Chuck Novack
chuck@novack.us
702-701-0770
Summary of Experience:
Candidate has over thirty years experience in many phases of data processing and information technology and
has thorough knowledge and practical experience delivering information systems solutions including:

management,

project management,

database design,

systems--functional analysis,

business analysis,

development and

configuration.
Has excellent communication skills and analytical and researching skills.
Project Management:
His project management includes all phases of SDLC using classical PMI - PMBOK methodologies, as well as
SDM-70, Navigator and others. Defect and Error correction methodologies including Six Sigma. Delciverables
created included Statement of Work (SOW), Project Charter (Contract), Business Requirements, Conceptual
Design, functional and technical specifications such as Data Flow diagrams, gap-analysis, etc. Uses
Management Cost and Control Systems and EVM. Developed Test Plan and Test Cases for Change
Requests. Identified the steps used in updating project status. Involved with SLA (Service Level Agreement)
'negotiations' and other vendor relationships.
Implemented several projects including a custom developed application which involved complex and numerous
integrated components, graphically dispersed test environments (including offshore), directed system build and
configured test and run environments on mainframe and distributed platforms and verification that the 'disaster
recover environment' could support all 'business as usual' production.
Business and System Analysis:
Specifications, data gathering and analysis of critical applications and their master files and interfaces and ETL
processes. Tested performance including benchmark, load and scalability. Designed file structures ('normal'
and warehouse) and databases. Analysis of HMO revenue cycle/financial applications including billing,
benefits, brokerage, eligibility, membership Gathered specs for Data Warehousing projects with ad hoc
reporting, data mining and data quality. Clearly documented HIPAA, user and SOX requirements and
authored business specifications for software development for offshore team and communicated with them
during the design and development of databases and applications.
IT Management:
Chuck has managed teams of up to 24 direct team members including developers, analysts and project
managers in direct as an IT Manager on-site and offshore (India). Platforms include mainframe, mid-range,
thin-client, Novell and Windows wired and wireless networks. He has set priorities, selected hardware and
software, assigned resources and estimated costs using both top-down and bottom-up methodologies. Strong
team mentor, liaison, problem solver and meeting moderator and facilitator including RAD sessions.
Professional Background:
Applications/industries include skilled nursing facility medical records; SNF clinical systems, governmental
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entities, property management; property and casualty insurance processing and underwriting; payroll (including
time and accounting and HR); magazine publishing; mortgage brokering; clinical (specifically dialysis,
pharmacy and NCV applications); insurance; architecture and retail POS.
Health Information Technologies (HIT) with emphasis on eligibility, case management, finance and claims
analysis (UB 92, HCFA 1500) including Medicare claims. Integration of billing and claims and revenue cycle
systems to clinical and eligibility systems including legacy and clearinghouse applications. Intimate with X-12
including 270, 271, 277, 278, 835 and 837 transactions. Interfacing with many vendors including EPIC, Perot
Diamond, TriZetto, IDX and Q-Care.
Grant Writing, proposals, Foundations and IRS Form 990's research and non-profit accounting and donor
tracking systems.
Technical Summary:
TriZetto Facets and QNXT based Claims; Diamond; Q-Care; IDX; EPIC Resolute (hospital and physicians'
billing); Web.Strat DRG processing; Emdeon and Aurora DS Imaging; NextGen; ProServ; ProPBM.
MS Office including Word, Excel, VISIO, Powerpoint, Project and SharePoint. Lotus Notes and Groupwise.
ADMATE; DataQuick; Crystal Reports, Vista Care.
Sage Timberline Real Estate, Yardi Systems Property Management , MAS-90. Blackbaud Raisers Edge,
Donor Perfect, NEON.
Functional with VMX, RMS, Alpha Servers, Citrix, Novell NetWare, Windows Servers. Databases: Oracle
7.x/8.x,9I, R:Base, MS SQL Server 2005, FoxPro, Sybase. X-12, ICD-9 and ICD-10, EDI, HL-7.
Detailed Experience:
* Data Boy Consulting; Beverly Hills, California. Systems Consultant – Company Owner, April 2010 to current.
Technology Systems Company owner responsible for design, implementation, support and maintenance for a client
base of over 250 customers throughout Southern California with a staff of up to seven. Specialties include hardware
and network maintenance, SQL programming, Healthcare software, non-profit software and Y2K compliance.
