Accomplished Leader with demonstrated ability to deliver mission-critical results. Extensive experience in health plan operations, information technology and large-scale program office/project management. Proven track record to oversee and manage large, highly complex business initiatives. Ability to drive business process re-engineering efforts. Renowned as a "Change Agent" within my organization.
Worked closely with the Medicare Executive team to build, manage and report on a project plan to integrate the newly acquired Secure Horizons organization, a subsidiary of PacifiCare Health Systems, Inc.
Implemented the Medicare Modernization Act's Medicare Advantage plan (MAPD) into the Finance and Group Retiree functions. Also was responsible for the end-to-end integration of MAPD across all functional areas and the Program Management Methodology used by the MAPD PMO.
Performed as one of three Program Managers to define and implement a new, enteprise-wide Future Sate Initiative. In addition, I was one of several Program Managers responsible for implementing the new HIPAA X12 Data Transaction requirements. Finally, I lead and managed the PMO responsible for executing the ERISA regulations on the PacifiCare systems, enterprise-wide.
Managed multiple large-scale technology projects end-to-end. Systems included: Commercial and Medicare sales force automation, online sales, provider capitation, corporate tax, planning & forecasting, budgeting, provider settlements and provider portal software.
Held multiple roles in the Sales & Marketing department, including: In-house Representative, Enrollment Specialist and Sales Associate. Received promotions with increasing responsibilities approximately every two years.
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