Deb Chase Email & Phone Number

Woodland Hills, California

Benefits and Provider Contract Pricing Configuration, Provider Data Management, Capitation and Claims Oversight Operations. Focused on mitigating Medicare, Individual Market and MediCal system migration issues and stabilizing operations. Restructure and automate provider data management data entry processes resulting in annual savings of $1.4 million and 55% offshore staff reduction. Improved cross functional relationships by reorganizing process and responsibilities. Achieved savings approximately $1 million annually.

Commercial and Medicaid enrollment and account receivables outsourcing.Implemented complex AZ/CA/OR member enrollment, billing and accounts receivables policy and processes to support 2014 healthcare reform on the Federal Marketplace. Developed processes and system requirements for Oregon and Covered California exchanges. Restructured 23 distinct business processes involving 250 FTE’s and 2 legacy/20 support systems. Achieved projected annual savings of $3.5 million.

Led business unit sales, finance and underwriting team on company wide strategic claims and membership software implementation.

Meeting planning, Travel, Facilities, Office Services and Sourcing. Reduced vendor expense from 10 – 15% per project, saving approximately $250,000. Managed the implementation of PeopleSoft and Lawson purchasing modules and processes. Created expense and contract controls, data structure to analyze and manage expenditures and policies to support systems and processes

Seven customer and provider call centers averaging 30,000 calls per day, three multi-million dollar outsource programs and company wide process improvement projects. Improved call center service answer levels from 65% to 95% and decreased abandonment rates from 17.8% to 1.1%. Substantially increased interaction with Claims, Provider Network Management, and Membership minimizing error driven call volumes.Developed and implemented three-year, $20 million project which created state-of-the-art print-on-demand. Estimated first year savings of $1.8 million with $30 million over 10 years.Orchestrated three major construction and relocation projects in a two-year period with a $58 million operating budget covering 558,000 total square feet.