Self-directed and resourceful leader with 12 years of experience successfully organizing, managing and delivering cross-functional projects. Advances relationships with sway at the executive-level while structuring complex analyses to support strategy in fast-paced and evolving environment. Effective influencer with growth mindset and strong communications skills to summarize and present diverse topics effectively. Ability to apply LEAN concepts, reduce cost by a 10-30% margin, recover cost by as much as 75% with consistent maintenance of meeting or exceeding performance guarantees, 95%+ quality rating and an 89% employee engagement rating.
Overview
14
14
years of professional experience
6
6
years of post-secondary education
3
3
Certificates
Work History
Chief of Staff
State Of Colorado, DORA-DPO
Denver, Colorado
08.2019 - Current
Leader in regulatory compliance support activities for over 55 professions and occupations in Colorado.
Servant leader of 5 direct staff with leadership oversight to 200
Envision analytical frameworks and relevant insights to support prioritization, scoping and effective decision-making.
Manage business operations while overseeing business and fiscal duties.
Champion on-boarding and succession planning processes to address gaps in employee retention and engagement.
Foster solid relationships with Process Excellence, IT and personnel areas to create seamless onboarding, issue resolution and planned, process driven continuum for continued support of applications and infrastructure.
Business owner for cloud based SaaS implementation to include but not limited to strategic relationship management, requirements oversight, organizational change management, and scrum activities.
Manage Product Backlog/Requirements and work closely with Product Owner.
Make recommendations on current and future capabilities.
Participate in hiring, training and performance evaluations to establish and enforce policies and procedures for business functions.
Perform financial and managerial analyses to evaluate data and make recommendations, prepare financial reports, and monitor risk.
Encourage coordination and cooperation among departments and continuous review of interdepartmental processes to support quality control and process improvement.
Develop internal requirements which complied with state regulatory standards to minimize regulatory risks and liability across program.
Develop highly-efficient administrative and program team through ongoing coaching and professional development opportunities.
Focus process on consumer experience outcomes under regulatory environment.
Ensure regular reporting and quality assurance activities completed.
Plan and facilitate meetings.
Lead Equity, Diversity, and Inclusion activities for operations.
Champion on-boarding and succession planning processes to address gaps in employee retention and engagement.
Improve consistency, quality, and timeliness in operations such as administration of Board meetings, fiduciary spend, and reduction of fiscal notes.
Improve communication and employee engagement through informal and formal activities.
Champion tools to track and monitor work to ensure accountability of leadership.
Director Member Experience
Anthem, Inc.
Denver, Colorado
12.2017 - 12.2018
Led 15 managers with leadership responsibilities for over 350 member experience associates in inbound call center settings.
Directed member experience services for 35 National Accounts with various products including but not limited to Anthem Health Guide, Mercer Health Advantage, Anthem Population Health, Engage, and other ASOs.
Built customer confidence by actively listening to concerns and giving resolutions.
Maximized employee engagement by creating multiple opportunities to inspire associates to perform to measurable goals.
Built and strengthened strategic relationships with vendors, companies, and leading healthcare partners.
Recruited and hired experienced management staff to lead customer service teams for National Accounts.
Aligned business processes and activities with corporate objectives to improve operational delivery with focus on customer outcomes.
Worked cross-functionally with leaders across multi-faceted organization with emphasis on employee engagement and customer satisfaction.
Request for Proposals and finalist presentation contributor.
Use systems thinking and business knowledge to solve problems.
Work within matrixed organization and partnered across businesses and functional groups to translate priorities and requirements into concrete operational processes and measurement plans.
Influenced work force management practices to improve call handling times and satisfaction.
Provision of customer service leadership with regard to all facets of operations analysis, performance management, and time entry
Work within voice of customer structure (NPS, FCR, CSAT) to interpret and action team member and customer feedback for improvement.
Develop service policies, programs, and systems to support strategic direction.
Partner with interdepartmental and field leaders to forecast, appraise, and report operating results in terms of performance against plan.
Defined trend setting performance metrics and drive team to meet those metrics.
Aligned business processes and activities with corporate objectives to improve operational delivery with focus on customer outcomes.
