Summary
Overview
Work History
Education
Skills
Education And Interests
Timeline
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Maurine Long

Tampa,Florida

Summary

My experience providing leadership in a customer service role is to continue to use my skills and expertise in a position with an organization that has strong cultural values, which believes in serving customers with compassion and empathy while delivering exceptional services.

My experience providing leadership in a customer service role is to continue to use my skills and expertise in a position with an organization that has strong cultural values, which believes in serving customers with compassion and empathy while delivering exceptional services. My success as a leader: Built strong network of business partners within the organization. Ability to navigate through an extraordinarily complex matrix environment. Developed and managed high performing leaders & teams with a strong focus in employee engagement and retention. Strongly believe in fostering a diverse workplace to maximize innovation diversity and inclusion. Established capacity planning and budget management in production environments by maximizing resources with a strong focus on managing the metrics /quality and cost. Implemented projects and process improvement strategies that resulted in positive impacts on the business and Consumers. Successfully led large scale system migrations to improve the client and employee experience.

Overview

31
31
years of professional experience

Work History

Director, Customer Care

Magellan Health
01.2022 - 02.2025
  • Closely partnered with clinical teams to ensure customers’ plans of care and authorizations were reviewed timely with little to no disruptions to patients care
  • Maximized and managed resources to meet and exceed all metric targets
  • Participated in requests for proposals (RFP) process for potential new clients by highlighting evidence best practices that would fit their business based on proven success
  • Led internal business forums with leaders and subject matter experts to identify and fix process gaps that had downstream impacts
  • Led two large scale system implementations: Genesys and TruCare systems to optimize phone inquiries, as well as clinical outcomes based on client needs using TruCare
  • Influenced hiring needs based on forecast and planning processes
  • Managed a team that served the public sector Medicaid clients by providing staff with the appropriate training and tools to effectively answer complex questions about their health care
  • Implemented employee scorecards and competency matrix for staff to monitor and track performance ongoing feedback to staff

Director, United Strategic Platform, Provider/Member Services Operations

UNITEDHEALTH GROUP
04.2017 - 09.2021
  • Promoted from Associate Director to lead a new large-scale call center operation through change management for the largest system migration at UnitedHealth Group
  • Accountable for Building and leading global & domestic operational teams in the Philippines and India to support business operations and call volumes
  • Certified in business continuity strategies across business to ensure little disruption to customers
  • Implemented process improvements by leveraging key business partners to apply six sigma and lean methodologies to drive consistency and quality while simplifying the customer and employee experience
  • Accountable for key business metrics including accountability to financial metrics and cost savings
  • Implemented key operational savings and cost reductions as necessary to ensure administrative costs are in control
  • Built strong relationships to meet business goals and customer expectations
  • Attracted and retained high performing customer centric leadership team

Associate Director, UnitedHealth Care Benefit Services/HCE

UNITEDHEALTH GROUP
01.2014 - 12.2017
  • Achieved key performance metrics, including customer satisfaction, quality, compliance, employee engagement and financial objectives
  • Direct overall operations determine performance metrics and design tools to measure progress and ensure consistent achievement of business plans
  • Lead momentous change initiatives that improved customer experience
  • Ensuring all changes are carefully planned and implemented with little disruption
  • Established and maintained positive relationships with peers and key stakeholders by constructively communicating issues and opportunities to improve processes and operational effectiveness
  • Inspired employees to deliver compassionate, efficient, and effective service to consumers, brokers, and employer groups
  • Led, developed, and retained a high performing customer centric leadership team
  • Implemented staffing plans that resulted in large-scale hiring in both domestic and global locations
  • Collaborates with employees and business partners to identify and remediate performance gaps that impact on the member experience
  • Responsible for Global business partners’ performance within Optum Global Advantage

Sr. Business Manager – Broker and Employer Operations

UNITEDHEALTH GROUP
01.2001 - 12.2014
  • Successfully managed multiple locations that provided enrollment, billing and Cobra inquires for brokers, employers, and consumers across multiple lines of business
  • Partnered with health plans and sales organization to expedite urgent enrollment needs to ensure employers /brokers members received services
  • Created process improvement methodologies across the business to streamline process to ensure maximum quality delivery to customers with a strong focus on enrollment, billing, and benefits
  • Planned and executed cost saving initiatives and projects
  • Recruitment planning and execution by attracting and retaining top talent
  • Led and participated in strategic planning and budgeting
  • Recognized for top employee engagement measures year over year

Supervisor management in enrollment and Customer Care

UNITEDHEALTH GROUP
01.1994 - 12.2001

Education

Business Certificate -

Pinellas Technical Institute

Skills

  • Team collaboration
  • Strategies and goals
  • Staff management
  • People management
  • Business planning
  • Team building
  • Contract and vendor management
  • Problem-solving
  • Verbal and written communication
  • Analytical thinking
  • Creativity and innovation
  • Change management
  • Financial management
  • Relationship building
  • Budget management
  • Financial planning
  • Legal and regulatory compliance
  • Crisis management
  • Hiring and retention
  • Information technology management
  • Goal setting
  • Contract management
  • Issues resolution
  • Business administration
  • Performance management
  • Process improvement
  • Vendor relationship management
  • Regulatory compliance
  • Industry knowledge
  • Cross-functional team leadership
  • Organizational skills
  • Team leadership
  • Staff training/development

Education And Interests

Ms. Long has pursued various leadership, and technical training programs and holds a business certificate in data processing., Zumba fitness, bicycling, community volunteering

Timeline

Director, Customer Care

Magellan Health
01.2022 - 02.2025

Director, United Strategic Platform, Provider/Member Services Operations

UNITEDHEALTH GROUP
04.2017 - 09.2021

Associate Director, UnitedHealth Care Benefit Services/HCE

UNITEDHEALTH GROUP
01.2014 - 12.2017

Sr. Business Manager – Broker and Employer Operations

UNITEDHEALTH GROUP
01.2001 - 12.2014

Supervisor management in enrollment and Customer Care

UNITEDHEALTH GROUP
01.1994 - 12.2001

Business Certificate -

Pinellas Technical Institute
Maurine Long