Summary
Overview
Work History
Education
Skills
Core Leadership Expertise
Timeline
Generic

Alison Paxson

Tampa,FL

Summary

Results-driven leader with 20+ years leading large-scale customer support, claims adjudication, and operations in COBRA, and CDH industry. Expertise in designing scalable, multi-channel service models (contact centers, digital, IVR) and driving transformations via operational discipline, platform migrations, and compliance-focused frameworks. Proven track record transforming underperforming organizations, increasing CSAT scores, reducing costs per contact , and boosting self-service deflection while maintaining regulatory compliance and quality standards.

Overview

21
21
years of professional experience

Work History

Vice President, Participant Services

FloresHR
Remote
04.2024 - Current

Present Lead end-to-end participant services, claims processing, enterprise training, and operational delivery amid major platform migration and operating model redesign.

  • Oversee service for 500K+ participants: 450K+ annual multi-channel contacts and 400K+ claims adjudications
  • Direct 55 FTE contact center + hybrid onshore/offshore claims teams; manage key vendors
  • Spearheaded print/mail outsourcing: reduced staffing 87% while enhancing scalability and reliability
  • Designed and executed claims outsourcing strategy: improved turnaround time, throughput, quality, and compliance
  • Stabilized operations during enterprise migration: redesigned workflows, staffing, and service readiness processes
  • Established governance framework: SLA tracking, productivity standards, and executive operational reporting

Lead Director, Program Management

CVS HEALTH
Remote
12.2022 - 03.2024
  • Directed enterprise-wide transformation of contact center operations and service technology platforms.
  • Developed and led contact center platform migration strategy and execution
  • Implemented AI-enabled support tools: boosted agent productivity and operational efficiency
  • Built CX performance frameworks: metrics dashboards, executive reporting, and governance
  • Led large-scale change management, training, and adoption programs for technology initiatives
  • Led cross-functional teams to develop and implement strategic initiatives enhancing operational efficiency.
  • Analyzed performance metrics to identify improvement opportunities, driving process optimization efforts across departments.
  • Facilitated stakeholder meetings to gather insights and align on project priorities, fostering collaborative decision-making.

Director, Customer Delivery

Optum Financial / Connect Your Care
Tampa, FL
06.2017 - 11.2022

Led global 24/7 customer service organization supporting financial and healthcare benefit products across phone, email, and digital channels. Managed up to 400 employees and $17M+ operating budget.

  • Reduced cost per contact 32% via operational redesign, automation, and workforce optimization
  • Increased IVR self-service deflection from 22% to 63%: significantly lowered live agent demand
  • Improved CSAT from 10% to 68% through service model redesign, enhanced training, and performance management
  • Implemented CX frameworks: service levels, productivity standards, quality programs, and issue resolution
  • Partnered with product/technology teams to eliminate systemic friction and optimize customer journeys

Senior Manager, Customer Delivery

Ceridian
St Petersburg, FL
10.2004 - 05.2017

Led large-scale customer service supporting health and wealth products for 35K+ enterprise clients and brokers. Managed 300+ professionals across multi-channel interactions.

  • Elevated CSAT to 70% range by redesigning delivery models, strengthening training, and enforcing performance accountability
  • Built high-performing teams through strategic hiring, leadership development, and structured performance management
  • Drove workforce planning, operational efficiency, and CX improvements across business units
  • Streamlined operational processes through continuous improvement initiatives, resulting in increased efficiency.
  • Provided strong leadership to enhance team productivity and morale.
  • Improved team performance by providing comprehensive training and fostering a collaborative work environment.

Education

Associate of Science - Business And Finance

New College
Durham, England

Skills

  • Service Level (SLA)
  • CSAT/NPS
  • First Contact Resolution (FCR)
  • Average Handle Time (AHT)
  • Abandon Rate
  • Productivity/Throughput
  • Claims Accuracy
  • Workforce Utilization

Core Leadership Expertise

  • Customer Experience Strategy & Multi-Channel Service Model Design
  • Claims Adjudication & Compliance-Sensitive Operations
  • Operational Transformation, Platform Migration & AI/automation Implementation
  • Workforce Planning, Forecasting, Capacity Modeling & Vendor/BPO Management
  • Knowledge Management, Training, Quality Assurance & Performance Governance
  • Executive CX Reporting, SLA Adherence & Cross-Functional Product/Technology Partnerships

Timeline

Vice President, Participant Services

FloresHR
04.2024 - Current

Lead Director, Program Management

CVS HEALTH
12.2022 - 03.2024

Director, Customer Delivery

Optum Financial / Connect Your Care
06.2017 - 11.2022

Senior Manager, Customer Delivery

Ceridian
10.2004 - 05.2017

Associate of Science - Business And Finance

New College