Senior Healthcare and Information Technology Executive: Business Services Support – Business Relationship Management – Project and Program Execution
Anthem, Inc. is working to transform health care with trusted and caring solutions.
Senior Executive with excellence in Business Services Support and Operations combined with exceptional technology background. Vast experience in project execution, business process support, and operations. Unique ability to bring business and IT together and speak each other’s language. Uses technology to streamline business processes. Executive Leadership: * Led organizations of over 1200 multi-dimensional associates and 300 offshore associates with operating budget of $200+M. * Managed both strategic and tactical initiatives within ever-changing world of Healthcare, including provider collaboration, cost of care management, system consolidation, business process redesign, clinical integration and product development. * Held key role in negotiation of Express Scripts pharmacy divestiture ($4.65B transaction). * Appointed Board Member of Bloom Health Technology Private Exchange 2011 to 2014. Process Improvement: * Improved account speed to market in heath enrollment by 30 days and decreased benefit errors by 50%. * Applied continuous improvement processes that led to $34M in savings. Cost Improvement: * Reduced cost in benefit analysis and benefit coding $29M through outsourcing coding/testing. * Realized 15% growth via stabilizing workforce, redesigning inventory processes, and realigning KPIs. * Consolidated 5 states/10 + systems onto 1 platform; created largest single running instance of Facets Medical Claim Platform in US. * Led due diligence for 4 key deals for $13B+ in opportunities. Technology: * Launched of one of US’s first e-prescribing programs and Longitudinal Patient Health Records. * Deployed Member Medical History Tool to 2000+ internal clinical users and multiple external provider organizations. * Drove IT/project support for CMS sanction removal allowing Anthem to reenter Medicare market. * Migrated operations and system of 15.4M+ members to new pharmacy vendor model driven from 13 core claims systems platforms.
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