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Click here or scroll down to respond to this candidate -Director ~ Senior Manager of Operations-
Continuous Process Improvement |Project Management | Strategic Planning and
Implementation
Customer Relations | Quality Assurance |Budget and Cost Reduction |Cross-
functional Collaboration and Team Building Staff Leadership and Development
|Qualifications Profile |[pic] |
Detail-oriented, results-driven, and performance-focused manager with
proven expertise in developing ideas and innovative processes to optimize
operational efficiency, increase customer satisfaction, and improve overall
performance. Armed with outstanding leadership experience in managing
diverse range of initiatives and professionals. Fluent in English with
working knowledge of Spanish. Proficient with Microsoft Office Suite (Word,
Excel, PowerPoint), Microsoft Visio and Project, SQL, and Tableau.
|Professional Experience|[pic] |
Blue Cross Blue Shield of Texas (HCSC), Richardson, TX
Senior Manager, Business Reporting 2011-Present
- Manage Service Delivery Organization, Data and Analytics Solutions Team,
providing HCSC Claim and Inquiry Operations with timely performance
reporting, metrics, and complex analytics to avoid and solve operational
issues
- Offer analytics to promote gains in efficiency and cost reduction within
the operation by collaborating with the operation, finance, and quality
teams
- Maintain partnership with the operations leadership in identifying the
reporting needs, creating goals and metrics, and providing data and
process analytics in relation to the operation
- Attend to direct reports of 21 staff including 2 managers, boosting their
performance through effectual coaching
- Incorporate advanced analytics including statistical model and
forecasting to performance analytics support
Career Highlights:
< Pioneered a Data and Analytics Solutions Team in Richardson, Texas
from an initial number of 6 analysts to an expanded team of 2 managers
and 20 analysts across multiple sites
< Served as key contributor in the transition of Data and Analytics
Solutions Team into an a collaborative business partner responsible
for providing performance analytics to operations and senior
leadership
< Efficiently handled the establishment of interactive dashboard tools,
metric reporting, and analysis, emphasizing value on becoming close
and collaborative partner with the business
< Played a pivotal role in streamlining processes by changing major
claims reporting from list reports to interactive dashboards with key
performance indicator (KPI) measures and imbedded analysis
MED3000, Miamisburg, OH
Director, EMS Central Billing Operations 2011
- Spearheaded overall operations including 5 teams, 120 associates, and 5
supervisors while managing 98 clients across five states and a budget of
$8M
- Made use of Six Sigma DMAIC concepts in restructuring billing operations
to a more efficient and cost-effective process-oriented structure; as
well as GE workout and Kaizen approach to engage employees in the
restructuring process
Anthem Blue Cross Blue Shield, Worthington, OH
Manager II, Financial Operations, Overpayment Recovery Operations 2005-
2010
- Rendered strategic oversight to a team of 54 associates, including 3 team
leads, across four locations in managing approximately $100M worth of
claim overpayments for 9 of Anthems 14 states
- Led the implementation of new IT systems into recovery process
Career Highlights:
< Remodeled Operations Recovery Unit which resulted to over 150%
increase in efficiency and 175% in productivity while absorbing 65%
increase in volume
< Lowered accounts receivable aged inventory from $2.5M to $150K in five
months through process improvement initiatives
< Boosted customer relationship by emphasizing customer-first mindset in
the unit
< Achieved substantial improvements in efficiency and reduction in
error rates through application of Six Sigma methodology to process
improvement projects
Earlier Positions Held:
JP Morgan Chase, Columbus, OH
Assistant Vice President, Escrow Tax
Transamerica Real Estate Tax Services, Dallas, TX
Team Lead, Quality and Process Improvement
|Military Experience |[pic] |
United States Marine Corps
Combat Operations in Desert Storm and Desert Shield, Marine Security
Detachment, Naval Magazine Guam
Sergeant | Intelligence Analyst, Third Battalion, First Marines
Corporal 81mm Mortar Platoon Guide | Section Leader, Third Battalion, First
Marines
Corporal / Sergeant of the Guard, Marine Security Detachment, Naval
Magazine Guam
Military Awards:
Combat Action Ribbon | Navy Achievement Medal | Good Conduct Medal w/1 star
|Southwest Asia Service Medal w/ 2stars | Kuwaiti Liberation Medal | Sea
Service Deployment Ribbon w/ 2 stars | Humanitarian Service Medal | Over
Seas Service Ribbon |Two Meritorious Masts for Excellence | Multiple Unit
Commendations
|Education and |[pic] |
|Credentials | |
Bachelor of Science in Business Administration
Ohio State University, Athens, OH
Front-line Leadership and Mid-Level Management Seminar Series
Southern Methodist University, Dallas, TX
Marketing and Advertising
Ohio University, Athens, Ohio
Six Sigma Certification, Sigma Leaders
|Activities |[pic] |
Soccer Referee, North Dallas Area
Vice President of Referee, Richardson Soccer Association
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