Warren D. Stone
Resume Summary
	Senior technology and business executive, with more than 25 years of
Information Technology experience and vision. Development of strategy and
methodology to insure the delivery and support of business objectives, including
performance metrics, task re-engineering, organizational development. Key
experience in Process and Software Development utilizing IBM Mainframes, HP and
Sun UNIX, and Windows environments. Knowledge of Health Insurance Claims
Processing (including HIPAA / ANSI / Pharmacy), Wholesale/Distribution, Retail
Point-of-Sales, Manufacturing, Financial Accounting, and Educational
environments. Full life cycle responsibility including Vendor Management,
Hardware and Software Analysis and Selection, Staff Hiring and Firing, and
Department/Project Budget. Departmental Creation and Organization for Systems
Development, CRM, QA/Testing, Network Support, and Computer Operations, and Telco
 sections. Unique combination of technical, interpersonal, presentation and
communications skill, with a high degree of professionalism, and adherence to
values and standards.     

Professional Experience Highlights
GHI/Medicare – CMS Health Insurance Claims Processing – Manhattan, NY
4/2005 – Present
Environment: Medicare Health Insurance Claims Processing. My Duties include
End-User support, Software Development (IBM Mainframe COBOL, TSO, REXX, AFP, DB2,
MS Access, Excel, MS Project, Word, NDM, FTP, UNIX, Windows,  and many PC
Applications), and provide technical support to all GHI/Medicare personnel for
the EDS/MCS Medicare Claims Processing System. 
 
Consulting   10/2001 – 3/2005
VIPS, NYS Medicaid, STS details listed below

VIPS, Baltimore, Maryland
Environment: Software Development for VIPS Medicare/VMS Health Insurance Claims
Processing. 
Duties included: Designing and developing mainframe applications to assist in a
client’s conversion from one CMS system to another vendor’s software.  

NY State Medicaid, Albany, NY
Environment: Sr. Team Leader for Software Development. Managed five teams (25
Individuals) for the NYS Medicaid HIPAA Conversion effort. The purpose of the
project was to convert the NYS Medicaid Claims processing system to utilize the
new HIPAA transaction formats. Teams were composed of Business Analyst,
Programmers (COBOL & CICS), Gentran Developers, and Testers. Responsibilities
included System Design over sight, budgeting, interviewing, hiring
recommendations, team management, creating project plans, mentoring teams,
reviewing development specifications, and working with NYS officials. HIPAA
transactions includes NCPDP, ANSI 270/271, 278,835, and 837.

STS, Houston, Tx
Environments: Managed team of more than 15 COBOL, Oracle, PowerPoint, and Access
Database developers. The purpose of the project was to update and enhance STS’s
billing software. I was project manager supervising the consulting staff, and
mentoring the STS staff to improve their work methods.
End Consulting



Tesia Corp.  -   Health Insurance Claims Processing, Manhattan, NY
Director of Software Development
7/1998 – 10/2000
Environment: Internet and Client/Server software development to convert Health
Insurance Claims processing to a more automated process; including Data Base
Design, Data File conversions, WEB Design, EDI standards, and GUI Applications. I
guided the team that developed a project plan to convert a Legacy system to an OO
programming design. The goal was to reduce software development time for new
accounts. This project plan included system conversions, program development, and
data file conversions. Claims transactions included 835/837, 270/271, and NCPDP
(Pharmacy Claims). The total time from conception to implementation was 12 weeks;
the result was a 50% reduction in software development time, Additional duties
included creating a Q&A testing section, and improving Help Desk functions.  I
utilized the following Tools: MS Project, Word, Excel, Access, Power Point,
Strategy Xpert, Track Help Desk, Track Knowledge Base, Track Rules, Visual Basic,
Cobol, MS SQL, HTML, and Java Scripts. Additional responsibilities included the
Management of  two Project Leaders, five Programmer Analyst, two
Business/Analyst; two Computer Operations Managers, and several computer
operators. Staff training utilizing new processing techniques, software
development tools, and methodologies. Reason for Leaving: Merger
 
