John Wilson Application PackageWilson John NAME:
Last Name First Name Middle Initial
801 15th St, Apt 208 Miami BeachHOME ADDRESS:
Apt No.Home No./Street City
Florida 15203
State Zip Code
804-482-1129 804-482-1129PHONE:
Home Work
johnswilson1@gmail.com
Email Address
Miami Beach
Street
801 15th St, Apt 208
City
Florida
State
33139
Zip Code
Address:
Wilson Consulting Group Position:Business Name:Managing Consultant
Pursuant to City Code section 2-22(4) a and b: Members of agencies, boards, and committees shall be affiliated with the city; this
requirement shall be fulfilled in the following ways: a) an individual shall have been a resident of the city for a minimum of six
months; or b) an individual shall demonstrate ownership/interest for a minimum of six months in a business established in the city.
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South Beach
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Management consultant for 5 years with a specialty in strategy and operations in the healthcare sector. I’ve led multimillion doll
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Health Advisory Committee
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CITY OF MIAMI BEACH
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NOTE: If appointed, you will be required to follow certain laws which apply to city board/committee members.
These laws include, but are not limited to, the following:
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Beach Code section 2-26).
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or those with whom you have business or immediate family ties (CFR 570.611).
Upon request, copies of these laws may be obtained from the City Clerk.
“I hereby attest to the accuracy and truthfulness of the application and have received, read and will abide by Chapter 2, Article
VII – of the City Code “Standards of Conduct for City Officers, Employees and Agency Members.”
I John Wilson agreed to the following terms on 3/21/2019 11:00:16 AM
Received in the City Clerk's Office by:
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Control No.
Date
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John S. Wilson
JOHN S. WILSON
Miami, Florida | 804.482.1129 |johnswilson1@gmail.com
PROFESSIONAL PROFILE
Proven healthcare leader with Big 4 consulting experience focused in the areas of corporate strategy, operations, and product
management spanning large government and Fortune 500 commercial payers. Strong track record of taking ideas from concept to
reality by executing with compelling vision, a painstaking focus and by achieving stakeholder buy-in. Authored over 150 editorials in
award-winning fora including Forbes, CNN, and The Houston Chronicle.
CORE COMPETENCIES
Analytics/Data Science Medicaid Rebalancing/LTSS Programs Agile Methodology Client Management/Delivery
Product Management Pharmacy Strategy and Operations Strategy and Operations Portfolio Management
EXPERIE N CE
HM HEALTH SOLUTIONS Pittsburgh, PA (remote)
Subsidiary of Highmark Health and focuses on strategy and IT consulting solely for Blue Cross Blue Shield insurers. On pace t o earn
$1b in revenue by 2020.
Medicaid Office Lead, Enterprise Strategy and Finance Aug. 2017– Present
Senior Consultant, Strategy and Business Optimization Oct. 2016 – Aug. 2017
• Oversee governance for government mandates portfolio ($15.2M) concerning regulatory requirements from CMS and
State authorities that could negatively impact Highmark Health’s Stars scores; present monthly to EVP of government
markets.
• Partner with Sales Operations to lead strategy and product innovation for ASO and fully-insured lines in commercial
markets (serving over 4.7 million members). Responsible for collaboration between sales, marketing, operations, and IT to
deliver product excellence.
• Lead Customer Success for VP of Commercial Markets, responsible for collaboration with Directors/VPs across solutions,
product, and maintenance and support in order to ensure customer excellence and meet KPIs, SLAs and other key account
management metrics. Mine data and use analytics for predictive modeling and statistical analyses.
• Partner with Highmark’s Pharmacy and Product Marketing & Strategy leadership to create and transform the user journey
into high-quality products across the enterprise, and advance human-centered design best practices for strategic delivery.
OPTUMINSIGHT CONSULTING Miami, FL
Senior Consultant, Healthcare Strategy and Operational Excellence July 2015 – Sept. 2016
• Led a four-person team in addressing ICD-10 functional impacts via innovative solutions for a Medicaid plan.
