ROSHON EVANS
Houston,USA
Summary
Operations and program management leader with over 10 years of experience in high-volume, regulated environments. Proven track record in leading large teams and achieving significant reductions in billing errors and administrative discrepancies. Expertise in financial forecasting, P&L responsibility, and enhancing operational processes through data-driven insights.
Overview
13
13
years of professional experience
Work History
Healthcare Benefits Representative
Connexus
Houston, USA
10.2025 - 05.2026
- Interpreted coverage policy, eligibility, benefit regulations, and prior-authorization criteria in a HIPAA-regulated environment supporting specialty pharmaceutical access — translating complex payer requirements into clear next steps for patients and providers.
- Coordinated processes in a HIPAA-regulated, high-volume specialty access environment to support patient access.
- Collaborated with payer, provider, and internal teams to resolve escalated benefits and authorization inquiries, leveraging escalation-point ownership from prior program-management roles.
- Achieved call-quality benchmarks and ensured audit-ready documentation for every interaction under structured productivity and quality KPI expectations.
Regional Operations & Lease Administrator
Caliber Collision
Lewisville, USA
05.2025 - 10.2025
- Held P&L responsibility across a 100+ location, 10-state regional portfolio, partnering with facility, operations, legal, and finance leaders to align operating standards, hit cost targets, and resolve site-level issues in a hybrid, distributed environment.
- Built and maintained Power BI dashboards and recurring weekly, monthly, and quarterly reporting cadences that gave leadership real-time visibility into portfolio health, risk, and exceptions for committee-level review.
- Researched laws, regulations, and contract provisions for budget and fiscal management across 10-state portfolio, ensuring lease and operational compliance and standardizing procedures.
- Recommended and implemented improved procedures and lean workflow protocols, achieving 30% reduction in administrative discrepancies across regional portfolio.
- 100+ locations across 10 states | P&L accountability
Warranty Operations & Project Manager
HomePro Technology
Carrollton, USA
07.2022 - 05.2025
- Held full P&L accountability for the $2M+ portfolio — managing program margin, billing accuracy, cost-of-claim financial estimates, vendor cost negotiations, and end-of-program settlement recoveries. Achieved 92% forecast accuracy on portfolio-level financial planning.
- Designed, deployed, and continuously improved the end-to-end warranty program for a $2M+ B2B portfolio of 50+ new-home-construction accounts, owning the lifecycle from initiation through investigation, validation, negotiation, and close-out across distributed service teams.
- Interpreted contract language to assess vendor, subcontractor, and OEM responsibility for equipment failure and workmanship claims; negotiated, drafted, and executed end-of-warranty settlements and recovery agreements with OEMs and subcontractors that protected the company's cost position and preserved partner relationships.
- Established early-warning risk indicators, validation checkpoints, and cost-of-claim financial estimates for executive risk reporting; reduced billing errors by 25% and enabled proactive mitigation of exposure.
- Facilitated cross-functional working groups with Operations, Service, Finance, Engineering, and external contractors to identify bottlenecks and standardize workflows; streamlined processes to reduce average cycle time by 22%.
- Built Power BI dashboard reports and recurring KPI cadences (cycle time, claim aging, recovery rate, billing accuracy, forecast variance) used by executive leadership for data-driven decisions on claim progression, risk exposure, and resource allocation.
- Owned hiring, development, coaching, performance management, and disciplinary action for an 85-person operations team — building bench strength, developing direct reports for positions of greater responsibility, and sustaining accountability across a high-volume environment.
Program Administrator & Operations Coordinator
Lafayette Parish School System
Lafayette, USA
12.2012 - 07.2022
- Designed onboarding and training frameworks adopted organization-wide — the same operating-rhythm discipline later scaled to a $2M+ B2B portfolio and a 100+ site, 10-state regional portfolio.
- Coordinated daily activities, attendance, and staff coverage across multiple sites; collaborated with HR and leadership on onboarding, performance documentation, semi-annual reviews, and staff development to enhance operational effectiveness.
- Administered programs across multiple sites to promote consistency in operations and improve service delivery.
- Maintained program documentation and KPI reporting to support audits and regulated reporting cycles, ensuring compliance with standards-based requirements.
Education
Doctor of Business Administration - AI-enabled project management
Franklin University
Columbus, OH05-2026
Master of Business Administration -
Franklin University
Columbus, OHBachelor of Science -
Franklin University
Columbus, OHSkills
- Customer service management
- Healthcare program support
- Patient care coordination
- Team collaboration
- Budget management
- Cost containment
- Claims processing
- Performance metrics
- Data reporting
- Client reporting
- Interdepartmental coordination
- Workflow optimization
- Standard procedure documentation
- Policy understanding
- Provider collaboration
- Stakeholder engagement
- Compliance management
- Resource allocation
- HIPAA awareness
- Patient support processes
- Quality assurance
- Policy research
- Patient communication
- Effective communication
- Technology adaptation
- Staff scheduling
- Onboarding processes
- Training program development
Websites
Certifications And Technical Skills
Power BI (executive dashboards), Microsoft Office Suite — Word, Excel, PowerPoint, Outlook, Asana, Smartsheet, Procore, Generative AI tools for operations & project management
Timeline
Healthcare Benefits Representative
Connexus
10.2025 - 05.2026
Regional Operations & Lease Administrator
Caliber Collision
05.2025 - 10.2025
Warranty Operations & Project Manager
HomePro Technology
07.2022 - 05.2025
Program Administrator & Operations Coordinator
Lafayette Parish School System
12.2012 - 07.2022
Doctor of Business Administration - AI-enabled project management
Franklin University
Master of Business Administration -
Franklin University
Bachelor of Science -
Franklin University