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Business Readiness Manager Resume

4.00/5 (Submit Your Rating)

Mi, DetroiT

SUMMARY:

  • Innovative and resourceful healthcare leader with over 14 years of experience in resolving pain points and implementing efficient solutions. Expertise in program management, process improvement, quality management and relationship - building.
  • Highly motivated business efficiency consultant with passion for healthcare operation optimization through process efficiencies.
  • Execute and lead strategic implementation within claims enrollment and program management division
  • Optimized programs and functions in provider network, wellness & care management and IT through process transformations and improved resource utilization to contribute $23M towards the business transformation goal.
  • Developed standardized methodology for consistent change management effort resulting in improved customer satisfaction
  • Managed multiple concurrent projects and delivered timely quality results within allocated costs
  • Serve as a Divisional Diversity Leader
  • Strategic Business Transformation | Project Management | Lean Six Sigma | Testing & Quality Management | Vendor Management | Process Improvement | Business Relationship Management

PROFESSIONAL EXPERIENCE:

Business Readiness Manager

Confidential, MI, Detroit

  • Change Management by managing process/training/communication needs on complex strategic implementations
  • Financial forecasting, monitoring of project metrics for significant deviations in quality, cost, or schedule
  • Implemented improved processes that created 20% more bandwidth
  • Received 100% satisfaction rating from customers supported
  • Divisional champion for Diversity & Inclusion

Business Efficiency Consultant

Confidential, MI, Detroit

  • Contributed identification of $23M in cost savings through strategic business transformation effort for provider network, Wellness and Care Management, IT & Service Operations
  • Created end to end process maps for 3 functional areas - Provider network, Servicing and wellness and care management.
  • Developed Quality Measures, identified business efficiencies and automation opportunities in the Pre-certification, Pre Authorization and post claim review functions through Value Stream mapping.
  • Conducted Value Analysis, conducted value findings meetings and value syndication to get an agreement on identified cost savings from senior leadership in IT and business areas.

Sr. Test Lead/ Quality Project Manager

Confidential, MI, Detroit

  • Responsible for planning and managing the IT testing projects.
  • Responsible for planning and managing the multiple concurrent IT testing projects.
  • Helped improve test data and environment management processes.
  • Responsible for defining the Test Environment and ensuring the Test Data availability.
  • Delivered high quality test projects on time and within budget
  • Managed large scale cross divisional projects such as Michigan Operating System, ICD10 & Blue Cross Complete Medicaid implementation effort

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