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Andrew Furman
Director: Health Insurance Technology @ PwC
I'm passionate about bringing new software solutions to healthcare payers. New software helps to lower costs for members / employers / government agencies, and provide better experiences for members / providers / health plan employees.
Healthcare Payer Tech Domains: For the last 10 years, I've lead technology projects as a software developer and architect. My work focuses on product/benefit management, claims/payments, membership/enrollment, and member/provider services operations. I often lean on my experience as a software developer to make informed technology architecture decisions that accurately account for implementation costs and software maintainability.
Andrew also leads teams at PwC that advise Health Plan CIOs on how they should prioritize investments in technology to leverage the new capabilities of Machine Learning, Internet of Things (IoT), and Automation/NoCode to improve health outcomes and lower costs for their members.
Changes I Want to See in US Healthcare: 💵 Price Transparency: Americans should all be able to do price & quality comparisons before they recieve healthcare services 📲 Data Portability: Patients, Payers, Providers, and Pharma all need to be able to Easily share Medical Records using API Standards like FHIR, and new data from Apple Watches and IoT devices.
🔧Specialties: Technology Architecture, Technology Capability Roadmapping, Health Plan Membership & Billing Systems, Provider Data Management, Healthcare X12 EDI (837, 835, 834, 270, 276), Clearinghouse Utilization, REST API Design, Replatforming of COBOL Based Mainframes Applications.
👨💻Software Experience at Healthcare Payers:
- Healthcare Claims Processing: Trizetto Facets / QNXT (C# UI and PL/SQL Claims/Eligibility Batch Jobs), Advantasure/ IkaSystems, HealthEdge, Highmark-HMHS Platform, NASCO
- EDI / Web for Providers: Edifecs, Availity
- Cross Industry: Salesforce (APEX Trigger Development, Lightning UI Design, Custom Data Object Design), Pega Workflow, Informatica Cloud ETL Development
- AWS: Lambda Function Development, Alexa Skill Development
Interests After Work: ☕️ Coffee making: Love debating ChemEx vs V60 and where the best coffee beans are 🏔 Backpacking / Hiking: On a lifelong mission to lower the “Base Weight” of my backpack 🌹 The Bachelor on ABC: Commissioner of the PwC Healthcare Bachelor/Bachelorette Fantasy League 🏎️ Formula 1: I watched Drive to Survive on Netflix, and now I wake up at 8am on Sundays for each Grand Prix 👶 Parenting: Exploring the world through our daughter's eyes
