Accomplished executive leader with a proven history of launching and managing large-scale projects from conception to completion. Expertise in collaborating with business partners to develop solutions, deliver new capabilities, and improve ongoing performance. Strong communicator with technical, business, and financial expertise, effectively conveying information across all organizational levels.
Directed over 100 staff while managing an annual budget exceeding $20 million.
Championed strategic planning and relationship management to elevate operational performance.
Executed a three-year, $24 million capabilities plan to improve scalability and real-time monitoring.
Streamlined project budgets to maximize resource allocation and minimize waste.
Oversaw coordination of member services, enrollment, claims processing, provider relations, and quality improvement initiatives.
Directed operational stability for seven Medicare clients.
Managed claims, enrollment, configuration, appeals, grievances, and mailroom vendor operations.
Developed strategic plans for compliance and logical design in both new development and legacy remediation.
Oversaw planning, coordination, configuration and implementation of new programs and technologies to drive strategic initiatives.
Developed strategies for successful migrations and transitions from legacy platforms.
Responded to external regulatory changes affecting systems, including HIPAA and ICD-10 compliance.
Designed client service delivery methodologies and training programs across multiple platforms.
Maintained advanced technical skills in Mainframe legacy systems, FACETS, IDX, QCSI/QNXT, and Health Edge environments.
Developed and executed strategic visions, analyzing market trends to identify growth opportunities.
Assisted in leading discovery and solution development for key strategic initiatives.
Analyzed business processes to identify deficiencies and created actionable recommendation plans.
Executed large-scale strategy projects involving multiple stakeholders, including offshore teams.
Led team of configuration professionals to enhance planning and control of configuration items across enterprise.
Collaborated with cross-functional teams to establish and enforce configuration standards and policies.
Implemented configuration management tools, optimizing processes and ensuring regulatory compliance.
Delivered advanced expertise in planning, executing, and overseeing configuration management processes.
Executed release management strategies to ensure timely deployment.
Mentored configuration analysts to enhance team performance.
Conducted audits and assessments to ensure compliance with standards.
Implemented and maintained configuration management processes across enterprise systems.
Analyzed, documented, and managed configuration items for operational efficiency.
Configured benefits, pricing, and enrollment processes for health plans.
Conducted audits of configurations to ensure compliance and accuracy.