Tom Ruwald

Consulting Senior Manager @Optum

Phoenix, AZ, US

Sr. Manager Consulting | Project Management Professional (PMP)Experienced consulting leader with a proven track record of directing system selection, conversion, and implementation projects across diverse environments. I have successfully led over 30 system implementations and upgrades, demonstrating expertise in claims systems such as QNXT, Health Rules Payer, CIM, and Facets. Skilled in developing and implementing standardized project management processes, I am dedicated to delivering exceptional results on time and within budget.As a Project Manager and Program Manager, I have led teams ranging from 3 to 50 members in system implementations and upgrades for community, regional, and national health plans. With 97% of projects completed on time and within budget, I excel in clear communication, risk management, and strategic planning, driving measurable success and client satisfaction.My technical expertise includes assisting organizations with mapping and testing HIPAA transactions (834, 837, 270, 271, 278, and 820) and implementing systems for Medicaid and Medicare plans. I have collaborated with clearinghouses to develop HIPAA-compliant solutions and ensured compliance with varying companion guide definitions.Throughout my career, I have worked extensively with Commercial, Medicare, and Medicaid plans across multiple states. I thrive on building strong client relationships, understanding customer needs, and crafting tailored solutions. Passionate about project management and technical leadership, I am committed to driving growth, innovation, and success.