Reilly Cargan
North Haven,CT
Summary
Experienced professional with solid background in driving organizational change and managing business transformation projects. Successfully led multiple cross-functional initiatives that improved operational efficiency and streamlined processes. Demonstrates effective stakeholder management and strategic planning skills.
Overview
17
17
years of professional experience
Work History
Business Change Manager/Claims Process Expert
Anthem/Elevance
11.2021 - 06.2025
- Partner with business stakeholders to review and validate requirements, test cases and production claims
- Review and validate large sets of claims data for small, large and national groups to ensure accuracy and requirements have been met
- Present production claims findings and recommendations to leadership for current and future releases
- Update documentation and refinement of future testing and claims procedures
- Responsible for approving the production release of system IT updates
- Analyzed workflow patterns to identify bottlenecks and recommend corrective actions.
- Collaborated with cross-functional teams to implement new technologies for process optimization.
- Served as a subject matter expert on specific processes providing guidance and support to other team members when needed.
Business Change Manager
Anthem/Elevance
01.2014 - 11.2021
- Responsible for coordinating and evaluating User Acceptance Testing (UAT) for large and small scale projects
- Create and maintain UAT Test plans and UAT project documents
- Lead UAT meetings and provide UAT update at project meetings
- Developed and executed change management strategies to enhance organizational efficiency.
- Facilitated stakeholder engagement sessions to gather feedback and drive alignment on change initiatives.
- Analyzed impact of changes on operations, ensuring minimal disruption during transitions.
Business Analyst III
Anthem/Elevance
06.2009 - 01.2014
- Claims testing for State and Federal benefit and coverage mandates
- Developed detailed documentation for business processes and system requirements.
- Facilitated stakeholder meetings to gather insights and align project objectives with business goals.
- Championed adoption of new tools and systems, enhancing reporting capabilities across departments.
- Actively participated in team meetings to share knowledge, exchange ideas, address challenges, and collaborate on potential solutions.
- Developed high-quality documentation to support training efforts, helping employees fully understand new systems and procedures.
Senior Contract Administrator
Anthem/Elevance
06.2008 - 06.2009
- Knowledge of Federal & State legislation mandates
- Understanding of legislation and benefit legislation filing guidelines
- Developed and implemented contract management processes ensuring compliance with legal and organizational standards.
- Led cross-functional teams to facilitate contract execution and adherence across various departments.
- Streamlined contract renewal procedures, reducing turnaround time while maintaining high-quality standards in documentation.
- Reviewed contracts by verifying accuracy and resolving discrepancies.
Education
BA - Communications
Central Connecticut State University
05.1997
Skills
- Business process improvement
- Influencing skills
- Organizational change management
- Stakeholder management
Timeline
Business Change Manager/Claims Process Expert
Anthem/Elevance
11.2021 - 06.2025
Business Change Manager
Anthem/Elevance
01.2014 - 11.2021
Business Analyst III
Anthem/Elevance
06.2009 - 01.2014
Senior Contract Administrator
Anthem/Elevance
06.2008 - 06.2009
BA - Communications
Central Connecticut State University