• Developed Medicaid products with OptumInsight’s Client Account team to align with client needs.
DELOITTE CONSULTING, LLP Chicago, IL
Consultant, Medicaid Strategy and Operations Nov. 2014 – July 2015
• Led a five-person team and managed deployment of a $10mm LTSS Balancing Incentive Payment (BIP) enhancement,
including user journey, requirements and design, construction and integration, system testing, user acceptance testing and
go-live.
MARYLAND DEPARTMENT OF HEALTH & MENTAL HYGIENE Baltimore, MD
Product Manager, In-home Supports Assurance System (ISAS) Jan. 2013 – Sept. 2014
Health Policy Analyst II, Policy and Compliance Sept. 2012 – Dec. 2012
Health Policy Analyst I, Policy and Compliance Sept. 2011 – Sept. 2012
• Created roadmap and managed product lifecycle to modernize processes that led to advanced claims scaling with less
system resources; led claims edits and validation with a 99 percent payment rate and 700,000 processed claims ($100mm).
• Led Voice of the Customer sessions for consumer engagement; delivered key presentations monthly to the state Medicaid
director.
• Executed procurements including RFPs, TORFPs, and CATs+ Master contracts. Led planning, writing, bid proposal and
evaluation of offerors; cumulative award above $70mm. Reviewed over $2b across all Medicaid domains as part of
Procurement Review Group.
• Hired and managed 11 direct reports; Drove organizational change management (OCM) efforts with partnerships across
eligibility, operations, and waiver programs to deliver significant value affecting thousands of Medicaid participants.
• Partnered with Digital Strategy vendor to transform user journey into a robust consumer- and provider-facing web portal.
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John S. Wilson
PART-TIME PRODUCT/STRATEGY AND WRITING EXPERIENCE
NEWME ACCELERATOR San Francisco, CA
Venture Capital Strategy Feb. 2013 –Oct. 2014
NewME has received venture backing from Google and Mitch Kapor; and was also featured in CNN’s award-winning documentary
Black in America: The New Promised Land: Silicon Valley in 2011. Newme’s portfolio companies have raise $25mm in funding.
• Reported to founder/CEO Angela Benton; provided strategic direction on product alignment and go-to-market strategy.
FORBES MAGAZINE Baltimore, MD
Healthcare Strategy/Product Contributor Feb. 2013 – Oct. 2014
• Researched and wrote articles concerning healthcare product management and strategy; articles averaged 8,500 views.
SELECTED P UBL ICATIONS
Wilson, John S. "Medicare's Part B Spending Needs An Intervention." Forbes. Forbes Magazine, 09 July 2013. Web.
Wilson, John S. "The Smarter Healthcare Consumer Myth." Forbes. Forbes Magazine, 18 Mar. 2013. Web.
Wilson, John S. "Android Is the New Linux." CNN. CNN, 2 Oct. 2011. Web.
AWARDS
Product Innovation Award May 2014
Maryland Department of Health and Mental Hygiene
Presented to one product team for substantial improvement in product efficiency and productivity.
EDUCA TI ON
Virginia Commonwealth University
Bachelor of Science, Sociology
Honors/Scholarships: Virginia Excellence in Government Scholarship; Virginia Association of Young Democrats Student Scholarship;
Virginia Capital Semester Tuition Scholarship; Virginia Governor’s Fellowship; Virginia Attorney General’s Internship; Peer Mentor
SKILLS/SYSTEMS
Microsoft Office Suite: Word, PowerPoint, Excel and Access, (advanced for all)
Project Management: Microsoft Project (advanced), JIRA (proficient)
Data Analytics and Process Mapping: Visio (advanced), Tableau (advanced), Cognos (proficient)
Client Request Management and Billable Project Entry: Service Manager (proficient), Clarity (advanced)
Medicaid Management Information System (MMIS): Proficient