Performed System Development Life Cycle analysis for users using classic Project Management techniques.
Specialized in Cost Proposals and analysis. Instituted enterprise-wide solutions and distributed client-server
applications. Translated business requirements into Functional design. Examples of accomplishments:
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Mortgage Brokerage. Acquiring business needs and translate them into technical solutions and translate
them into functional specification. Database programming and network management for a mortgage broker
in Beverly Hills. Used relational database tools, DataQuick data retrieval and Los Angeles Country records
(selecting prime candidates based on underwriting standards) for telemarketing, mortgage processing and
escrow processing. Used relational database tools, DataQuick data retrieval, and Los Angeles Country
records (selecting prime candidates based on underwriting standards) for telemarketing, mortgage
processing, and escrow processing.
Pharmacy. Designed ad coded upgrades to an EDI (CMC) system for California Medi-Cal program for electronic
billing of medical supplies. This file format and procedure complies with the latest Medi-Cal 5.1 batch processing
standards.
Magazine Publishing Organization. Netware running Solomon Accounting and MS Office. Used NASI redirect for
fax and modem sharing. Also installed ADMATE, a publishing specific application designed for DOS. The
resulting increased productivity allowed for significant major growth with no new administrative positions filled.
* Molina Healthcare, Inc., Long Beach, California Sr. Project Manager, August 2011 to December 2011 (Contract
Employee, Login Consulting Solutions)
New businesses and acquisition consultant and project manager. Coordinated the integration of Trizetto QNXT and
claims processing including Web.Strat for the “Wisconsin Project” -- a 40,000 member acquisition and integration
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project. COB, TPL, subrogation and recovery system conversion, documentation and team mentoring. Processing
included ICD-10 components and 5010 file enhancements and new restrictions. Facilitated meetings between IT,
Health plan, Claims Division, Recovery, Member Services and Corporate teams. for business requirements sessions
and the resulting meeting minutes and publishing and distributing Status Reports including Earned Value
Measurements’ graphics and dashboards.
* Back East Bakery, North Hollywood, California 91605 IT Manager. Jan. 2007 to Mar. 2010
Managed organization operations by directing and coordinating activities consistent with defined deliverables,
objectives, and policies for a new venture from inception to implementation . Participated in developing cost benefit
analysis, risk mitigation, policy and strategic plans, and alternative solutions. Provided process flow charts using
Visio Design, planning and implementation for automation using MS Project, for a manufacturer (bakery) which
proves a 65% labor savings. Identified and updated project status using MCCS (Management Cost and Control
Systems) especially Earned Value Metrics with budgeted and actual costs and timelines, and other SDLC
methodologies. Communications Management and selecting vendors (Procurement Management) with the
constraints of Scope, Time and Budget.
* City of Long Beach -- Department of Health and Human Services, Long Beach, CA Lead Project
Manager/Business Analyst, (Contract Employee) June 2006 to Dec. 2006 (Contract with Gold County Agency,
extended and assignment ended)
Build, unit and system testing, software testing and support of NextGen medical records and case management
clinical software with HIPAA transaction sets, especially claims and eligibility. Conversion and ETL files and
processes were designed. Analysis and lead delivery and configuration of a Cold Fusion and GIS / WGS based
.NET application, utilized external vendors and internal resources (The Department of Health and Human Services
Department). Trained and supported appropriate use of the application. Implemented (including gathering client
business and work-flow requirements), core data needs for Corporate/Civic Planning including RHIO, Collaborated
with the agency and IT partners to define service level agreements. As Project Manager Lead, headed a crossfunctional team including inspectors, permitting and business licensing are the major components of this system
which integrates the food, hazardous materials, vector (insect) control, animal control, flood control and water
systems into a single, common platform while phased deliverables to reduce complexity and insured accomplishing
of defined milestones. Using SQL routines and EVP reporting to assure good quality and developed test protocols
and scripts. Strategic Resource Planning while maintaining a positive outlook .
.NET and Windows based and outsourced applications. Some applications were HL-7 and X-12 based.
