Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Quote
Timeline
Hobbies
Generic
Stephanie Wynn-Jones

Stephanie Wynn-Jones

Chesterfield,Virginia

Summary

Experienced Executive Leader specializing in healthcare operations, technology, and strategic transformation. Proven track record in enhancing operational efficiency at CareFirst BCBS and Virginia Premier Health plans. Skilled in cross-functional collaboration, budget oversight, and fostering strong client and vendor relationships. Adept at driving business change, project governance, and operational excellence.

Overview

20
20
years of professional experience
1
1
Certificate

Work History

Executive Director, TPA Operations, PMO, and Technology

- CareFirst BCBS
Fairfax, VA
09.2020 - Current
  • Led 85% of TPA organization to align strategy with productivity targets
  • Oversaw Technical Team to enhance TPA operations through effective project management
  • Implemented ITIL standards, improving IT service management and project oversight
  • Guided strategic direction for quality across operations and claims processing
  • Directed PMO team in developing project best practices and governance frameworks
  • Accountable for customer expansion and retention through superior service delivery
  • Provided strategic direction for quality and coordination across operations and claims processing
  • Managed corporate systems functions, including file interfaces (SFTP/EDI transactions), reporting, business analysis, provider operations, and vendor relationships
  • Executed strategic planning initiatives to drive transformation across the business unit

Director, IT PMO - VA Premier

VCU Health System
Richmond, VA
01.2012 - 09.2020
  • Directed team of Project and Program Managers alongside coordinators (PMO)
  • Managed all IT project and program operations using Waterfall and Agile methodologies
  • Executed complete project life cycle development for various IT initiatives
  • Identified key IT resources and budget requirements for effective project execution
  • Facilitated system integration and application for smooth operational transitions
  • Developed and enforced project best practices, SOPs, and governance frameworks
  • Collaborated with executive committees to address diverse vendor and client needs.
  • Established strategic partnerships to enhance collaboration with key vendors

IT System Administrator & Back Office Manager

- Family Care Home Health
Richmond, VA
01.2005 - 01.2012

Ensured minimal disruption for all end-users through effective maintenance of hardware and software.
Managed administrative needs across two locations to support operational efficiency.
Performed server security tasks to safeguard organizational data and systems.
Streamlined daily functions for both field and in-office personnel through proactive support.

Education

Master of Business Administration -

ECPI University
Richmond, VA

Bachelor of Business Administration -

Strayer University
Richmond, VA

Associates of Computer Information Systems -

ECPI University
Richmond, VA

Skills

  • Executive Leadership
  • Project and Program Management
  • Project Governance
  • Change Management
  • Strategic Planning
  • ITIL Standards Implementation
  • Budget Oversight
  • Forecasting and Analysis
  • Cross-functional Collaboration
  • Process Optimization
  • Regulatory Compliance
  • Business Transformation
  • Organizational Restructuring
  • Portfolio Management
  • Client and Vendor Relations
  • Problem Solving

Certification

  • Project Management Professional (PMP)
  • Certified Scrum Master (CSM)
  • Six Sigma Green Belt
  • ITIL Foundations Certification
  • Certified Government Chief Information Officer (CGCIO)

Accomplishments

  • Implemented new business model, outsourcing business functions to new strategic partners
  • Restructured CFA Operations to meet the needs of the business (Work to FTE Ratio)
  • Reduced Process Single Points of Failure by 75% within the first 3 years
  • Stood up the CFA Project Management Office (PMO)
  • Automated Several Process, to include Claims Invoicing, Claims Pre-Pricing, Routine Report Generations
  • Implemented User Access Management Process for CFA Technology Team to close Compliance gap
  • Created Claims Strategy to Improve CFA’s National Programs Performance (NPP) Score with BCBSA (Score improved from 60% to 90% in 1 year)

Quote

There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins

Timeline

Executive Director, TPA Operations, PMO, and Technology

- CareFirst BCBS
09.2020 - Current

Director, IT PMO - VA Premier

VCU Health System
01.2012 - 09.2020

IT System Administrator & Back Office Manager

- Family Care Home Health
01.2005 - 01.2012

Master of Business Administration -

ECPI University

Bachelor of Business Administration -

Strayer University

Associates of Computer Information Systems -

ECPI University

Hobbies

  • Yearly Team Captain for Richmond Alzheimer's Walk
  • Quality Time with Family and Friends
  • Music & Astronomy Enthusiast