ilker Köse Experience Director of TTO at Istanbul Medipol University

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1 ilker Köse Director of TTO at Istanbul Medipol University Skills & Expertise R&D Strategic Planning Software Project Management Data Mining Business Intelligence Information Technology Data Warehousing IT Management IT Strategy Healthcare Information Technology Software Engineering Web Services Project Management Linux.NET UML C# Web Applications Software Design OOP Data Modeling MS Project Experience Director of TTO at Istanbul Medipol University November Present (10 months) The aims of Technology Transfer Office (TTO) are increasing the awareness of the academicians and students about R&D projects and funds, giving Project Management Office services to all projects and transferring the produced technologies to the private sector. Lecturer at Istanbul Medipol University September Present (5 years) Lectures given: - Medical Informatics - Advanced Medical Informatics - Data Mining - Quantitative Decision Making Methods - Information Technologies & Tools Member of the Editorial Board at SD Platform January Present (8 years 8 months) Page1

2 Responsible from the section of medical informatics R&D Director at CompuGroup Medical - Turkiye August October 2014 (5 years 3 months) CGM is the leading company in claim management and reimbursement business in health insurance domain in Turkey. R&D Department was organized at the end of 2009 in order to improve the innovative capability of CGM to meet the requirements of keeping market leadership in the sector. As R&D Department, our focus is to discover new win-win ideas for the sector and make them valuable products. In health insurance domain we are dealing with smart claim management systems, fraud and abuse detection, disease management, medical underwriting and health payment models (DRG, etc). Main methods that we use are data mining, algorithm design, information visualization and knowledge management. The R&D department consists of three main expertises, that each of them is a complementary to remainings, such as software development, business intelligence, and medical information management. IT Consultant at Ministry of Health - Turkey August July 2009 (6 years) As a World Bank consultant, I was the Project Manager of the information system projects of MoH, such as Health-NET (Saglik-NET), Family Physician Information Systems, Central Hospital Booking Systems, etc, which are the most important and nation-wide projects of Turkey. Chief Information Officer at Istanbul Transportation Co August August 2003 (3 years 1 month) CIO Electronics (Signalisation and Control) Engineer at Istanbul Transportation Co August August 2000 (1 year 1 month) Languages Turkish English Arabic (Native or bilingual proficiency) (Professional working proficiency) (Elementary proficiency) Education Gebze High Technology Institute PhD, Data Mining, Activities and Societies: Electronic Fraud & Abuse Detection on Private Health Insurance Systems Gebze High Technology Institute MSc, NN, HCI, Algorithm Design, Activities and Societies: Drug Design by Using Artificial Neural Networks Istanbul University Page2

3 BSc, Electronic Control Systems, Activities and Societies: MP programming, control systems Projects Development of an optimization platform to insurance companies for contract-bargaining with health providers August 2013 to Present Members:ilker Köse, Kemal Kilic, Tukan #enel, Biray BÜYÜKARKIN This project aims to find the optimized prices of the contracts signed between health insurance companies and health providers. The users of the product are both insurance companies and TPA companies. Development of a multi-variable route planning decision support system for site visit to healthcare institutions June 2013 to November 2014 Members:ilker Köse, Kemal Kilic This project aims to organize optimal routes and resources for the site visit of team members for both contract bargaining and trainings instead of each customers. Ontology Based Medical Information Management System June 2012 to February 2014 Members:ilker Köse, Dr. P#nar Yolum, Tukan #enel This project aims to ontologically manage the medical information in order to maintain the electronic claim processing system. There are two fold: Medical Information Management System, and Ontology Model. The ontology was modeled on the medical lists (let say aliases) such as disease groups, policy exclusions, etc. Risk Based Medical Underwriting System for Health Insurance Companies March 2011 to January 2013 Members:ilker Köse, Kemal Kilic, Tukan #enel, Mehmet Bilcin PMP, P#nar Horuz Underwriting is the risk evaluation function for any insure candidate run by the health and insurance experts of Health Payers. Most generally this function is held with respect to a paper based guideline and/or an application that emulates the guidelines. his project aims to predict the correct premium for insure candidate regarding to the past damage data with respect to some risk groups (diagnosis, etc). I involved this project as Project Manager. This project is funded by the Scientific and Technological Research Council of Turkey (TUBITAK). Human Readable and Semantically Sensed Rule Definition for ECP Systems May 2011 to November 2012 Members:ilker Köse, Mehmet Göktürk This projects aims to maintain a human-readable payment rules to be drived by the electronic claim management system, Claimer ECP of CGM. Fraud and Abuse Detection Suite (efad Suite) Development Project 2009 to 2011 Members:ilker Köse, Aytul Ercil, Kemal K#l#ç, Mehmet Bilcin, Murat MET#N, Yücel Saygin Page3

