Summary
Overview
Work History
Education
Skills
Timeline
Generic

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
Wallingford, CT
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
Wallingford, CT
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
Wallingford, CT
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
Wallingford, CT
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

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Reilly Cargan