* US Technology Resources – WellPoint Corporation (Blue Cross of California), Aliso Viejo, California. Advisory
Consultant, September 2005 to March 2006. (Assignments completed)
USTRI is an offshore development company (India) and provides staffing for development and support for major
US corporations. Has performed many functions, including that of Development Manager, Project Manager,
Implementation Manager, Business Intelligence Lead Analyst, Quality and Systems Analyst working on
infrastructure projects from $420,000 to $4,500,000 with up to 24 staff using Clarity Niku and MS Project. Lead
test performances tests including benchmark, load and scalability. High level technical contributor with expertise in
supporting WPD (Product Database), Health Reimbursement Accounts, Real Time Accumulators and MCST (a
marketing and data mining application), BI project in Pharmacy Management [including Medicare (Part-D), HIPAA
x-12 837 eligibility, claims and pharmacy laws] related applications. Implemented several projects involving 75
integrated components, graphically dispersed test environments, mainframe and distributed platforms. Authored
business specifications for Software Development and designed master files for offshore team and communicated
with them during the design and development of databases and applications using process flow charting using
Visio. Monthly reporting including project status, budget and 'burn-rate' analysis.
Environment: Both mainframe and mid-range environments using FTP based communications.
* Kaiser Permanente, SD & C (Systems Design and Consulting) for HPO (Health Plan Operations), (Contracted
with Teksystems) Pasadena, California. Senior Project Manager, January 2005 to May 2005 (End of Assignment)
Modified procedures to resolve complex technical problems related to application design and efficiency and offered
multiple solutions or processes. Design for the implementation of a number of HIPAA compliant EDI claims
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transactions for all KP regions. These transactions focused on exchange of claims information - charge capture,
adjudication and submittal of claims especially: requests (837), return of claims payments (835), request for and
reply on status of claims (276/277). Exposure to state and federal guidelines for compliance for claims payment
including Medicare guidelines and compliance remediation. Designed interfaces to/from EPIC Tapestry registration
and benefits for compliance with benefits to claims reconciliation Designed changes to the regional claims
applications including TriZetto Facets as well as in the ETL based KP clearinghouse for all X-12 ICD-9 and XML
EDI transactions in a distributed application environment. Other work included complex analysis of document
imaging systems (principally claims) with special emphasis on HIPAA analysis and remediation and overall Process
Improvement with collaboration with all stakeholders. Used standard SDLC standard as well as CDP
methodologies and documentation standards using 'Rational Clears' and MS Project.
The environments were Windows based, mid-range and mainframe.
* Oracle Corporation – WellCare Health Plans (Contract Employee), Tampa, Florida. Sr. Analyst/Project Manager.
August 2004 to November 2004. (End of Assignment)
Liaison between application development and business units to provide analytical support and consulting on
infrastructure complex projects. Gathering client business requirements, work-flow and systems analysis for a major
HMO organization (with 14 business entities in five states) of medical claims applications (Perot Diamond 950) and its
HIPAA transaction sets (837) interface to a general ledger and accounts payable systems (Oracle Financials).
Designed an interim processing plan using a data warehouse using ad hoc reporting and ETL and data quality steps.
Using a BizTalk configuration for a multi-million dollar implementation for a Revenue Cycle implementation.
Demonstrated good understanding of the relationships between IT applications and systems using business process
maps and use cases. Allocated resources, and managed expectations (including the financial concerns and timing
constraints) of all stakeholders and users.
Migrated to a large .NET and Windows based platform using a BizTalk configuration.
* Kaiser Permanente, Enterprise Middleware Competency Center, (Contracted with Intellimark, Inc.) Pasadena,
California. Senior Interface Analyst, August 2003 to February 2004 (Contract extended then completed)
Specifications, data gathering and analysis of critical health-care applications and their master files and interfaces
(X12, HL7 and flat files) and ETL processes. Specialized in claim systems and Professional and Hospital billing
systems especially Epic Resolute and Tapestry for HealthConnect and payment processing integration for EPIC.
Other applications included Diamond, Q-Care and Trizetto Facets based systems. Serviced regions in Southern
California, Northern California, Colorado, Georgia and the Mid-Atlantic States. Authored the “Interface Design
Documents,” which needs signed concurrence and approval from several different business and technical resource
areas and in which he demonstrates good knowledge of the relationships between various healthcare operational
areas. Authored and presented a technical introduction to X12 and ICD-9 transactions in the health-care industry
(with emphasis on HIPAA for management, analysts and developers.)
Multiple tiered environment using Windows NT, and mainframe platforms.
