Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
Accomplished leader in Pharmacy Benefit Management responsible for client facing product development, new client implementations, and client renewals.   Extensive operations leadership in all facets of Pharmacy Benefit Management and Health plan benefits.  Successful agency sales and telemarketing leadership expertise.    Significant experience in leading high performing, process improvement teams in the healthcare industry.
  • Leadership development 
  • Strategic business planner 
  • Goal oriented 
  • Active 240 - Life, Health and Variable Annuity license 
  • Specialize in retiree healthcare and financial planning
Expanded the employer group waiver plan business by 75% while maintaining 93% rate of customer retention.
Grew the broker and agency partnerships from two agencies to seven strategic broker relationships in ten years.
Earned the Presidents award at American Express, and Express Scripts for excellence in service and product improvements. 
Senior Director, 2009 to 10/2016
Avison YoungMinneapolis, MN,
  • Responsible for individual prescription drug plans, and employer group waiver plan product development and management.  (Oversight for 2.7 million retiree lives)  
  • Oversight for all operational functions supporting client and individual products. 
  • Represented Express Scripts in client forums and in best and final sales presentations. 
  • Actively engaged with high profile client implementations to ensure seamless onboarding of new retirees.  Oversight for all agency and broker related sales. 
Senior Product Manager, 09/2006 to 10/2008
Amazon.Com, Inc.Fife, WA,
  • Responsible for the account management of several National and Labor Union clients.
  • Ensure client satisfaction is maximized with timely issue resolution, and providing accurate product subject matter expertise.
  • Actively triage every aspect of the Medicare Part B, Part D, and Specialty drug experience with the clients, which included enrollment and eligibility processing, reporting, service, strategic planning, compliance guidance, training, installation, and operational support.
Marketing and Compliance Leader, 06/2002 to 08/2006
WellpathWaycross, GA,
  • Recruited to manage a staff of telemarketing sales agents, and management team responsible for direct to consumer business, including small group sales - size 1-50, individual under, and over 65 consumer health, Part D, and ancillary sales.
Senior Project Consultant , 10/2000 to 06/2002
Iec Electronics CorpRochester, NY,
  • Responsible for the leadership of service delivery process improvements for the individual consumer sales market. 
  • Improvement initiatives implemented included improved sales channel integration, streamlined medical underwriting guidelines, and improved contract automation in the individual market.
Senior Project Consultant, 1998 to 10/2000
Akzo Nobel N.V.Pontiac, MI,
  • Responsible for Health Options, Inc. accreditation and compliance standards for Centers for Medicare and Medicaid Services, and National Center Quality Assurance for Member Rights and Responsibilities for managed care plans
  • Product oversight for all HMO, PPO, dental, vision and long term care products.   
Grievance Coordinator , 02/1996 to 10/1997
Blue Cross Blue Shield Of FloridaCity, STATE,
  • Responsible for direct to consumer coordination and compliance of regulatory guidelines as directed by Centers for Medicare and Medicaid Services, and National Center Quality Assurance standards for Health Options, Inc.(HOI), Member Rights and Responsibilities standards.
Transitional Customer Service Representative , 01/1995 to 01/1996
Blue Cross Blue Shield Of FloridaCity, STATE,
  • Accountable for delivering accurate and timely information regarding benefits, contract coverage, and policy decisions direct to consumers and business decision makers.  
Senior Fraud Prevention AnalystAssistant Team Leader, 10/1988 to 1995
American ExpressCity, STATE,
  • Assistant Team Leader responsible for recruitment, coaching, development, and training on product and technical fraud prevention tactics 
Supervisor, 04/1987 to 09/1988
Memorial Medical Center Telephone Service CenterCity, STATE,
  • Supervised "Self - pay" Collectors for the Medical Billing Department.
  • Accountable for all monitoring, coaching, and forecasting of staffing volumes.
Account Representative, 05/1986 to 04/1987
Barnett Recovery CenterCity, STATE,
  • Actively followed a portfolio of greater than $1 million in delinquencies to final resolution through personal depositions, garnishments, and levying of assets.
Education and Training
Masters of Healthcare Management: , Expected in December 2003
University of Phoenix - ,
Bachelor of Business Administration: Finance, Expected in May 1986
University of North Florida - Claireville, Fl
Six Sigma e-Yellow Belt certification through Breakthrough Management, Inc.: , Expected in December 2004
- ,
Account / Client Management 
Vendor Management 
Medicare, Medicaid and Healthcare Reform expertise
Telemarketing and Agency sales leader 

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School Attended

  • University of Phoenix
  • University of North Florida

Job Titles Held:

  • Senior Director
  • Senior Product Manager
  • Marketing and Compliance Leader
  • Senior Project Consultant
  • Senior Project Consultant
  • Grievance Coordinator
  • Transitional Customer Service Representative
  • Senior Fraud Prevention AnalystAssistant Team Leader
  • Supervisor
  • Account Representative


  • Masters of Healthcare Management
  • Bachelor of Business Administration
  • Six Sigma e-Yellow Belt certification through Breakthrough Management, Inc.

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