coordinated equipment, logistics, and tactical medical readiness for deployment.
Intch is a Professional Networking App for the Future of WorkSee more people like Charlie on Intch
300k+ people
130+ countries
AI matching
Get Intch if you'd like to
501187 people
39
CEO @ Papillon
15
Production Assistant
16
Program Manager @ DISH Network
122311 people
15
Operations and project manager
31
VicePresident @ ZhenFund
15
Entrepreneur @ Becoming Your Own Boss