* Perot Systems, St. Joseph Medical Center – Heritage Health Foundation, Anaheim, CA Contract through OAO
Technologies. Senior Integration Specialist (Agency Employee), March 2003 to August 2003
Involved in HIPAA EDI claims compliance using ICD-9 data standards. Working closing with trading partners and
clearinghouse to assure compatibility and seamless compliance with IDX claims databases (using IDX toolkit
interface) and ETL processes. Prioritizing testing scenarios and systematizing testing with the auditing and
adjudication teams. Documenting process and work flow as well as procedures for users and exception handling.
Environment: IDX in a mainframe environment.
* Power Correction Systems, Inc., Beverly Hills, California. Director, Informatics, January 2002 to March 2003.
(Assignment Completed)
Coordinated all aspects of a “Energy Solutions Provider” from inquiry to pre- and post-sales implementation.
Established PMO-type metrics, production and office procedural guidelines in a high-tech manufacturing and sales
oriented business. Full interaction with clients on the “C” level. Used classic project management techniques to
prioritize and coordinate worldwide activities with emphasis on production controls, quality assurance (QA),
functional manufacturing and their affects on financials.
* PacifiCare Health Systems, Inc. Cypress, California. Senior Project Manager / Business Analyst (Contract
Employee TechConnect), June 2001 through November 2001 (Assignment completed)
Led HIPAA transaction set development project (Professional and Institutional Encounters and Claims 837
transactions) including staff analysts, developers and outside clearinghouses. Gathered and documented detailed
functional requirements for Data Warehousing using RAD sessions, Developed a cohesive business team and
coordinated the efforts of corporate and regional EDI staff and management regarding processing standardized
(Mercator) and proprietary transactions including GAP analysis for UB 92, HCFA 1500 and NSF to HIPAA X-12
and ICD-9 in legacy applications and its integration with an enterprise-wide system in a mixed client-server
environment. This was part of a $25 million implementation with 18 programmers and analysts.
VMS and Windows environment using Vitria for enterprise-wide integration.
* Health Net Corporation, Woodland Hills, California. Sr. Systems Analyst, June 2000 to March 2001
Member of “Fin Team” specializing in analysis of financial applications including billing, benefits, brokerage,
eligibility, membership, imaging and document control. Involved in major systems projects including the integration
of 250,000 members from a newly acquired business unit into existing systems (three million dollar project) with
Revenue Cycle implementation constraints. Did analysis for Health Reimbursement Account project. Worked
closely with end-users throughout local and Sacramento offices. Recipient of nine “VC – Venture Capital” awards
for contributions to the “Cultural Transformation” (process improvement initiatives) of Health Net.
Environment: Mainframe VMS (on Alpha servers, RMS, Unix and NT heterogeneous environment.)
* Los Angeles Jewish Home for the Aging, Reseda, California. Development Project Manager, Software Support
(Contract Employee), July 1999 to February 2000 (Temporary employment--Assignment Completed)
Accomplishments include the coordination and inclusion of five support groups and their respective data in various
formats into a centralized database. Responsible for the configuration, data-design, management and extensive
training of all levels of diverse staffing for Y2K compliance and revenue cycles. Assisted in the expansion of the
Enterprise Data Center. Developed and implemented appropriate user acceptance testing. Applications include MS
Office Suite, Sage Abra Human Resources/Payroll Software, Add On Health Care Accounting Software, Crystal
Reports and Blackbaud Raiser’s Edge Software (using Sybase SQL) for non-profit management and analysis.
Understanding of managed care regulatory environments including UCLA research and ethical reviews (IRB).
Involved with grant proposals from private and government entities.
Environment: 6 servers running in a heterogeneous environment (Windows NT Server, Novell NetWare 5.1,
GroupWise 5.5 on multiple linked facilities using multiple T-1 connections).
* Data Boy Consulting; Beverly Hills, California. Systems Consultant – Company Owner, June 1995 to June 1999
Technology Systems Company owner responsible for design, implementation, support and maintenance for a client
base of over 250 customers throughout Southern California with a staff of seven. Specialties include SQL
programming, Healthcare software, non-profit software and Y2K compliance. Performed System Development Life
Cycle analysis for users using classic Project Management techniques. Specialized in Cost Proposals and analysis.
