✔️ Consulting Leader and Advisor in assessing and resolving business production/operations inefficiencies, financial management and optimization deficiencies, regulatory compliance complexities, solution, services and information technology challenges, and facilitates/supports turnaround efforts involving organizations, departments/units, programs and projects.

✔️ Supports clients in account and portfolio assessment and management, solution and services market evaluation, assessment, selection, implementation and deployment of core administration, advanced analytical and predictive solutions, mobile, social and digital technologies.

✔️ Performs M&A Day 1 readiness assessments of target business operations and supporting technologies, and supports acquisition integrations, including complex merger and acquisition integrations requiring experienced program management of multiple workstreams and entities.

✔️ Performed Account Health Checks/Assessments to detect revenue leakage, operational risks and supported remediation of identified gaps or issues in account performance; implemented corrective action and preventative action plans to facilitate revenue optimization and/or recovery as well as margin improvement; aligned expectations of division executive leadership with account management executives.

✔️ Implemented Capacity Utilization and Resource/Staffing Model Initiatives to optimize account financial and operational performance, including release of associates that demonstrated habitual patterns of under-performance.

✔️ Managed blended team of forty (40) on-shore and off-shore directs and in-directs, including performance reviews, corrective actions, talent evaluation, retention efforts and hiring, as well as, voluntary and in-voluntary separations.

✔️ Managing Director for strategic Business Intelligence health plan engagements delivering insights to member interactions involving nurse case management, utilization management, healthcare and wellness programs.

✔️ Supported clients in identifying and aligning enterprise investments in member programs and measuring operational productivity and performance of key process improvements.

✔️ Managed and evaluated solutions delivery staff performance and ability to meet and exceed expectations.

✔️ Managing Director providing Program and Project Management (PMO) establishment, leadership and Subject Matter Expertise (SME) in health plan business operation productivity improvements and technology implementations.

✔️ Established enterprise program management frameworks and organizational structure to successfully address operational, technology and regulatory complexities in diverse health plan and healthcare matrix environments.

✔️ Provided leadership and overall management to geographically diverse stakeholders in various health plan business operational departments, segments and technology units.

✔️ Provided subject matter expertise and industry leading practices to insurance and risk management clients that enhanced strategic, tactical and operational efforts to improve business results, compliance, and performance of information technology investments.

✔️ Supported consulting practice service line business development and sales activities averaging $3 million plus and managed revenue of approximately $1 million on annual basis.

✔️ Performed performance reviews of junior and senior consulting staff involved with internal project and client engagements that identified talent development opportunities to support professional and personal growth.

✔️ Supported industry organizations with insurance and risk management issues.

✔️ Performed selection and implementation of software solutions and applications.

✔️ Managed work-streams involving Sarbanes Oxley 404 compliance and readiness.

✔️ Conducted audits and assessments on operational and corporate strategies.

✔️ Responsible for supporting Claim Executive and Branch Claim Managers in claim department administration, operational analysis and strategy development. Reported to Senior Claim Executive.

✔️ Identified target areas of opportunity for cost containment penetration, operational streamlining and production improvement through automation and data mining/modeling.

✔️ Responsible for supporting Claim Executive and Branch Claim Managers in claim department administration, operational analysis and strategy development. Reported to Senior Claim Executive.

✔️ Responsible for the national workers’ compensation claim management program for Burger King Corporation.

✔️ Managed project teams in the implementation and electronic integration of medical cost containment organization into daily claim business and system operations.

✔️ Investigated, processed and settled large volume of workers’ compensation claims.