Monitored expense process; established budgets and constraints to assure expense goals are met.
Manager, Behavioral Health and EAP
Anthem, Inc.
Denver, CO
06.2010 - 12.2017
Servant leader to 42 clinical staff and over 1700 National and EAP accounts in inbound call center.
Cross-trained existing clinical associates to maximize team agility and performance.
Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands.
Reviewed performance data to monitor and measure productivity, goal progress and activity levels.
Accomplished multiple tasks within established timeframes.
Applied performance data to evaluate and improve operations, target current business conditions and forecast needs.
Evaluated report data to proactively adjust and enhance operations.
Expanded cross-functional organizational capacity by collaborating across departments on priorities, functions and common goals.
Built and maintained positive staff relationships to promote teamwork and better serve members.
Evaluated employees' strengths and assigned tasks based upon experience and training.
Empowered employees to own work, create meaningful resources and training materials, and actively participate in training new members of clinical team.
Championed quality assurance tools to ensure solid clinical practice, elevate member experience, and improve member outcomes.
Involvement in Request for Proposal responses and finalist presentations resulting in significant account gains.
Fostered relationships in matrixed environment to reach first call resolution.
Effectively achieved performance guarantees year over year during tenure as manager.
Influenced sales (5%-40% member growth year over year) through performance metrics and ability to meet wide ranging customer needs.
Responsible for providing requirements, testing and acceptance for new software implementation.
Team member on internal committee responsible for initiating emergency BH/EAP services for customers and communities during high profile incidents throughout United States (i.e. Sandy Hook, San Bernadino, etc.).
Provided clinical oversight of high profile situations.
Provided clinical supervision of staff.
Behavioral Health and EAP Lead
Anthem
Denver, CO
06.2009 - 06.2010
Performed intake procedures according to internal standards.
Managed psychiatric and chemical dependency facility-based and outpatient professional treatment through telephonic or written review.
Managed/assigned more complex cases to other care managers.
Coordinated work and work flow of behavioral health care managers.
Assessed medical necessity and refer to care management programs for complex and high utilization members.
Available as resource to other care managers regarding monitoring of all aspects of members' behavioral health criteria and medical need.
Assisted in implementation of work flow.
Conducted quality assurance audits.
Ensured follow up on complex and/or high profile cases.
Obtained systems access for new and existing staff.
Onboard new clinical staff.
Prepared variety of different written communications, reports and documents to ensure smooth operations.
Served as senior member for 20 clinical staff in inbound call center.
Behavioral Health and EAP Consultant
Wellpoint/Anthem
Denver, CO
04.2008 - 06.2010
Provided case management for insurance members with psychiatric & chemical dependency conditions through telephonic contact.
Engaged members by phone, assessed care needs, developed appropriate care plans, monitored progress to promote optimal functioning & quality of life.
Utilized appropriate screening criteria, knowledge, clinical judgment along with following clinical guidelines to perform duties.
Provided health coaching to qualifying members.
Provided appropriate referrals to internal & external sources.
Completed documentation in clear & concise format within multiple systems.
Assisted members & providers with authorization & claim issues as appropriate.
Met performance metrics and managed up to 50 calls per day.
Member & provider issue resolution.
Participated in behavioral health rounds.
Performed follow-up counseling calls, addressed issues and reported to enable complete tracking.
Resolved complex mental health concerns, assessed possible follow-ups and took action in crisis situations.
Identified high-risk cases and responded per client need with direction of management.
Education
MBA -
Regis University
Denver, CO
06.2015 - 12.2017
Master of Science - Psychology
University of Tasmania
Hobart, TAS, Australia
05.1998 - 01.2000
Master of Education - Counseling Psychology
Springfield College
Springfield, MA
08.1995 - 05.1997
Skills
Strategic planning
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Affiliations
Employee Assistance Professionals Association
Rotary International
Certification
Licensed Professional Counselor (LPC) - 2005-current
Senior Sales Representative at Network International - DPO-Pay & DPO-PayGateSenior Sales Representative at Network International - DPO-Pay & DPO-PayGate