Jennifer (Cronin) O'Keefe Email & Phone Number

Remote

Harvard Pilgrim Health Care

- Facilitated and guided clients in organizational strategy, process redesign,compliance, risk assessment, change management; transformed and optimizedsolutions outcomes.- Transitioned 21 end-to-end business processes to offshore partners in lessthan one year.- Cut interest penalty costs by 67% over 5 years; 30% reduction in 2021.-Spearheaded the successful design and implementation of 78 businessprocess redesigns; guided and led 46 client-initiated project implementations;and completed 1335 analysis requests in one year.-Authored and conceptualized a phased approach for the processing of over 1million claims due to COVID including translating regulations, design, andcompliance with COVID requirements.- Cross-functionally collaborated with Oracle in the design and development ofa new claims adjudication system called OHI (Oracle Health Insurance); drivesleadership for document approval, business requirements, systemconfiguration, and IT administration.- Liaised with stakeholders, senior management, technology developers, andexternal partners.- Piloted the successful creation and innovative “Centralized Analysis Team” inorder for HPHC to review, analyze, and assess issues, enhancements, andmandates; the model has been replicated as 'Best In Class' for the entirecompany.- SME for Service Level Agreements.

Harvard Pilgrim Health Care

- Orchestrated team leadership for professional services; business strategy,information technology strategy, process redesign, organizational design, andchange management.- Championed project management leadership for large-scale projects for scope,timeline, budget, risk assessment/mitigation, predictive analytics, resources,workflow, quality, contracted deliverables including design, planning,forecasting, manpower, scheduling, implementation, CRM, execution, milestonereviews, KPIs, and stakeholder reporting.

Harvard Pilgrim Health Care

- Coordinated several leadership roles including Provider Audit andReconciliation team, Operations Support /Central Analytics Team, Claims Operations, Intake/Mailroom Operations, QA/Audit and UAT. - Owned end-to-end process delivery and stabilization and the development ofoperational and tactical plans to optimize adherence to SLAs.

Harvard Pilgrim Health Care

- Conducted business process and project analysis, needs assessments, andpreliminary benefits analysis to strategically align information technologysolutions with business initiatives.- SME for the configuration, coordination, control, maintenance,troubleshooting, and development of the EXP MACESS Application; cross-functionallytrained and mentored other departments in the support andutilization of the platform.

Harvard Pilgrim Health Care

- Pioneered the project management and overall systematic implementation ofinnovative new technology (EXP MACESS) and optimized the processes to cutcosts and drive efficiencies within Claims Operations.- Guided and fostered the collaboration between operations and IT to ensure ahighly successful ROI for the new technology.

Harvard Pilgrim Health Care

- Directed project analysis as the SME for the MA Commonwealth HealthConnector; oversaw project coordination of deliverables and informationrequests, for the Connector, Sub-Connector, and DOI (Department ofInsurance).- Documented and presented all project status flow reports, presentationmaterials, RAID, and delivered KPI reports to stakeholders.

- Coordinated and controlled a $3 million dollar development program forRaytheon; planning, coordinating, monitoring, supervising, and executing theactions necessary to optimize the contract/program requirements andschedules.- Persuaded and advised customers on cost, schedule, scope, and otherprogrammatic issues.

- Owned responsibility for a $20 million dollar production program for LockheedMartin; managed overall project cost, schedule, and technical performance.- Led the program meetings, and liaised with the Program Manager to maximizeemployee productivity.- Coordinated the preparation of proposals, business plans, work statements,specifications, operating budgets, and financial terms of the contract.