4 This project is and R&D project funded by TUBITAK (The Scientific and Technological Research Council of Turkey) and efad Suite is the product of this R&D Project. efad Suite is an integrated solution for health payers to detect the claims that has abnormal features. Within the project we proposed a novel approach to filter suspicious ones among millions of claims and we published papers describing our method. I involved this project as the Project Manager. Saglik-NET (Health-NET) 2006 to 2009 Members:ilker Köse, Hakan Özer, SONER KIRICI, Yakup Arslan, MURAT GUREL, Erdinc Sabur, Ahmet Özçam, Dr.Songül Do#an, Nihat Yurt, Dr. M. Mahir ÜLGÜ (MD, MBA) Saglik-NET is a nation-wide integrated e-health project of Ministry of Health (MoH) of Turkey. It covers more than hospitals. Saglik-NET is one of the first project that HL7 v3 is used for messaging between hospitals and MoH. The first phase of Saglik-NET aims to collect standard data sets from heath providers to create an electronic health record of each citizen. This database enables knowledge management of policy makers. The second phase will be the sharing of those data with hospitals and data owners (citizens) via a portal. Saglik-NET introduced a couple of national medical informatics standards in Turkey; such as Minimum Health Data Sets, National Health Data Dictionary and Health Coding Reference System, etc. I involved this project as the Project Manager. Family Physician Information System 2003 to 2009 Members:ilker Köse, Hilal Ince, Tugba Caglayan, Erkin KALAYCI, Murat MET#N, Kadir Evciler, Sinan Korukluoglu, Dr.Songül Do#an, Volkan BÜLBÜL FPIS is a client-server based medical information system for primary health care services. One of the most important unique features of FPIS is that it is a an integrated with a centralized system of Ministry of Health (MoH) which is gathering information from all family physicians over all the country (now ~ clients). The integration is held via web services and HL7 schema was used. FPIS is not only an IT project. Besides, it set some standards to exchange data between family physicians and MoH for all other FPIS that can be developed by private sector in Turkey. I involved this project as a Project Manager from the beginning. TIS (Transportation Information System) 2000 to 2003 Members:ilker Köse, Hakan Özer, SONER KIRICI, Ersin Eker TIS is an ERP Project which is covering all procurement, maintenance and management processes of Istanbul Ulasim Transportation Company. As head of IT department I personally involved the management board of this project and wrote a module for my department Publications An interactive machine-learning-based electronic fraud and abusedetection system in healthcare insurance Applied Soft Computing August 11, 2015 Authors: ilker Köse, Mehmet Göktürk, Kemal Kilic Page4

5 Actor-Asset and Network Based Approach for Detecting Frauds and Abuses in Health Claim Management TURKMIA 2010 Authors: ilker Köse, Mehmet Göktürk, Kemal K#l#ç Cyprus Turkey s National Health Information System (NHIS) e-challenges 2008 Authors: ilker Köse, Nihat Akp#nar, Murat Gürel, Yakup Arslan, Hakan Özer, Nihat Yurt, Yildiray Kabak, Asuman Dogac Stockholm, Sweden The Use of HL7 CDA in the National Health Information System (NHIS) of Turkey IHIC 2008 Authors: ilker Köse, Yildiray Kabak, Asuman Dogac, Nihat Akp#nar, Murat Gürel, Yakup Arslan, Hakan Özer, Ahmet Özçam Greece Molecular Modeling in the ETOSAR Software International Modelling & Stability Conference 2003 Authors: ilker Köse, Natalia Shvets Kiev A Problem-Oriented Database as a Tool for the Data on the Structure-Activity Relationships Accumulation, Integration and Exchange 12th International Symposium on Artificial Intelligence and Neural Networks 2003 Authors: ilker Köse, Natalia Shvets, #brahim So#ukp#nar Çanakkale, Turkey Problem Oriented Database Design For Molecular Modeling and Publishing on Web Gebze High Technology Institute 2003 Authors: ilker Köse, Natali Shvets M.Sc. Thesis A Microcontroller System for Demand Controlled Vantilation Systems Istanbul University 1999 Authors: ilker Köse B.Sc. Engineering Project Courses Independent Coursework SUN Intermediate Administration SOLARIS 9OE SUN_Advanced System Administration SOLARIS 9 Page5

6 IT Project Management ORACLE - Introduction to SQL ORACLE - Data Warehouse Design ORACLE - Data Warehouse Fundamentals.NET C# Programming 2124.NET ASP.NET 2310.NET MS.NET Framework 2349.NET ADO NET 2389.NET Windows Programming Visual C# 2555.NET XML Web Services 2524 Web Programming with Java Java Ajax-Spring-Hibernate Project Management Professional (PMP) Certifications Microsoft Certified System Engineer Microsoft 2000 Microsoft Certified Professional Microsoft 2000 Microsoft Certified Professional + Internet Microsoft 2000 Interests Turkish Art Music, Turkish Sufi Music, Calligraphy (with Arabic Letters), Playing Ney (reed flute) Page6

7 ilker Köse Director of TTO at Istanbul Medipol University Contact ilker on LinkedIn Page7