Instituted enterprise-wide solutions and distributed client-server applications. Examples of accomplishments:
Pharmacy. Designed ad coded upgrades to an EDI (CMC) system for California Medi-Cal program for electronic
billing of medical supplies. This file format and procedure complies with the latest Medi-Cal 5.1 batch processing
standards.
Magazine Publishing Organization. Netware running Solomon Accounting and MS Office. Used NASI redirect
for fax and modem sharing. Also installed ADMATE, a publishing specific application designed for DOS. The
resulting increased productivity allowed for significant major growth with no new administrative positions filled.
* Radio Talk Show, Tech Talk – KYPA, Hollywood, California. Concurrent 1997-1998, Sunday evenings
Product Reviewer. Evaluated products on KYPA – “Your Personal Achievement” radio station (until station was sold
to a foreign language broadcaster). One hour weekly; took calls from listeners, product developers.
* Sofplex, Inc.; Los Angeles, California. Systems Engineer II, Technical Support (Contract Employee), Concurrent
July 1995 to December 1997
Systems integration firm with clients in the legal, property and casualty insurance, property management and others.
Specialties include Yardi, MAS 90 and Macola accounting systems. Typical installations include:
Insurance MGA Agency. Running Netware 4.11 and supporting about 30 workstations in Los Angeles and Orange
County using Citrix Winframe and using MS Terminal server. Running industry specific Insurance Accounting
software and WordPerfect (and the Corel Office Suite). Integrated E-mail services and web access. Involved in
underwriting evaluation for property insurance.
Real Estate Property Management Firm. Multiple sites throughout the region including downtown, Century City,
Beverly Hills, Westside, El Segundo. Installed and maintained NetWare LAN’s running Win 3.12, Windows 95,
Windows NT 4.0 and OS-2 (for Timberline Accounting systems). Configured Lotus Notes for all offices. Installed
and configured On-Technology NoteWorks interoffice e-mail. Coordinated data processing with offices in Texas,
Minnesota and Massachusetts.
Telemarketing Firms. Maintained Telemagic software in a Citrix WinView environment for a major office supplies
telemarketing company and created reports using Crystal Reports.
* Golden State Health Centers, Inc.; Sherman Oaks, California. IT Manager, August 1994 - June 1995
Configured, installed converted payroll history and maintained ADP Total Time payroll system for over 3000
employees at 15 locations. Pro-active in solving office automation and information problems. Supervision of data
communications, data input and data integrity for multiple sites including ADP Payroll processing. Instituted disaster
recovery program. Installed networked systems into 15 facilities statewide to provide regulatory agencies access to
patient information and benefits through EMR. Increased productivity allowed for 25% reduction in AR staffing
alone. Experience with managed care regulatory environments and managed compliance remediation.
* International Insurance Associates; Downey, California. M.I.S. Department Manager, July 1990 - May 1993
Insurance brokerage specializing in Marine Cargo, Foreign Credit and Customs Bonds. Responsible for day-to-day
operations including data communications and data entry. Designed and implemented daily data transfer programs
and procedures from a custom applications package into AMS accounting system that resulted in a 50% increase
in throughput. Designed and coded complex claims management system for specific Inland Marine account.
Involved in designing automated underwriting standards for property-casualty lines of business.
* American Trans-Data Corporation; Santa Ana, California. Program Director, June 1987 - October 1988
Software services for the charter bus, tour, and truck industry. Designed and coded a charter bus program. It
created quotes, invoices, drivers’ instructions, vehicle maintenance records and personnel information, including
random substance abuse testing. System and user documentation, marketing (including trade shows, media).
* Ticor Title Insurance Company; Los Angeles, California, Senior Programmer/Analyst, September 1981 - January
1985
Field systems operations. Supported remote offices and agencies throughout the US on Wrote and maintained
escrow closing applications in Databus. Also, designed, coded and implemented Ti-Startm, a PC Based Escrow
package in use in over 600 Chicago Title offices. Ti-Star was written in Basic. Extensive use of SDM-70 systems
methodology.
Environment: Datapoint systems, WANG and IBM PC's
Professional Associations
PMI-LA, (Project Management Institute of Los Angeles); R:Base Users Group, Los Angeles
Education
Bachelor’s degree in Theology, Yeshiva Ohr Elchonon Chabad, Los Angeles, CA Public Service, 1978.