Summary
Overview
Work History
Education
Skills
Accomplishments
Additional Information - Achievements
Hobbies and Interests
Timeline
BusinessAnalyst
JENNIFER NEEDLE

JENNIFER NEEDLE

Riverview,FL

Summary

Talented professional considered knowledgeable leader and dedicated problem solver. Brings over 30 years of valuable expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs and process improvements.

Overview

25
25
years of professional experience

Work History

Business Change Advisor, Sr Project Manager

Anthem, Inc
07.2018 - Current
  • The Business Change Advisor supports Government Business Division (GBD) business strategies to ensure readiness of operations for GBD Programs and offerings
  • Responsible for identifying and implementing various projects, programs and plans that support achievement of business unit and enterprise goals
  • Primary duties may include but are not limited to: Coordinates the development and implementation of on-going project and programs; ensures program/project meets its stated objectives; provides subject matter expertise for pre-sale, pre-implementation and implementation process
  • Research applicable subject matter practices and remains aware of industry trends
  • Leads efforts to identify best practices
  • Coordinates with Go to Market teams to inform training related to new processes; develops readiness success measures and performs periodic assessment and reports into leadership
  • Evaluates existing products/programs, competitor and industry data to improve existing product operations and make recommendations for new processes
  • Coordinates presentation, communication and implementation of all phases of product operations process development.
  • Successfully managed multiple projects simultaneously by prioritizing tasks according to urgency, resource availability, and alignment with organizational goals.
  • Planned, designed, and scheduled phases for large projects.
  • Met project deadlines without sacrificing build quality or workplace safety.
  • Established effective communication among team members for enhanced collaboration and successful project completion.

Sr Account Executive, Regulatory & Compliance

HealthPlan Services
01.2009 - 12.2016
  • Daily responsibilities would include Client interaction with extensive travel throughout the US to multiple Insurance Carrier's locations
  • Personal book of business included 5 national insurance carriers with approximately 2.7 million in membership
  • Successfully 'Onboard' a new Insurance Carrier onto our platform, from both an IT perspective as well as a Business Operations perspective
  • Since the inception of the Affordable Care Act I have led a team of 25-30 individuals to onboard approximately 1.6 million in membership
  • Successfully 'Onboard' 11 State Based Marketplaces and 36 Federally Facilitated Marketplaces onto our platform for our Insurance Carrier partners
  • Navigating the regulatory differences between State and Federal, my leadership and SME knowledge led a team of 40-50 developers, business rule teams and testing analysts to accurately onboard these entities
  • Created an exclusive relationship with CMS as well as AHIP to create the 'Alpha' group of Insurance Issuers, used as a team of thought leaders to aid the FFM/CMS in the implementation of the ACA
  • Often traveling, providing valuable insight as a SME and speaking for 5-6 of our Issuer partners
  • This group is still in existence and is a key part of making the ACA work from both a business regulatory as well as from an IT perspective
  • Considered a SME for process improvement, Government regulations, our proprietary operating systems and documentation procedures (policy and procedures as well as workflow Visio diagramming)
  • Responsible to train new Account Managers for the HPS best practices as well as work with any additional Vendors that may be working with our company
  • Additional responsibilities have and continue to include: monthly invoice tracking approximately billing in excess of 1.4 million dollars monthly, SLA tracking, Statement of Work review, contract negotiations based on Regulatory guidelines and management of contract expectations, reporting analytics, team leadership and IT architecture, HLD and BRD documentation specialist.
  • Utilized CRM tools effectively to manage client information and track progress on accounts, leading to more accurate forecasting and pipeline management.
  • Increased account retention by building strong relationships with clients and addressing their needs promptly.
  • Negotiated contracts that maximized profit margins while maintaining competitive pricing for clients.
  • Mentored junior account executives, fostering a positive work environment and encouraging professional growth.
  • Maintained comprehensive knowledge of market trends, industry news, and competitor offerings, ensuring informed decision-making and strategic planning.
  • Established long-lasting partnerships with key industry influencers, generating increased brand awareness and credibility.
  • Conducted regular client reviews to assess performance metrics, identifying areas for improvement and implementing necessary changes.
  • Implemented sales strategies that consistently exceeded quarterly revenue targets.

Account Executive/ Retention Director

Broadview Networks
01.1999 - 01.2006
  • Account Manager Director, responsible for the training, coordination and staffing of 12-14 Retention Managers located throughout the North East
  • Managed an account base exceeding 18,000 phone lines and internet connectivity (DSL and fiber optics) for enterprise customers in multiple market areas
  • Responsible for account retention by negotiating and renewing customer contracts, acting as a customer advocate in repair resolution, and providing superior customer service interactions
  • Product suite included voice and data services comprised of T1's, DSL, and POTS services
  • Surpassed company 'churn' objectives by obtaining lowest churn rate in the company history, resulting in winning Presidents Club Award
  • Prepared and presented proposals to customers resulting in fifty three-year contract renewals
  • Created partnership with a major account that resulted in at least two sales referrals weekly for each of my team members
  • Responsible and successfully generating additional revenue often exceeding monthly goals by nearly 30-40% year over year both new and existing customers
  • This included my staff producing the same results.

Education

Associate of Science - Applied Psychology

Utica College
Utica, NY
01.1991

Skills

  • Regulatory Analyst/Manager of ACA Implementation
  • Project management
  • New product delivery
  • State Compliance SME Medicaid
  • Leadership/communication skills
  • Product development
  • Negotiations expert
  • Business operations organization
  • Customer-oriented
  • Research abilities
  • Data Interpretation
  • Coaching/Developing/Training
  • Relationship Building
  • Strategic Planning
  • Training and mentoring
  • Presentations and public speaking

Accomplishments

  • Business Analyst
  • Technical Writing (HLD, BRD, Process Documentation)
  • Project Management Professional, PMP
  • Program Management Certification
  • Business Operations Management
  • Agile Certified
  • IT Team Management
  • Health Insurance Regulatory SME (ACA, Medicare, Medicaid)
  • Government (Affordable Care Act) SME
  • National Sales & Client Acquisition
  • Client, State Based Marketplace & Federally Marketplace Onboarding SME

Additional Information - Achievements

  • President's Club Winner, 5 time
  • Quarter Club Award
  • Leadership recognition awards
  • Successfully launched a large IT and Business Operations project for the Affordable Care Act, managing multiple resources

Hobbies and Interests

  • Transplant Awareness Group
  • Red Cross Aphesis
  • House of Good Shepherd
  • Habitat for Humanity
  • Metropolitan Ministries
  • Goodwill
  • The Stano Foundation

Timeline

Business Change Advisor, Sr Project Manager

Anthem, Inc
07.2018 - Current

Sr Account Executive, Regulatory & Compliance

HealthPlan Services
01.2009 - 12.2016

Account Executive/ Retention Director

Broadview Networks
01.1999 - 01.2006

Associate of Science - Applied Psychology

Utica College

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JENNIFER NEEDLE