Kevin Coonan

Director, MBA · +1 (312) 729 8117
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Kevin Coonan, director with Baker Tilly, has been with the firm since 2005. Prior to joining Baker Tilly, Kevin worked as a consultant for a global professional services firm. He is a member of the firm’s healthcare consulting team where he has extensive technology project management experience and an industry expertise in healthcare insurance. In his career, he has experience in a wide variety of industries and engagement types including business and technology road mapping, custom application development and implementation, modeling and prototyping, analytics and business intelligence, process improvement, and technology compliance.

Large healthcare insurance payer

  • Managing an initiative to identify how our client can expand delegated capitation FFV models across geographies, and government and commercial lines of business

Large healthcare insurance payer

  • Led a four-year, $26 million, large scale business process improvement and software implementation project for one of the nation’s largest healthcare insurance companies
  • Implementation of a technology platform to improve medical claim fee-for-service processing and associated performance based financial settlements between payer and providers
  • Key role in functional design of the technology platform to allow business flexibility and extensibility
  • Oversight of testing strategy to verify that over $35 billion in gross hospital charges are reimbursed accurately
  • Implemented solution included the following components:
    -Custom Java based applications for production operations and modeling “what if” scenarios
    -Rules based (IBM JRules) calculation engine and rule authoring and monitoring application
    -SAS analytics engine
    -Legacy system/future-state system data conversions, integrations, and cut-over processes
    -Business intelligence capabilities including 100+ Cognos reports and self-service analytics data mart

Large healthcare insurance payer

  • Led a project designed to update contract reimbursement systems to be ICD-10 compliant, which included:
    -Deriving new identification rules for ICD-10 based claims
    -Assist the business with managing contract updates
    -Analyze reimbursement impacts due to ICD-10
  • Designed and managed implementation of business processes and technology to manage new provider network and contracting scenarios including:
    -Narrow and tiered networks
    -Global risk agreements
  • Designed and developed a contract inventory methodology, application and data base to deconstruct and store contractual pricing terms
  • Managed requirements and development of a ILOG JRules based proof of concept to demonstrate rules based pricing
  • Testing design, planning and execution of a large data conversion and testing effort, which converted over eight years of medical paid and reimbursed claims data.

Healthcare compliance

  • Created a technology roadmap for mid-size heath care compliance firm with technology initiatives designed to improve and scale our client’s business
  • Managed the implementation of key technology initiatives identified on the roadmap, including:
    -Creation of a customer facing web portal for reporting and document management
    -Custom medical record and claim auditing tool
    -Implemented governance practices

Major derivatives exchange

  • Managed a project to build a software application and testing capability for a new financial derivatives model
  • Managed a team of 15 client, vendor and consulting resources
  • Incorporating systems development lifecycle (SDLC) methodology to provide project structure and control

Major credit bureau

  • Designed and implemented a custom software application to derive annual pricing increases for a set of over 50,000 customers based on a large number of client dimensions
  • Assisted our client to derive pricing methodology to increase price and transaction volume across subscriber base. First year increases were greater than $2 million.

Manufacturer of heavy mining equipment

  • Managed project which focused on capacity planning and throughput improvement in a major manufacturer of large scale mining equipment
  • Led a team, which built a suite of models designed to quickly test loading scenarios in each of our clients’ manufacturing areas, from fabrication, welding, machining, to assembly.

Compliance and due diligence

  • Internal auditor preparing clients for information system assessments for Sarbanes-Oxley compliance.
  • Assisted clients with due diligence and reverse due diligence to assess the technology capabilities in an organization

Large telecommunications provider

  • Managed the development of detailed test metrics tools to track distribution workforce efficiency.
  • Assisted telecommunications clients with improving and consolidating their application testing organizations.
  • Designed and executed performance and concurrency testing of large-scale load balanced systems using Mercury LoadRunner and TestRunner toolsets
  • Implemented large-scale custom-built information technology solutions for large telecommunications clients.

Location

Illinois

Education

Master of Business Administration in operations and technology management and finance

University of Wisconsin - Madison

Bachelor of Science in general engineering

University of Illinois – Urbana-Champaign