Company Overview: Dell Services acquired by NTT DATA in 2016. I was recruited to rejoin the organization to support Healthcare Payer BPO solutions.
Responsibility for Healthcare Payer Business Process Solution oversight for prospective and existing clients.
Key deliverables would be Request for Proposal/Information (RFP/RFI) responses and client renewal proposals.
Deliverables include solution design, costing, and coordination with all service and technical teams to ensure a cohesive model.
Dell Services acquired by NTT DATA in 2016. I was recruited to rejoin the organization to support Healthcare Payer BPO solutions.
AVP, Solution Architect - Healthcare
Genpact
02.2015 - 04.2018
Responsibility for creation of Business Process Solutions for prospective and existing Healthcare Payer clients.
This included solution design, costing, and coordination with all service and technical teams to ensure a cohesive model.
Customer Delivery Executive
Dell Services
10.2012 - 01.2015
Responsibility for overall Business Process Operations.
Service delivery model includes Claims, Call Center, Enrollment, and Billing for the Medicare Advantage component of a large Blues plan.
Areas of focus include, but are not limited to:
Establishment and oversight of the BPO organization
Customer Relationship
Budget Responsibilities
Re-Engineering Initiatives
Succession Planning
Reporting
Delivery Director - Compliance and Administration
Dell Services
08.2010 - 10.2012
Responsibility for contract compliance, customer governance, facilities, security, audit program, service level program, finance, and procurement for regional Healthcare Payer client.
BPO Director
Dell Services
01.2008 - 08.2010
Responsibility for overall Business Process Operations for a global service delivery model: Claims and Membership for a small Blues Plan as well as Claim Operations overflow support for a secondary small Blues Plan.
Areas of focus include but are not limited to:
Organizational Oversight
Budget Responsibilities
Client Relationship
Re-Engineering Initiatives for the consolidated organization
Succession Planning
Reporting
Director
Perot Systems
01.2001 - 11.2009
Company Overview: Perot System acquired by Dell in 2009.
When first joining Perot Systems, I started out as the Metrics & Technical Manager for the BPO Payer operations.
In this role I had responsibility for creation and maintenance of the databases and intranet site for the BPO team.
In 2004 I was promoted to the Sr Manager for PMO, UAT, & Reporting for a small Blues Plan.
Prime responsibility was establishment of a support services model for the BPO team.
Once established and in steady state, I was promoted to Quality Manager.
In this role, I was responsible for development and oversight of the Account Quality Program.
The program included but is not limited to: ISO, CMMI, SLO process improvements, Customer Satisfaction, and associate education and awareness.
In October 2007 I was asked to be the Interim Claim Director with oversight of the entire Claim operation.
In January 2008, I was promoted to BPO Director with responsibility for all BPO Payer operations: Claims, Call Center, and Membership.
Perot System acquired by Dell in 2009.
Product Manager
Dental Dental of MA
10.1991 - 12.2000
Over the nine years with Delta Dental of Massachusetts I served in several roles.
I started out as a customer service representative.
Shortly thereafter, I was promoted to team lead within customer service.
Following that I moved to leadership with oversight of the Office Services team.
This team handled all front end and back end claim operations as well as oversight for facilities and procurement.
I was also part of a two-person team which provided end user review of new claim system.
In September of 1994, I was promoted to Product Manager.
In this role, I was responsible for
Administration of the claims system
Facilitation of all aspects of the DeltaCare product via collaborating with other corporate division members
Recruitment and network management of three provider networks
Management of claim operations and call center
Represent local needs to national Product Entity, DeltaUSA
Director - Cloud & Infrastructure Services at NTT DATA Services (Previously NTT/Netmagic)Director - Cloud & Infrastructure Services at NTT DATA Services (Previously NTT/Netmagic)