Summary
Overview
Work History
Education
Skills
Current Role
Additional Contributions
Hobbies and Interests
Work Availability
Quote
Timeline
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KARI BREMER

KARI BREMER

Rochester,NY

Summary

Experienced Analyst with over 20 years in health care insurance industry. Cross-functional experience including marketing, sales, customer service, operations, and project management. Highly organized, initiative-taking, reliable, hardworking, strong diligence, and collaborative personality. Systems analyst, skilled in engaging with stakeholders of all levels to facilitate requirements and gathering documentation. Experienced in design, user acceptance testing (UAT), defect resolution and implementation of technical solutions. Experienced working all Microsoft products. Knowledgeable systems analyst with history of progressive leadership and project management. Delivers key initiatives. Aligns teams, drives collaboration and cohesion to complete projects on time and within budget. Subject Matter Expert; summary of benefits, project management, product knowledge, regulatory document delivery, analytical reporting processes such as initial rate notices and weekly progress reporting. Strong understanding of diverse business intelligence methodologies to improve workflow, productivity, and reliability. Organized and dependable candidate successful at managing multiple priorities with a cheerful outlook. Willingness to take on added responsibilities to meet team goals. Enthusiastic collaborator eager to contribute to team success through demanding work, diligence, and excellent organizational skills. Clear understanding of the interaction of people and training in multiple areas including creating training documents. Motivated to learn, grow, and excel in any type of industry. Focused Project Manager adept at planning, directing and maintaining continuous operations in various departments. Experienced in directing manufacturing employees and keeping efficient production in accordance with quality standards. Applying creative and analytical approach to operations for continuous process improvement. Skilled at identifying or anticipating problems and providing solutions. Excels through mentoring, training and empowering team to excel in performance. Talented professional considered knowledgeable leader and dedicated problem solver. Brings Number years of valuable expertise to forward company objectives. Attentive to detail with experience in coordinating projects, programs and improvements.

Overview

21
21
years of professional experience

Work History

Project Manager

Excellus Health Plan
02.2023 - Current
  • Agile project manager
  • Plans, schedules, monitors, and reports on activities related to dental, initial rate notices, DFS changes, implementation projects and process improvement initiatives
  • Leads project teams in determining customer requirements and translating requirements into operational plans
  • With a combination of other roles simultaneously such as product manager and user experience lead along with program manager responsibilities
  • Assesses, delivery, and refinement
  • Following the launch of a program to an operational stage, manages projects and initiatives determined by leadership that are internal but may also have broader corporate involvement
  • Plans, directs, and coordinates matrixed team's activities to manage and implement assigned and integrated projects and programs through the innovation cycles of products and implementation
  • Project monitoring
  • Problem identification to develop potential solutions, implementing and evaluating outcomes
  • Educates and plans trainings so that staff is up to date on the most innovative and developmental tools
  • Creates training documents so that we have all our processes in place and references for our staff we have the most up to date information, assisting with our Agile training and education for our project management roles
  • Educating sprint processes and guidelines
  • Creating sprint meetings and processes, charting with a clear and concise vision
  • Facilitating meetings with individual contributors, testers, software development, upper management, and senior management
  • Responsible for enhancing communication channels so that there is a clear and concise communication and collaborative environment
  • Acts as a lead and as a contact, company-wide, for projects
  • Responsible for answering questions regarding project and education and make those connections
  • Expertise in networking in a virtual environment
  • Negotiates project proposals based on agile and sprint mindsets and can see the scope of the project
  • Enhances communication and collaboration company-wide, having a knack for making connections.
  • Established effective communication among team members for enhanced collaboration and successful project completion.
  • Streamlined project processes by implementing Agile methodologies, resulting in increased efficiency and reduced costs.

Regulatory document delivery analyst

Excellus Health Plan
09.2019 - 02.2023
  • Encompassing all main duties for contract due dates, compliance dates, and team focus, outlining any new focuses for next year scope
  • Conducting weekly reporting for Vice President of product management, management, direct management consisting of; trends, work completed, error reports, reporting fixes and forecasting
  • Lead on assessments, estimates and execution of project deliverables to common backlog and pipeline
  • Established performance dashboard and tracking mechanism for deliverables
  • Executed data analysis using standard query and data quality tools
  • Built long-term relationships due to prompt and courteous service
  • Streamlined office operations using automation, oversaw client communications, managed record tracking and data communication activities
  • Supported senior company leaders by delivering reports outlining performance to drive process improvements
  • Identified issues, analyzed information, and provided solutions to problems
  • Maintained energy and enthusiasm in demanding environments
  • Assisted with Civica, Sempre Health and Patient Assurance projects
  • Attend meetings and contributes to conversations regarding trends, product activity
  • Contributes feedback for process improvement
  • Created seven different training documents in 2022, contributed training for process improvements
  • Opened lines of communication across the organization to ensure good working relationships and networking.
  • Increased efficiency by streamlining data analysis processes and implementing automation tools.

