Mark Wegryn
Mount Pleasant,SC
Summary
Operations Executive with over 24 years of experience structuring and implementing profit-maximizing solutions for healthcare organizations.
Demonstrates business acumen by providing results in a constantly evolving, dynamic industry. Company leaders who make stakeholders, customers, and employees a priority.
Creates an inclusive environment of trust, respect, and support. Committed to developing leadership qualities in others to promote innovation and continuous improvement. Collaborative strategic partner who can provide solutions to complicated problems, break down silos with transparent communication, strategic planning, and create a united vision.
Deftly navigates cross-functional teams while improving quality and decreasing costs. Certified Six Sigma Master Black Belt skilled at balancing cost, quality, and compliance with productivity and profitability. Establishes and executes successful plans to optimize all key industry metrics. Well-respected adjunct professor of economics at both the MBA and undergraduate levels.
Leverages teaching acumen, regardless of professional challenge.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Professor
College of Charleston
01.2022 - Current
- Enhanced student understanding by designing interactive and engaging lectures.
- Demonstrated strong interpersonal and communication skills, resulting in clear subject matter discussion with students.
- Created dynamic learning environment that valued instructor and student interaction.
- Encouraged class discussions by building discussions into lessons, actively soliciting input, asking open-ended questions and using techniques to track student participation.
- Evaluated student progress using both formative and summative assessments to provide targeted feedback for continuous improvement.
- Ensured curriculum alignment with academic standards through regular course review and updates.
- Increased course relevance by incorporating real-world examples and case studies into lesson plans.
- Established and maintained inclusive, collegial and collaborative culture within classroom.
- Used different learning modes and types of technology to engage students in achieving learning outcomes.
- Developed innovative teaching methods tailored to diverse learning styles, enhancing student comprehension and success rates.
- Developed diversified course curriculum to meet regulatory standards and support learning objectives.
VP Operations/Client Delivery Executive
NTT Data for Blue Cross Blue Shield of Rhode Island
06.2018 - Current
- Company Overview: NTT ($20B revenue) provides onsite business process outsourcer (BPO) service to Blue Cross Blue Shield of Rhode Island ($1.7B)
- Leading 650+ person organization across 3 continents and oversaw a $50M health plan operation, which included Claims Operations, Member and Provider Call Centers, Workforce Management, Quality, Training, Commercial and Medicare enrollment, Configuration Operations, and Provider Credentialing. BCBSRI outsourced its operations to NTT to deliver high-quality products and services and establish enterprise automation governance. Created strategic direction, scaled resources, and streamlined business processes, boosting productivity and minimizing costs to increase profit margin.
- Designed and sold new products, which increased account revenue by 35% and gained 90,000 new members for BCBSRI.
- Implemented strategic plan with a global team to transform account, resulting in a $10M improvement in Gross Margin in five years.
- Reduced Service Level Agreement (SLA) penalties by 80% after developing a comprehensive Operations Dashboard and implementing a Continuous Improvement program to monitor and drive improvement for productivity, quality, and customer satisfaction metrics. Achieved CMS 5-Star Rating. Improvements led to client contract renewal.
- Developed an automated management process consistent with strategic plan that improved IT reliability and productivity, reducing labor hours lost by 90% in first two years.
- Executed business continuity during Covid-19 pandemic that forced 650+ global employees to work virtually without any loss of quality or productivity.
Independent Consultant for AIM Specialty Health / Anthem
AIM / Anthem
06.2017 - 06.2018
- Company Overview: AIM ($378M) is a specialty benefit management subsidiary of Anthem ($100B+), a health benefits company.
- Retained as an Independent Consultant to create a unified Solution Implementation process across all Anthem subsidiaries.
- Designed and implemented a unified Solutions Execution process allowing for execution of new clinical edits 3 months ahead of schedule.
Vice President, Performance Improvement
Visiting Nurse Service of New York (VNS) Choice Health Plan
03.2016 - 06.2017
- Company Overview: VNS ($1.4B) is a healthcare plan offering home-based managed long-term care (MLTC) benefits and services.
- Focused on performance improvement, training, project management, and reliability. Managed 4 direct reports and oversaw department of 50 employees.
- Facilitated creation and execution of a strategic plan with cross-functional Senior Leadership team. Developed goals to break down existing functional silos to achieve operational excellence.
- Designed scorecard and built critical processes to measure performance and track strategic goal achievement, including portfolio management, process improvement, project prioritization, project execution, and UAT.
