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Network Power<100 people
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Startup Founder
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IT
✨100%
Business Owner
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United Kingdom
Work Background
Gainwell TechnologiesSenior Director, Client Services and Analytics
Jul. 2019Irving, Texas, United StatesSenior leader focused on driving product growth and innovation within Gainwell’s $400M Coordination of Benefits (COB) line of business by bringing new product concepts to market and leading large-scale performance improvement projects. Accomplishments include: • Led the development and implementation of a state-of-the-art Business Rules Management System, providing advanced analytical capabilities for internal and external client stakeholders and generating $22M in revenue. • Led the development and market release of a new, innovative Cost Avoidance solution expected to generate 20% -30% in client claim savings, making HMS first to market in providing such a service. • Designed product strategy roadmap outlining strategic vision, direction, and future innovation plans for COB line of business. • Established standard metrics and reporting to track key performance indicators and overall product ROI. Additional Responsibilities include: • Establish market research strategy to effectively aggregate market data from client feedback, competitive research, and other sources. • Maintain strong, collaborative client partnerships to ensure performance targets are met and product strategy is aligned with client needs. • Using metrics and data, identify and drive enterprise end to end process improvements to close the gap on metric actual performance to goal. • Provide consistent executive-level communication of overall product strategy and financial performance.
HMSSenior Director, Yield Management
Jul. 2014 - Jun. 2019Irving, TXSenior Operations Leader responsible for data analytics, operational process improvement and new product solutions for Coordination of Benefits (COB) and Payment Integrity product lines, as well as direct management of the COB Claim Billing/Payment operations and denial management functions. • Lead efforts in producing over $180M in revenue in 5 years through numerous process improvement initiatives and new solutions. • Develops key performance metrics and dashboards used to measure the on-going performance of the company’s main products and services and identify areas for improvement. • Implements LEAN Six Sigma methodologies to promote continuous process improvement focused on maximizing product yield and quality. • Consult with clients to identify opportunities to drive better results and develop new solutions that achieve desired value. • Implement predictive analytics/AI to drive increased performance in COB Billing/Recovery and Denial Management • Lead strategic planning of product development and innovation to maintain market strength and promote future product growth. • Create a sustainable engagement model between Operations and Client Services areas to understand client needs, analyze potential opportunities, and execute solutions.
HMSDirector, Operations - Cost Avoidance
Oct. 2011 - Jul. 2014• Responsible for leading a large multi-functional operations team, playing an integral role in the production, creation, and delivery of the Cost Avoidance product for more than 150 different clients, producing over $140M in revenue annually. • Manage a team of 30 business analysts and managers, mentoring, training, and ensuring that their projects are completed correctly, efficiently, and are maximized to their full revenue potential. • Lead the development of the department’s strategic direction and objectives, focusing on process efficiency, quality, and throughput/yield maximization. • Develop the department’s P&L budget and ensure adherence to the budget. • Oversee overall staff administration, including permanent or temporary employee staffing models, recruiting, performance management, and salary administration, with oversight of exempt and non-exempt staff. • Act in a senior management capacity and participate as a member of the Operations management team.
HMSManager, Operations - Cost Avoidance
Jan. 2009 - Sep. 2011
Health Management SystemsBusiness Analyst, Cost Avoidance
Mar. 2007 - Dec. 2008
ACS Healthcare Provider SolutionsDB Calculations Analyst
Feb. 2005 - Mar. 2007
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