Benefit Plan Administrators / USIA  - Health Insurance Claims Processing (TPA),
Melville, NY
Director of Information Systems and Technology
6/1998 to 5/1999 
Environment: Health and Dental Insurance Claims Processing. BPA/USIA utilized
RIMS software to adjudicate health and dental insurance claims, and generate
approximately 8000 checks per day. My Duties included designing and implementing
a plan to convert three TPA’s utilizing different computer hardware and software,
onto one common computer platform. Claim types included 835/837, 270/271, and
NCPDP. Many files were involved including: Provider files, Client files, Claims
History, and Claim Rules data files. During this period, I managed Project
Leaders, Programmer/Analyst, Computer Operators, Network and Telco support
technical staff. Additional Responsibilities included leading and participating
in Executive management staff meetings, Hardware and Software Analysis,
selection, purchase and implementation. Insuring key systems operate effectively
and efficiently, I initiated a Q&A section, including plans and policies. I lead
the development and testing of Security and Disaster Recovery plans. Hardware,
Operating System included 2 HP 9000’s running HPUX, 1 IBM AS400 running under
AIX, 1 DG running Business Basic, 3 Novell NetWare Servers with 300 users, 2
Windows NT Servers, more than 300 Windows 95/98 PC’s, Cisco Switches, routers and
hubs. Additional Software included MS Project, MS Outlook, MS Office 97, Real
World Accounting System, MF Cobol, Business Basic, RPG, and Visual Basic. Other
Accomplishments include Restructuring and reducing IS&T staff, while greatly
improving system access, software development, and inter-departmental
relationships. Reason for Leaving: Merger

Thriftway Associates, Inc.
Director Information Systems/Project Manager
6/1995 – 6/1998
Environment: 30 store Pharmacy Chain. My Duties were to develop a project plan
to computerize the pharmacy chain. The project plan had to include staff
procurement, hardware and software analysis, selection, data gathering,
conversions, implementation and support. I was responsible for the ground up
design of the IT 
department, including Systems and Programming, Q&A, Computer Operations, Network
support, and Help Desk functions. Additional Responsibilities were Staff
development and training, End-user Training and support. Interfacing with the
Pharmacy computer system vendor to link the two systems. I  Supervised a staff
consisting of 2 programmers, 2 Network Operators, 6 individuals in the Accounting
Department, and indirectly 
90 remote-store computer operators. The system utilized the following Hardware,
Operating System, and Software: 2 Novell networks with 30 users in main office,
26 Novell networks with 3 users in each store, Windows 95, Micro Focus Cobol, and
CounterPoint POS software. Additional Accomplishments were evaluating and
selection of computer HW and SW to computerize the inventory and purchasing
applications within stores, using hand held radio frequency laser terminals. 
Reason for Leaving: Company was sold to CVS Pharmacy chain

Paramount Brands, Inc.
Director Information Systems/Project Manager
4/1992 – 6/1995
Environment: Wine and liquor Wholesale / Distributor. My Duties were to act as
Project Leader for the conversion from an out-dated computer system to an
appropriate multi-user system that included Order Entry, Accounts Payable,
Accounts Receivable, Inventory Control, Purchasing and Receiving functions.
Additional Responsibilities: System design, programming, documentation, and Q&A.
Staff development, End-User training and support. I Supervised 1 Programmer, 3
Computer Operators, 6 Order Entry personnel, and several Warehouse personnel.
Paramount utilized the following Hardware, Operating System, and Software:
Multi-user OS/2, Novell NetWare, PC DOS and Windows. Macola
Accounting/Distribution system, MS Office, MF COBOL, Realia COBOL, RPG, Business
Basic, and IQ Report Writer. Special Accomplishments included the designed and
developed an add-on package that allowed Paramount to “Bill-Back” suppliers for
incentive programs.
Reason for Leaving: Company was purchased by a larger distributor

National Systems Software Corp.
Consultant/Project Leader
1987-1992
NSSC was a computer-consulting firm; my duties included all computer-related
activities, sales, installations, networking, contracts and customer support.
Environment: Computer Consulting. My Duties included the creating Project Plans
and leading teams that designed, developed, and tested various applications in
several business areas. I had the following additional Responsibilities team
management, system design, programming, testing, and documentation. End-User
training and support. I Supervised varying levels of professionals including
Systems Analyst, Programmers, and Computer Operators). National’s customers
utilized the following Hardware, Operating systems, and Software: Several IBM
Mainframes, AS 400, and PC’s. Novell NetWare, SCO UNIX, PC-DOS and Windows,
COBOL, BMS, CICS, RPG, Basic, IQ and Crystal Reports, MRP, Total Database, DB2. 
Reason for Leaving: Advancement

Sun Valley Systems
Senior Developer 
1984-1987
Sun Valley Systems developed software for school district use. The software
included Attendance, Grade Reporting, and Class Scheduling modules.  Reason for
Leaving: Advancement

Education: AAS in Computer Science from Suffolk Community College. 
Certificates MS Project, Access, Excel, Project Management, PowerPoint, and
Word.
Experience: IBM Mainframes, HPUX, Sun UNIX, Several versions of MS Windows,
Linux.
COBOL, REXX, VB, several Macro and Script languages. MS Office, CA-View,
Monarch, VISIO, MS Project, Access, DB2, Oracle, MS SQL, Excel,