Open to opportunities

Allen Kiel

@allenkiel

Message

Healthcare technology leader specializing in Medicaid/PBM regulatory reporting and automation.

United States

Message

What I'm looking for

I seek a leadership role in healthcare technology or regulatory reporting where I can drive automation, ensure compliance, lead cross-functional teams, and improve reporting visibility and efficiency.

I am a seasoned healthcare technology professional with two decades of experience, focused recently on Medicaid and PBM regulatory reporting. I combine deep domain knowledge of pharmacy claims, rebates, billing, audit/FWA, provider networks, and MAC appeals data with strong technical skills in SQL and Python.

In my current role I lead Medicaid client-facing regulatory reporting and internal Caremark PBM reporting, collaborating with account teams and external clients to interpret state guidance and ensure compliance. I build scalable reporting solutions and manage responses to regulator inquiries.

My achievements include building a Medicaid regulatory inventory and tracking system across 50+ state reports and automating reporting processes to cut manual processing time by 40%. Previously I automated CMS audit testing (Informatica) reducing testing time by 75% and implemented PowerApps/SharePoint intake tools and Tableau dashboards for leadership.

I am PMP-certified and experienced leading cross-functional teams, establishing PMO standards, and delivering technology and reporting solutions that improve visibility, governance, and operational efficiency. I bring a practical, client-facing approach to solving complex regulatory reporting challenges.

Experience

Work history, roles, and key accomplishments

Current

Sr. Manager – Medicaid & PBM Reporting

Current

CVS Health

Jun 2022 - Present (3 years 6 months)

Lead Medicaid and Caremark PBM state regulatory reporting, collaborating with account teams and regulators to ensure compliance and timely delivery while automating workflows to reduce manual effort by 40%.

Medicaid Reporting SQL Python Stakeholder Management

Manager – Medicare Reporting

CVS Health

Oct 2019 - Jun 2022 (2 years 8 months)

Managed BA/PM and QA teams for Medicare reporting, implementing automation and dashboards that cut CMS audit testing time by 75% and improved executive reporting visibility.

Medicare Reporting Team Leadership Informatica Tableau & QA Requirements Management Process Improvement

Manager – Specialty Business Technology

CVS Health

Feb 2014 - Oct 2019 (5 years 8 months)

Managed specialty pharmacy technology teams for manufacturer reporting, post-production support, and UAT, centralizing reporting processes and improving executive visibility and agility.

UAT Project Management Resource Planning

Senior Program Manager

Anixter

Feb 2012 - Feb 2014 (2 years)

Established PMO standards and led cross-functional teams delivering digital marketing and IT infrastructure projects, including on-time website migration and e-commerce implementation.

Program Management PMO Digital Marketing Adobe CQ5 Governance Metrics

Manager, Global Content

NAVTEQ (Nokia)

Apr 2010 - Feb 2012 (1 year 10 months)

Managed Agile product owners and led vendor/asset management implementation, scaling user base from 300 to 1,000 and improving data quality processes.

Agile Product Ownership Vendor Management Data Quality Scaling

Senior Program Manager

Walgreen Co.

Jan 2008 - Dec 2010 (2 years 11 months)

Directed pharmacy retention programs with a $7M budget delivering $20M ROI and led predictive modeling initiatives and IVR implementation that saved $5M.

Program Management Budget Management ROI Optimization IVR Call Center Operations