DARCY SCHROEDER

• Cultivated strong relationships with key stakeholders, including customers, vendors, regulators, and community leaders to promote collaboration and long-term success.
• Led teams accountable for Enrollment & Billing, Provider Network Operations, Stoploss Administration, Product Configuration & Group Set-up and Core Systems Configuration.
• Collaborated with senior management to develop strategic initiatives and long term goals across all of Technology and Operations.
• Managed financial planning and budgeting processes for $25M budget, ensuring fiscal responsibility and maximizing return on investments.
• Established partnerships with offshore vendors, negotiating long term contracts, defining KPIs and risk mitigation plans.
• Leveraged technology to automate workflows and streamline processes, resulting in increased productivity and cost savings across the organization.
• Championed talent development programs, promoting employee engagement and retention while enhancing overall workforce capabilities.

• Led multi-process-functional teams comprised of 50+ personnel, for Premera's Product Development, Marketing & Sales and Enrollment & Billing capabilities, while leading configuration teams accountable for defining and maintaining system configurations spanning all operational areas including provider pricing, medical policies, claims and financial mapping.
• Established a 5 year roadmap and KPIs for aligned capabilities and set the foundation used across all other Product Management teams.
• Launched a new and innovative payment bundling functionality transforming Premera’s provider payment modality for high-cost care.

• Led the Enterprise-wide PMO, accountable for the total portfolio of in-flight business and technical initiatives, overseeing a team of Program and Project Managers to ensure collective success in driving $100MM in projects annually.
• Successfully stabilized, right-sized and upskilled the team, operating standards and work culture during continuous change and restructuring.
• Set the Enterprise PMO on track to achieve milestones for significant transformational efforts, including a payer modernization program, the design of an enterprise product platform and multiple technological modernization initiatives across the company.

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• Led IT Service Delivery comprised of over 150+ personnel (Engineers, QA Specialists, System and Configuration Analysts, Product Owners) driving development and support for 60+ applications spanning Medical Management, Provider / Network Management, Product Development, Sales and Marketing.
• Guided the transition from waterfall delivery methods to a Scaled Agile framework, introducing new practices, metrics and engagement models.
• Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.
• Led a vendor evaluation of our core processing system to establish a transformation roadmap.

• Led the configuration of core processing systems to align with product specifications, state and federal guidelines, and contractual obligations with providers.
• Led production support team responding to operational issues, while driving IT enhancements with vendors and internal teams as a chair of an executive-level committee and directing prioritization roadmap.
• Represented Premera within the Blue Strategy Group to define improvement of the core system across various plans to accelerate transformative initiatives with vendor.
• Streamlined department structure, improved efficiency and accuracy while reducing headcount by >10%.

• Engaged with cross-functional internal departments and large-scale provider system to identify operational challenges in service delivery with Premera to drive new and mutually beneficial process and system enhancements.
• Established a new discipline, capability team focused on Commercial Risk Adjustment, working with providers to establish new workflows to manage commercial risk upon the introduction of the Affordable Care Act.
• Launched new Health Assessment Program focused on working with providers to ensure member with chronic conditions received timely and accurate care while defining new data and documentation standards related to claims coding.
• Designed and integrated new workflows and governance for Provider Payment Issue Resolution across the business, defining SLAs, decision-making framework, key KPIs, and reporting guidelines to promote efficiency and streamline resolution.