Derek Grey Email & Phone Number

Greater New Orleans Area

After a long-standing tenure with Blue Cross Blue Shield, I moved into a senior consulting role with accountability over business transformation through process improvement in direct coordination with the company’s CEO and executive leadership team. On a remote basis, I effectively monitor all departmental controls and operations across 1000+ employees and 26 states. Through comprehensive monitoring, I have also been able to identify and correct inefficiencies, gaps in service, areas with high risk exposure, dips in productivity, and more. In particular, my key continuous improvement successes to date have included: ● Establishment of incentive programs based on key areas of business focus (cost control, opportunity capitalization and risk reduction), which has increased employee performance, amplified productivity and boosted morale. ● Development of reporting tools to improve operational practices, reduce costs, and increase profit margin. ● Implementation of process standardization tools including documentation and reporting guidelines and ongoing creation of a Standard Operational Procedure (SOP) manual.

Flowood, Ms

In this culminating role with BCBSMS, I was a multi-program manager directing high-quality completion of National Committee for Quality Insurance Standards (NCQA) and Utilization Review Accreditation Commission (URAC) case management accreditation processes. Throughout the 4 promotions leading up to this role, I maintained my previous responsibilities while adding on additional leadership oversight. With this role in particular, my leadership responsibilities reached new heights in that I was the organization’s CEO-appointed NP and FEP executive for our organization. While in this role, my key successes included: ● Recruiting, leading and training 3 Evaluators in obtaining National Committee for Quality Assurance Standards accreditation (8 total Evaluators, Analysts and Testing Specialists under management scope). ● Spearheading creation of a training manual and improvement proposals to drive executive awareness and performance across Healthcare Effectiveness Data and Information Set (HEDIS) and Consumer Assessment of Healthcare Providers and Systems (CAHPS).

Manager, National Programs, Federal Employee Programs And Operational Compliance

As a Senior Manager over multiple programs (NP, FEP and Operational Compliance), I still led a team of analysts and specialists (responsibilities which carried over from previous role), but with added focus on increasing the efficiency and accuracy of projects, communications, and documentation within our department. With this new focus, I led a team of audit examiners in reviewing all external communications and internal documentation. I also maintained project management/oversight functions and implemented SOPs around these business functions.

Flowood, Ms

After 3 years in an Analyst role, I moved into my first management role with BCBSMS with purview over a process improvement team of analysis and specialists providing solutions with regards to performance optimization. My key successes included: ● Serving as an internal Subject Matter Expert (SME) in federal requirements, brand regulations and company policy with associated counsel provided to leadership on risk reduction and compliance measures. ● Increasing Federal Employee Program market share to over 75% in competitive market (9 statewide competitors) by instituting strategy comprised of active fieldwork and direct engagement initiatives.● Ranking #1 in scorecard performance (nationwide Blue Plans) and being recognized for raising quality standards, identifying gaps in service, implementing new customer engagement strategies, and measuring financial and quality performance.

Flowood, Ms

As a Business Analyst, I impacted the company by maintaining compliance with brand regulations and policies. This was my first role in the health insurance arena and as such, I established a solid industry foundation. As I gained more knowledge, I also took on more responsibility with the assessment, preparation, and integration processes of major technical projects.

Vicksburg, Ms

Before my time in the health insurance field, I accrued leadership experience in a different area of consumer services as a bank Branch Manager. From this early role, I learned foundational lessons as it related to team leadership, relationship management, service promotion, and more.