Scott Hemphill

About Scott Hemphill

Customer-focused executive who builds strong relationships with clients and staff that are founded on trust. Adept at refocusing outcomes on the true-north priority of meeting customer needs.• Seasoned organizational leader successful at growing teams that consistently produce high-quality deliverables while also running business operations, designing organizational strategy, managing multi-million-dollar budgets, and leading transformational initiatives. • Savvy communicator who can make the most difficult concepts easy to understand. Expert spoken and written communicator, and comfortable delivering nuanced messages despite unstable circumstances. • Technical professional with specialized experience in infrastructure, application development, and system integration across numerous project methodologies. • Adaptable achiever with a wide breadth of experience across subject matters and industry verticals.

Experience

1. Vice President, Claims & Provider Payment Modernization

   Healthfirst

   Aug 2022 — Present

   Lead the Healthfirst organization through its top priority transformative initiative, Claims & Provider Payment modernization. This role encompasses change leadership to people, process, and technology related to the entire Health Insurance lifecycle - from provider contracting through payment of claims and beyond. Utilizing a mix of HealthEdge and in-house technology, this role requires seasoned thought leadership on our approach to organizational change, stewardship of a core administrative platform system (CAPS) migration, diligent focus on quality delivery in a scaled agile (SAFe) environment, and oversight of numerous streams of work to achieve our goal of delivering best-in-class service to our members and providers.Select accomplishments:• Designed and implemented consensus-building decision-making frameworks for the organization to make critical and ongoing choices on policy, administrative, operational, and technology decisions. • Conducted significant executive interaction and presentation for program oversight, budget management, issue and risk escalation, and decision-making. • Partnered closely with Operations and Business leaders to ensure successful adoption of change.• Led selection process and/or solution design for key technologies including contract lifecycle orchestration, claims pricing and prospective payment integrity solution, provider data management system, and our core administrative processing system. • Designed and built delivery team of 30+ FTEs plus vendor and consultant resources to plan, define, and deliver technology modernization initiatives.

Education

• Lee University

  B.M., Keyboard Performance

  2001 — 2005

Skills

• Project Management
• Soa
• Databases
• Software Development Life Cycle (Sdlc)
• Business Process
• Business Intelligence
• Itil
• Business Process Improvement
• Javascript
• Xml
• Team Leadership
• Visual Basic
• Sdlc
• Enterprise Architecture
• Pega Prpc
• Business Analysis
• Db2
• Business Process Management
• Process Improvement
• Microsoft Sql Server
• Management
• Sql
• Visio
• Service-Oriented Architecture (Soa)
• Quality Assurance
• Html