Manager Resume Example Optuminsight United Healthcare Group

MANAGER

Professional Summary

Business Process Reengineering Strategic Business Planning Data Quality Assurance Report Infrastructure Development Benefit Report Analysis Training Development Tool and Report Integration Project Management Compensation Analysis Technical Documentation IT/Business Liaison Product Line Budgets Client Engagement Interface Client Presentation Skills Proposals and Pricing

Professional Experience

01/2007 to Current

ManagerOptumInsight United Healthcare Group － Phoenix, USA, Arizona

Confidential and proprietary | Not for Disclosure | Use pursuant to company instructions | Optum.
FORM GE-0005-01 Page 1 of 4.
Relating Document: WP GE-09-XX Revised: xx Sep 2012.

02/2006 to 02/2010

Board of Behavioral Health Examiners Board MemberState of Arizona, Board of Behavioral Health Examiners － Phoenix, USA, Arizona

Ensure ethical standards were performed and maintained for licensed behavioral health professionals in the field disciplines of counseling, marriage and family therapy, social work and substance abuse counseling for protection of the public community.
Read and review professional legal document cases for all four disciplines filed by the public against State of Arizona licensed individual professional to determine if professional maintained and handled ethical practices appropriately.
Member Board vote to determine if corrective discipline action was necessary for the licensed professional.
Engaged and worked with Arizona State Attorneys, Behavioral Health Professionals and Public Community.

06/2005 to 03/2006

Independent ConsultantLighthouse Management Consulting － Houston, USA, Texas

Performed market research and develop preliminary business plans including cost profiles as subcontractor for Lighthouse Management Consulting Presented outcomes and development recommendations to President and executive staff.

07/2003 to 05/2005

Manager / Consulting AdvisorCaremark Rx, Inc － Scottsdale, USA, Arizona

Developed, implemented and supported initiative solutions to enhance organization position in the market place Contributed and formulated recommendations for product and program cohesive analysis and application tools that included business unit and corporate project management on HIPAA, Data Quality and Methodology, Education, RxPerformance Monitor Tool, Peer Comparison, Year-End Readiness, Policy and Procedures, Training, Sarbanes-Oxley, and Medicare Prescription Drug Plan initiatives Train business partners on various tool models and methodology interpretation through online, phone and direct methods Coached and mentored report staff and internal customer business units Developed and provided educational training on system processing, interpreting report methodology, model analyses, report repository, tool modeling and online report integration to sales and external customers Developed, implemented and maintained AdvancePCS Client Reporting infrastructure for the business organization.
Worked closely with the Information Enterprise Services Technology teams.
Responsibilities included business development, project management and prioritization, production reporting and interpretation, recruiting and project staffing, professional consulting and partner training Reduce projection report cost by more than $750,000+ per year consolidating paper medium through release of the first online reporting tool to internal and external customers in the PBM industry Ensured product offering methodologies were incorporated appropriately into existing benefit reports and files including logic integrity, data validity and measurement Process owner for communicating reporting impacts that effected prescription benefit reports, screens, and file(s) changes to client base for the Health Information Portability and Accountability Act of 1996 (HIPAA), Year-End Readiness and methodology and file layout changes to internal and external partners.
Primary report liaison/consultant between clients, business units and IT, leading the largest report conversion on behalf of the PBM organization.

Education and Training

2001

Master of Arts and Organizational Development: Human Resources and Organizational ManagementUniversity of Phoenix － Phoenix, Arizona, USAHuman Resources and Organizational Management

1992

Bachelor of Science: Business AdministrationUniversity of Phoenix － Phoenix, Arizona, USABusiness Administration

Skills

ad, Behavioral Health, business development, business plans, business strategies, conferences, consultant, consulting, contract review, conversion, counseling, Client, clients, family therapy, ICD-10, ICD-9, interpretation, invoicing, layout, legal, logic, Management Consulting, market research, market, migration, modeling, Enterprise, pricing, develop product, programming, project management, project plans, proposal, Quality, quality control, Read, recruiting, reporting, requirement, sales, Sarbanes-Oxley, specification, staffing, phone, training materials, WP, Year-End

Resume Overview

Companies Worked For:

OptumInsight United Healthcare Group
State of Arizona, Board of Behavioral Health Examiners
Lighthouse Management Consulting
Caremark Rx, Inc

School Attended

University of Phoenix

Job Titles Held:

Manager
Board of Behavioral Health Examiners Board Member
Independent Consultant
Manager / Consulting Advisor

Degrees

Master of Arts and Organizational Development : Human Resources and Organizational Management
Bachelor of Science : Business Administration

Manager Resume Example

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