Anthony Scuderi
Worcester,Massachusetts
Summary
Results-oriented professional with long tenured history of success. Over twenty five years of direct supervisory experience overseeing employees with varied expertise, including medical professionals and claim handlers. Energetic self-starter with the ability to motivate others. Looking to leverage management skills to help drive organizational success. Significant strength in employee development and engagement. Strategic thinker with exceptional problem solving and project management skills. Strong written and verbal communication skills.
Overview
19
19
years of professional experience
Work History
Site Administrator
Reliant Medical Group
11.2018 - Current
- Provide leadership and management in collaboration with the physician dyad
- Meet with physician dyads regularly to discuss department initiatives and strategies
- Responsible for the operational management and coordination of the overall day-to-day activities, clinical services, and programs
- Identify and implement strategies and tools used to foster provider and staff engagement
- Create a positive work environment geared towards maximizing staff retention
- Collaborate with physicians and leadership team to develop and implement the practice business plans, measure performance, and develop and implement improvements
- Develop, maintain and report key metrics that identify drivers of business performance of the site and point to areas of action if there are discrepancies
- Participate in other regional projects geared towards operational effectiveness and efficiency
- Analyze problems/issues systematically and logically and provide thoughtful solutions
- Build and maintain relationships with all disciplines throughout the organization.
- Coordinated staff meetings and events to foster communication, teamwork, and professional development opportunities for team members.
- Served as point of contact for facility maintenance requests, coordinating prompt resolution of issues impacting daily operations.
- Assisted in the recruitment process by screening candidates, conducting interviews, and providing recommendations for hiring decisions based on qualifications and fit within the organization culture.
- Conducted thorough site inspections, identifying potential issues and taking corrective action as necessary.
Director Of Operations
Fresenius Medical Care North America
04.2017 - 11.2018
- Directed and oversaw the dialysis business of assigned facilities within a defined area through effective leadership and management of customer service, quality patient care, marketing of FMS and responsible fiscal management
- Coordinated operation strategies and activities to ensure the provision of outstanding quality patient care and dialysis services while adhering to regulatory and company guidelines and requirements ensuring efficiency and economy
- Participated in the development of area strategic plans, goals and objectives ensuring alignment with those of the region, division and company
- Implemented, disseminated and administered operations strategies and objectives to ensure the achievement of the divisions and company's goals and objectives
- Collaborated with RVP to develop clinic budgets, monitoring performance to ensure optimal, efficient and effective operations practices within regulatory and company guidelines
- Responsible for profit and loss management of each assigned facility/program including optimal performance of facility operations to achieve or exceed budgets and key performance indicators
- Responsible for developing and maintaining strong Medical Director and physician relationships and facilitating Clinical Manager and staff relationships with physicians
- Prepared reports and audits of procedures and processes to monitor efficiency of operations.
Assistant Vice President, Regional Operations
Unum
01.2016 - 10.2016
- Provided direct supervision of a claim region charged with the adjudication of over 1000 individual disability claims
- Managed an organization of 25-30 individuals, consisting of Regional Directors, Claim Examiners, and Quality Compliance Consultants
- Assured that portfolio of claims was handled in line with state regulatory requirements
- Monitored metrics in relation to overall quality and customer satisfaction in regards to claim handling
- Responsible for the operational and financial performance of claim portfolio in relation to historical expectations
- Accessed and analyzed claim data for identification of trends in performance.
- Collaborated closely with executive leadership to align department goals with overall company objectives, resulting in stronger organizational cohesion.
Clinical / Vocational Director
Unum
09.2012 - 01.2016
- Developed and led department wide initiatives focused on gains in efficiency, effectiveness, and employee development
- Engaged in ongoing professional development of all direct reports
- Established strong partnerships with professional partners both within and cross company campus'
- Managed relationships with other insurance carriers pertaining to claim audits / reviews
- First non-medical / vocational professional hired into position
- Managed the overall performance of 11 Clinical Consultants
- Directed and coordinated high quality clinical work product in support of the claim evaluation process
- Monitored inventory of work on a daily basis to assure time service standards were being met
- Provided oversight to assure staff written work product and personal interactions maintained high levels of quality
- Supported attainment and maintenance of appropriate professional certifications.
Disability Claim Director - General Medical Unit, Complex Claim Unit
Unum
06.2005 - 09.2012
- Responsible for performance of team of claim handlers
- Unit oversaw claims dealing with most complex issues involving but not limited to co-morbid medical conditions, unique occupational duties, or complicated contractual scenarios
- Accountable for sign off on all liability determinations for compliance with department policy and procedures
- Oversaw team of claims professionals responsible for extending lump sum settlement offers on non-disputed claims
- Monitored all offers that were to be extended to assure alignment with established practices, taking into consideration issues of mortality and other claim factors
- Responsible for monitoring of time sensitive settlement agreements and processing of settlement payments.
Education
Master of Business Administration (M.B.A.) - Finance, Human Resource Management
Clark University
Worcester, Massachusetts06.1994
Bachelor's Degree - Economics
Clark University
Worcester, Massachusetts06.1993
Skills
- Employee Engagement
- Proficiency in data review
- Time Management Skills
- Organizational Skills
- Self Driven
- Customer Support
- Training and mentoring
Timeline
Site Administrator
Reliant Medical Group
11.2018 - Current
Director Of Operations
Fresenius Medical Care North America
04.2017 - 11.2018
Assistant Vice President, Regional Operations
Unum
01.2016 - 10.2016
Clinical / Vocational Director
Unum
09.2012 - 01.2016
Disability Claim Director - General Medical Unit, Complex Claim Unit
Unum
06.2005 - 09.2012
Master of Business Administration (M.B.A.) - Finance, Human Resource Management
Clark University
Bachelor's Degree - Economics
Clark University