Randy Rock

Consultant

Rochester, Minnesota, United States15 yrs 3 mos experience

Highly StableAI Enabled

Key Highlights

25 years of leadership in healthcare Payer operations.
Expert in large-scale healthcare transformations.
Proven track record in AI integration and digital innovation.

Stackforce AI infers this person is a Healthcare IT Consultant with expertise in digital transformation and operational efficiency.

Contact

Skills

Core Skills

Business StrategyTechnical Sales ConsultingHealthcare ConsultingProject ManagementChange ManagementConsultingBusiness DevelopmentQuality Assurance

Other Skills

Testing ServicesIT ManagementHealth InsuranceBusiness Process ImprovementLeadershipCustomer ServiceProduct DesignInformation TechnologyUser Acceptance TestingTesting ProcessTest CasesTest ManagementSmartsheetHealthEdgeTechnical Sales

About

Strategic Advisory Leader | Healthcare Payer Transformation & AI Integration With over 25 years of leadership at the intersection of healthcare Payer operations and digital innovation, I architect enterprise-grade solutions that bridge the gap between complex technical architecture and sustainable business ROI. My expertise lies in orchestrating large-scale transformations for Tier-1 health systems and government contractors, specializing in the modernization of legacy claims ecosystems (HealthRules, Facets). Strategic Value & Portfolio Highlights: * Accelerated Digital Delivery: Compressed a major HealthRules implementation by 3 months, securing critical year-end fiscal targets and stabilizing enterprise-wide Payer operations. * Enterprise Scaling: Directed cross-functional leadership teams to deliver end-to-end migrations for 10M+ member populations, ensuring 100% compliance and operational continuity. * Efficiency Engineering: Optimized hybrid delivery frameworks to consistently realize a 15% gain in speed-to-market for mission-critical health-tech deployments. * Practice Leadership: Expert in margin oversight, RFP response strategy, and scaling high-performance consulting practices from the ground up. Core Focus: Merging deep domain expertise with an MBA-driven strategic lens to lead the next generation of AI-enabled healthcare transformation. I help organizations salvage at-risk implementations, architect robust enterprise strategies, and turn technical debt into competitive advantage.

Experience

15 yrs 3 mos

Total Experience

7 yrs 7 mos

Average Tenure

Current Experience

Jackpine capital

Management Consultant

Aug 2023 – Present · 2 yrs 9 mos · United States · On-site

Strategic Advisory: Advised on and executed complex technical roadmaps for major EV and European automotive manufacturers, ensuring alignment between engineering deliverables and business goals.
Business Development: Researched and authored comprehensive business plans for new client-focused consulting ventures to drive market entry.

Testing ServicesIT ManagementBusiness StrategyTechnical Sales Consulting

Optum

Consulting Manager

Apr 2010 – Jul 2023 · 13 yrs 3 mos · Greater Minneapolis-St. Paul Area · Remote

Time-to-Market Optimization: Accelerated a critical HealthEdge HealthRules Payor implementation by 3 months, enabling a key client to meet a vital year-end go-live deadline.
Operational Efficiency: Modernized delivery frameworks across multiple engagements, consistently reducing execution cycles by 2 weeks through process optimization and cross-functional coordination.
Engagement Leadership: Directed multi-disciplinary teams of up to 15 professionals, ensuring 100% integrity and high morale during high-pressure, enterprise-wide deployments.
Crisis Management: Selected by senior leadership as a strategic "troubleshooter" to audit and course-correct failing client engagements, successfully restoring project health and delivery.
Practice Management: Spearheaded consulting excellence initiatives, including the development of internal training programs and mentorship of junior consultants to scale practice capabilities.
Executive Oversight: Provided strategic governance for mid-to-large scale engagements, ensuring multi-team efforts remained aligned with overarching business objectives and margin targets.

Health InsuranceIT ManagementHealthcare ConsultingProject Management

Unitedhealth group

Project Consultant

Aug 2007 – Mar 2010 · 2 yrs 7 mos · Greater Minneapolis-St. Paul Area · On-site

Rapid Deployment: Led the end-to-end development and launch of a mission-critical sales tool in under 90 days, successfully kicking off Open Enrollment for hundreds of agents.
Change Management: Orchestrated a large-scale digital migration involving 4,000+ users across multiple states with zero downtime.
Divisional Impact: Exceeded annual goals by successfully onboarding 20 complex applications, accounting for 80% of the total divisional project workload.
Stakeholder Engagement: Facilitated executive-level training and discovery sessions for system owners to drive the adoption of automated provisioning protocols.

LeadershipCustomer ServiceProject ManagementChange Management

Blue cross and blue shield of minnesota

Technology Professional

Jul 1998 – Jul 2000 · 2 yrs · Greater Minneapolis-St. Paul Area · On-site

Strategic Infrastructure: Designed and pioneered a dedicated Testing Lab to document defects and optimize user experience (UX) prior to production.
Governance: Led a cross-functional standards team to implement enterprise-wide packaged software standards for the BCBS technology ecosystem.

User Acceptance TestingIT ManagementProject ManagementQuality Assurance

Self.

Independent Consultant

Jan 1998 – Jun 2004 · 6 yrs 5 mos · Greater Minneapolis-St. Paul Area · Hybrid

Business Growth: Won competitive consulting bids for a boutique technology firm through high-level technical documentation and strategic presentation.
Multidisciplinary Leadership: Directed concurrent engagements across Healthcare, Retail, and Media sectors, ensuring high-quality outcomes under varied regulatory standards.
Operational Standardization: Established standardized process development workflows to ensure consistent delivery quality in fast-paced, non-traditional environments.

Product DesignInformation TechnologyConsultingBusiness Development