Frederick Sumner Email & Phone Number

Ho-Ho-Kus, Nj, Us

Hartford, Ct; Remote

Collaborate cross-functionally within Business Technology and with Client Implementations, Product Development, Business Project Office and other areas on new client implementations and upsell of new products to existing clients.Facilitate and responsible for all Business Technology related aspects of Implementations, working internally within BT with Architects, Development Managers, Business Systems Analysts, Quality Assurance and others to ensure BT meets project timeline and… Show more Collaborate cross-functionally within Business Technology and with Client Implementations, Product Development, Business Project Office and other areas on new client implementations and upsell of new products to existing clients.Facilitate and responsible for all Business Technology related aspects of Implementations, working internally within BT with Architects, Development Managers, Business Systems Analysts, Quality Assurance and others to ensure BT meets project timeline and budget.Monitor delivery execution across all phases of project, managing Technical Work Plans and Budget, tracking Issues & Risks to resolution and escalating when necessary to ensure visibility and accountability.Collaborate with Account Management and CareCentrix clients to maximize value of Business Technology solutions.Facilitate internal and external meetings related to Business Technology initiatives and client development requests. Show less

Franklin Lakes, Nj

Led team of Client Account Managers supporting more than 100 Commercial Division clients. Collaborated with Sales in RFP process and Best & Final client meetings to retain existing and win new business. Responsible for all service-related aspects of client relationship for teams’ assigned book of clients. Served as escalation point for issues impacting clients. Represented Commercial Division related to IT Systems development.• Championed quick resolution to client-impacting issues… Show more Led team of Client Account Managers supporting more than 100 Commercial Division clients. Collaborated with Sales in RFP process and Best & Final client meetings to retain existing and win new business. Responsible for all service-related aspects of client relationship for teams’ assigned book of clients. Served as escalation point for issues impacting clients. Represented Commercial Division related to IT Systems development.• Championed quick resolution to client-impacting issues which resulted in renewing out-to-bid clients• Coached team on effectively managing client requests/deliverables to ensure clients’ expectations met or exceeded• Demonstrated varying approaches to request/issue research which greatly improved response times Show less

Franklin Lakes, Nj

Managed team of Business Requirements/Systems Analysts within IT, collaborating with Account Management to implement custom systems solutions on behalf of Commercial Division clients. Team facilitated requirements from inception through analysis, funding, and execution. Team also utilized for cross-functional expertise to assist resolving client-impacting issues.• Attended client meetings to assist with highly complex client requests/requirements• Encouraged partnership across… Show more Managed team of Business Requirements/Systems Analysts within IT, collaborating with Account Management to implement custom systems solutions on behalf of Commercial Division clients. Team facilitated requirements from inception through analysis, funding, and execution. Team also utilized for cross-functional expertise to assist resolving client-impacting issues.• Attended client meetings to assist with highly complex client requests/requirements• Encouraged partnership across business and IT to strategize cost-effective solutions to client requests• Collaborated with peers across IT to ensure client-requested system enhancements were delivered per agreements• Team successfully implemented more than 100 client projects in two years Show less

Franklin Lakes, Nj

Served as member of Strategic Leadership Team supporting 1200+ Employer and State Government clients, 14 million members and $17B in annual drug spend. Provided leadership to team of Business Requirements Facilitators who ensured business objectives were clearly defined for development & Quality Assurance teams and that systems development was configurable, scalable and operationally efficient. Collaborated with business leaders across organization to address and overcome obstacles to… Show more Served as member of Strategic Leadership Team supporting 1200+ Employer and State Government clients, 14 million members and $17B in annual drug spend. Provided leadership to team of Business Requirements Facilitators who ensured business objectives were clearly defined for development & Quality Assurance teams and that systems development was configurable, scalable and operationally efficient. Collaborated with business leaders across organization to address and overcome obstacles to strategic initiatives.• Led cross-functional teams implementing enterprise enhancements• Provided Business Leadership to Agile Scrum Team implementing next-generation end-user platform Show less

Franklin Lakes, Nj

Collaborated with Account Management Senior Leadership and clients to address client & consultant issues/concerns. Facilitated weekly Market Group forum where new client implementations were discussed in detail with focus on identifying issues and solutions. Managed team of Business Requirements/Systems Analysts whose function was to work directly with clients and/or clients’ vendors to implement data transfers related to the implementation of new clients onto the Medco platform. Provided… Show more Collaborated with Account Management Senior Leadership and clients to address client & consultant issues/concerns. Facilitated weekly Market Group forum where new client implementations were discussed in detail with focus on identifying issues and solutions. Managed team of Business Requirements/Systems Analysts whose function was to work directly with clients and/or clients’ vendors to implement data transfers related to the implementation of new clients onto the Medco platform. Provided guidance and training related to client-initiated complex cross-functional requirements.• Spearheaded implementation of several enterprise applications that improved accuracy and throughput thereby reducing defects and cost• Conceptualized and Championed end-user client requirements gathering tool for 80+ users• Initiated and led project to map and optimize complex business processes which reduced hand-offs, minimized defects and resulted in significant savings Show less

Franklin Lakes, Nj

Led four teams within Business Operations, which included a Functional Requirements Team, a client Benefit Management Team, a Pharmacy Enrollment Team and a Pharmacy Network Configuration Team. Collaborated with Business Owners and IT to optimize efficiency and resiliency of systems.• Implemented protocols for the review and validation of Requirements to ensure systems development did not create unacceptable operational dependencies• Implemented processes that reduced operational… Show more Led four teams within Business Operations, which included a Functional Requirements Team, a client Benefit Management Team, a Pharmacy Enrollment Team and a Pharmacy Network Configuration Team. Collaborated with Business Owners and IT to optimize efficiency and resiliency of systems.• Implemented protocols for the review and validation of Requirements to ensure systems development did not create unacceptable operational dependencies• Implemented processes that reduced operational errors by 85 percent in first year.• Worked directly with large clients to implement major system enhancements.• Allocated resources to implement automation thereby eliminating potential human error in Provider Network QC process and reduced QC time by 80 percent Show less

Franklin Lakes, Nj

Collaborated with Account Management and clients to define clients’ business requirements.• Directly supported some of Medco’s largest clients, including many Blue Cross/Blue Shield plans, Managed Care and large employer clients• Successfully implemented more than 100 client and enterprise requirements• Represented Medco’s interests to the PBM Coalition to ensure agreements aligned with Medco’s business objectives

New York, Ny

Collaborated with hospital patient Accounts Receivable (AR) areas to generate billings to State Medicaid Agencies. Processed AR files, managed billing cycles, reviewed data/reporting to ensure billing accuracy. Forecasted client receivables and HMS revenue• Identified and addressed errors in standard processes that over-estimated client revenue, thereby improving HMS revenue forecasting.• Streamlined processes to ensure billings maximized client reimbursement and HMS revenue\