- Grew Medicare and MLTC revenue by 15%, improved productivity by 15% and shrank disenrollment and medical waste by 10% within 1 year.
- Facilitated identification and implementation of new claims platform.
Vice President, Strategy Management and Implementation
Healthfirst
12.2011 - 03.2016
- Company Overview: Healthfirst ($8B) provides health insurance for all government-paid programs, including Medicare Advantage for 1.3M NY members.
- Developed and launched an enterprise-wide strategic plan (SWOT analysis, strategy map, strategic vision, and implementation plan) that capitalized on performance improvement (PI) and project management (PM) methodologies. Managed staff of 75 and led project management, process improvement, dedicated testing, and reliability / quality programs. Developed short, medium, and long-range goals for critical elements of business, including population health, claims operations, and customer service.
- Chaired Operations Steering Committee that achieved all strategic goals to unite various functions and improve service quality, consistency, and efficiency by 2014. Delivered 86% of requirements on time without reliability issues.
- Increased gross margin by 6% and achieved significant savings from a portfolio of process improvement projects.
- Tripled number of IT projects completion rate within 2 years after implementing the Portfolio Planning and Execution Process.
- Redesigned reliability program, ensuring organization resolved issues that affected members, providers, or internal productivity issues within 4 business days.
- Increased first pass resolution rate for claims by 25% after improving revenue cycle management (RCM) process.
- Increased percentage of submitted error-free requirements by 76% after establishing a cross-functional project management process to improve service reliability.
AVP, Six Sigma in Operations
Medco Health Solutions
07.2000 - 12.2011
- Company Overview: Medco ($70B in 2011) was an American Pharmacy Benefits Management (PBM) company purchased by Express Scripts, Inc. (ESI) in 2012.
- Hired to streamline business quality and service at a $1.3B operation, including the call center, clinical front-end, back-end dispensing, and mail-order pharmacy at each of the 15 locations nationwide. Created and implemented Six Sigma (DMAIC, DMADV, Lean, Jumpstart, 5S) process improvements and standardized reporting for clinical, quality, service, and productivity. Delivered quantifiable goals for clinical, operational, and service leaders throughout operations.
Education
Certificate Of Technical Studies - AI in Healthcare
Massachusetts Institute of Technology
Cambridge, MA04.2024
Leading Digital Transformation in Healthcare - Completed
Harvard Medical School
Boston, MA05.2023
Master’s degree in Public Health (MPH) - Health Policy and Management
Columbia University
New York, NY04.1995
Bachelor’s degree (BA) - Marketing and Finance
Muhlenberg College
Allentown, PASkills
- Strategic Digital Transformation Planning & Execution
- P&L Oversight
- Business Analysis
- Process Improvement
- Claims Operations Management
- Program & Project Management
- User Acceptance Testing (UAT) Process
- On & Offshore Team Leadership
- Change Management
- System Reliability
- Portfolio Management Process
- Training & Development
- Budget and Strategic Alignment
Certification
- Certified Master Black Belt – Six Sigma Partners
- Certified Black Belt Instructor – Air Academy
Affiliations
Board Member of the Center for Hope Hospice, 2013 - 2018 | Chaired Development Committee
Additional Experience
- Adjunct Professor, Economics | College of Charleston, Charleston, SC | 2022- present | International, Macro, Micro
- Adjunct Professor, Economics, Health Care | DeSales University, Center Valley, PA | 1996 - 2020
- Taught 30 classes with 400+ students about healthcare challenges in business and society with a highly interactive teaching style.
Timeline
Professor
College of Charleston
01.2022 - Current
VP Operations/Client Delivery Executive
NTT Data for Blue Cross Blue Shield of Rhode Island
06.2018 - Current
Independent Consultant for AIM Specialty Health / Anthem
AIM / Anthem
06.2017 - 06.2018
Vice President, Performance Improvement
Visiting Nurse Service of New York (VNS) Choice Health Plan
03.2016 - 06.2017
Vice President, Strategy Management and Implementation
Healthfirst
12.2011 - 03.2016
AVP, Six Sigma in Operations
Medco Health Solutions
07.2000 - 12.2011
Bachelor’s degree (BA) - Marketing and Finance
Muhlenberg College
Certificate Of Technical Studies - AI in Healthcare
Massachusetts Institute of Technology
Leading Digital Transformation in Healthcare - Completed
Harvard Medical School
Master’s degree in Public Health (MPH) - Health Policy and Management
Columbia University
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