Deb Brady Email & Phone Number

Spokane, WA

• Responsible for leading a team of specialists managing the Third Party Administration for 900+ small group employers and their 25,000 employees. Services included group implementation, enrollment, premium billing.
• Transitioned from one to seven Trusts, complying with the complex requirements of the Affordable Care Act
• Led team through 300% membership growth in twelve months
• Implemented technology improvements, eliminating dual entry for 100% of COBRA participants
• Partnered with consultant to source and select replacement medical carriers, ensuring uninterrupted access to affordable medical benefits
• Streamlined and improved premium payment and collection by implementing remote deposit processing, ACH, e-Billing, and delinquent procedures

• Responsible for leading multi-state operations teams of 170+ associates that provided customer service, claims administration, membership, and billing generating $160M monthly premium
• Managed a $11.6M budget, while consistently meeting targets through process improvements
• Redesigned new group implementation processes, resulting in more efficient work flows and procedures, a 49% reduction in turnaround time, and a 98% increase in process quality rating
• Implemented continuous improvement initiatives, reducing the enrollment cycle times by 60%, and increasing enrollment experience quality to 99% for existing customers
• Planned and implemented strategies to convert to a new technology platform, resulting in on-time conversion, and no divisional down-time
• Led efforts to open a remote office on schedule, with a fully staffed and trained team, to effectively service walk-in members and provide call center support

• Accountable for developing, implementing and maintaining all system group and membership information, billing, accounts receivable, account reconciliation and broker commissions corporate wide.
• Established, monitored and took corrective action on departmental operating standards and procedures in support of HMO, PPO, POS, Medicare + Choice and Medicaid lines of business.
• Analyzed automated systems and developed specifications for enhancements including implementation of electronic enrollment interface.
• Directed the selection, hiring, training and development of departmental Directors, Managers and Supervisors.
• Reduced average days in accounts receivable from 28 days to 15 days
• Established past due and collections procedures further supporting collection of outstanding premiums.

• Directed all facets of activities related to the relationship with the customer including implementation and service, administration of membership data, Member Services Call Center, contract review and administration..
• Developed lucrative business relationships with clients. Managed several Fortune 100 accounts.
• Reduced claim processing cycle time from 45 days to 10 days in three months.
• Obtained over 100 client references in less than one year through service improvement efforts.

• Manage enrollment and service activities for HMO and PPO accounts. Prepared Broker commissions, membership reporting, premium billing and reconciliation for accounts located in Arizona and Nevada. Prepared budget.
• Through process redesign and improved job alignment improved enrollment cycle time by 30%.
• Implemented quality tracking and improvement efforts resulting in higher customer satisfaction.

• Managed service operations staff of 21 providing customer service ranging from billing to claim resolution for Commercial HMO accounts located in Arizona and California. Prepared and administered annual budget.
• Planned and implemented launch of the Service Center delivering higher levels of customer satisfaction.
• Improved operating efficiency and reduced costs by consolidating functions and hiring staff. New group implementation cycle time was improved by 50%.

• Directed all enrollment processing activities and card production/distribution for prescription drug programs for 45 million members. Prepared and administered the annual budget, hiring and training of managers and.
• Successfully implemented electronic data interchange methodologies for receiving enrollment data. Achieved higher quality of enrollment data and reduced cycle times.Held other management positions in Training and.