• Project Management
• Process Improvement
• Strategic Planning
• Contracts | SOW Development
• Member Experience
• Six Sigma Methodologies
• Operations Management
• Sales | Digital Marketing
• Coaching | Mentorship
• Training & Development
• Executive Communication
• Regulatory Compliance
• Program Management
• Medical Billing & Coding
• MS Office | MS Project
• Access | Visio | SharePoint
• JIRA | Confluence
• Basecamp Skype | NetSuite
PROFESSIONAL SKILL SET
Proven ability to implement strategies that strengthen overall operations and improve efficacies.
Hyper-effective with creating marketing initiatives and providing effective training to all staff members.
Capable of developing processes that significantly increase revenue and customer service ratings.
CAREER HIGHLIGHTS
•Operations linchpin, serving as the main point of contact for 5 high-value clients, managing contracts and providing direct supervision of all related operations, achieving over $35MM in revenue
•Skillfully implemented lean processes for CSL Plasma which resulted in significant improvements, exceeding production goals by 35%
•Industry-leading authority creating strategies for engaging with health plan members and providers, able to increase conversion and generate contracts by creating deep networks within the industry
LEADERSHIP EXPERIENCE
Advantasure (BCBSM Subsidiary) – Southfield, MI 2017 – Present
Risk Adjustment Operations Supervisor | Member Outreach Expert Analyst
2017 – Present 2017 – 2017
Key Accountabilities
•Responsible for providing galvanizing leadership to 3 direct reports while managing a total of $10MM in vendor contracts, ensuring cost control by approving or denying third-party invoices
•Provide professional development activities and coaching to employees, collaborating with top management to offer advancement opportunities to existing staff members
•Depended upon for promoting the success of team objectives and tracking performance, reviewing job contributions and ensuring strict adherence to policies and procedures
•Serve as the implementation expert and main point of contact for In-Home assessments, In-Facility assessments, Tele-Health programs, Mobile Health Bus Outreach, and Retrospective Chart Retrieval Products
•Establish subsets for a structured, systematic process to aid in the flawless execution of projects and to mitigate potential operational issues
Key Achievements
•Generated $35MM in revenue by implementing effective program management strategies across all projects, while acquiring 2 new In-Home Assessment vendor contracts for a high-value client on the west coast
•Conceptualized process flows and developed an operational playbook to increase overall performance, providing clear definitions to roles and implementing an escalation process; successfully creating a proactive culture
Blue Cross Blue Shield of Michigan (BCBSM) – Detroit, MI 2014 – 2017
Program Manager
Key Accountabilities
•Responsible for handling an annual budget of over $8MM while directing all aspects of program launch and implementation of five plan member outreach programs
•Managed programs such as In-Home Assessment, In-Facility Assessments, Health Plan Advisor Member Assistance, Tele-health, and Retrospective Chart Retrieval
Key Achievements
•Served as a liaison between BCBSM and vendors, developing SOWs, defining deliverables as well as pricing and timelines; resulting in the creation of Service Level Agreements which triggered a 15% reduction in service pricing
•Spearheaded the newly rebranded In-Home Assessment Program for Medicare Advantage and ACA members, completing over 15,000 in-home and facility assessments
•Skillfully increased revenue by over $15MM, serving as a subject matter expert for risk-adjusted Medicare Advantage clients, educating members on annual wellness offerings by BCBSM
•Created effective marketing initiatives and social media strategies which increased member engagement by 50% while simultaneously redesigning operational plans to keep up with market trends and member’s needs
•Reduced operational costs by 10% and improved customer service by developing/improving workflows related to customer and mail services
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