Customer satisfaction advocacy

Excellus Health Plan
08.2002 - 09.2019
  • Advocating and assisting members, providers, employer groups and pharmacies with their needs, with solid critical thinking skills, patience, friendly and empathic demeanor
  • Assisted with training new recruits, and other departments with customer service, product knowledge and services
  • Lead S.W.O.T teams; with focus on what new, and innovative ways can bring to organization
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
  • Provided primary customer support to internal and external customers
  • Responded to customer requests for products, services, and company information
  • Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions
  • Clarified customer issues and determined root cause of problems to resolve product or service complaints
  • Offered advice and assistance to customers, paying attention to special needs or wants
  • Collected and analyzed customer information to prepare product or service reports
  • Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates
  • Resolved associate, tool and service delivery issues revealed by statistical reports
  • Increased efficiency and performance by monitoring team member productivity and providing feedback
  • Developed and updated databases to manage customer data
  • Implemented and developed customer service training processes
  • Cross-trained and backed up other customer service managers
  • Responded to customer requests, offering excellent support and tailored recommendations to address needs
  • Sought ways to improve processes and services provided
  • Investigated and resolved customer inquiries and complaints quickly
  • Managed over two hundred customer calls per day with 100% retention
  • Organized and managed the Child Health Plus ADHOC retention project
  • Organized and managed marketing tools to deliver to our members improving downstream.
  • Enhanced company reputation for excellent service through diligent monitoring of customer interactions and swift resolution of issues.
  • Boosted customer satisfaction levels by implementing innovative feedback systems and actively addressing concerns.

Education

SOUTHERN NEW HAMPSHIRE UNIVERSITY

Skills

  • 100%
  • 35%
  • 90%
  • 25%
  • 75%
  • Contract Management
  • Staff Retention
  • Conflict Management
  • Project Management
  • Team Bonding
  • Staff Training
  • Project Planning

Current Role

Project Manager

Additional Contributions

  • Updated operational methods and oversaw accounting procedures for improved efficiency.
  • Met project deadlines, developed, and initiated projects, managed costs and monitored performance.
  • Planned, designed, and scheduled phases for large projects.
  • Managed projects from procurement to commission.
  • Maintained compliance with regulatory parameters in complex projects with overlapping policies.
  • Drove team success through shared vision and recognition of quality performance.
  • Accelerated progress by continually reviewing performance, budgets and project timelines.
  • Made decisions independently and collaboratively on financial, budget, or management-related challenges.
  • Modified and directed project plans to meet organizational needs.
  • Attained sales goals with competitive sales competitions which increased our sales margins 200% in product and membership sales.
  • Functioned as liaison between provider payment reimbursement negations.
  • Facilitated meetings with provider relations and director of provider negotiations to produce reimbursement plans.
  • Integrated training for better processes for higher production.
  • Generated invoices upon receipt of billing information and tracked collection progress.
  • Collaborated with department managers to correct problems and improve services, improving efficiency 75% and customer service ratings 100%.
  • Communicated with clients to review and verify client billing requirements.
  • Collaborated effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
  • Applied more than 120,000 dollars in payments per week.
  • Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
  • Reported updates to project specifications and progress.
  • Created and gained project approval on project test plans.
  • Participated in requirements and case reviews.
  • Wrote and maintained detailed internal documentation on developed systems.
  • Mentored and coached team members on QA topics and strategies.
  • Supported company in maintaining work environment focused on quality, communication, collaboration, integration, and teamwork.
  • Reviewed public-facing information for accuracy, relevancy, and timeliness as desired by leadership.
  • Increased vendor productivity by 80% coordinating weekly conference calls.
  • Reviewed financial reports each day and investigated variances with accounting staff to keep records accurate.
  • Performed statistical analyses to gather data for operational and forecast team needs.
  • Implemented troubleshooting, root cause analysis and issue resolution.
  • Introduced new methods, practices, and systems to reduce turnaround time.
  • Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
  • 100% first call resolution.
  • Maintained energy and enthusiasm in demanding environment.
  • Conflict resolution.
  • Negotiation skills.

Hobbies and Interests

  • UPCYCLING FURNITURE
  • CAMPING
  • INTERIOR DECOR

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

Your time is limited, so don’t waste it living someone else’s life.
Steve Jobs

Timeline

Project Manager

Excellus Health Plan
02.2023 - Current

Regulatory document delivery analyst

Excellus Health Plan
09.2019 - 02.2023

Customer satisfaction advocacy

Excellus Health Plan
08.2002 - 09.2019

SOUTHERN NEW HAMPSHIRE UNIVERSITY
KARI BREMER