Justin Dethier Email & Phone Number

Tampa, Florida, United States

-Responsible for the accurate and timely configuration of the Laboratory Benefits Management Rules Engine (APEA) for 17 health plan clients.-Responsible for Quality Assurance of Production configurations, ensuring SLA levels are maintained with clients.-Work with Core Implementation Team (CIT) to ensure APEA configurations for new clients are quality checked and put into Production environment.-Work with Avalon senior level leadership on process improvement initiatives.… Show more -Responsible for the accurate and timely configuration of the Laboratory Benefits Management Rules Engine (APEA) for 17 health plan clients.-Responsible for Quality Assurance of Production configurations, ensuring SLA levels are maintained with clients.-Work with Core Implementation Team (CIT) to ensure APEA configurations for new clients are quality checked and put into Production environment.-Work with Avalon senior level leadership on process improvement initiatives. -Provide strategic leadership for direction of APEA configuration.-Managing 3 onshore analysts and 4 offshore analysts in daily tasks and process improvement related to APEA configuration and quality assurance. Show less

Tampa/St. Petersburg, Florida Area

-Responsible for the configuration of the Laboratory Benefits Management (LBM) Rules Engine, which includes verification against medical policy algorithm documentation.-Created 1 million+ use cases to test against all possible medical policy permutations to ensure the LBM Rules Engine is processing edits correctly.-Configuration of Ready! API test suites in order to process 1 million+ test cases.-Responsible for validation of global rules process flow as it relates to the LBM Rules… Show more -Responsible for the configuration of the Laboratory Benefits Management (LBM) Rules Engine, which includes verification against medical policy algorithm documentation.-Created 1 million+ use cases to test against all possible medical policy permutations to ensure the LBM Rules Engine is processing edits correctly.-Configuration of Ready! API test suites in order to process 1 million+ test cases.-Responsible for validation of global rules process flow as it relates to the LBM Rules Engine.-Understanding of healthcare procedure codes, diagnosis codes, and laboratory codes and how these are represented within medical policy and LBM Rules Engine management/configuration.-Creation and modification of operational reports out of DB2 environment. Show less

Tampa/St. Petersburg, Florida Area

-Responsible for the Human Capital Scorecard, which is sent out monthly to PWC Human Capital leadership. The Scorecard contains metrics that are instrumental in helping Firm Human Capital leaders make informed and adaptive decisions regarding PwC’s staff.-Implemented process improvements that decreased time it takes to do the Human Capital Scorecard by 25%. -Created backend operational reporting structure for PwC future firm wide pilot talent assessment tool. Responsible for moving… Show more -Responsible for the Human Capital Scorecard, which is sent out monthly to PWC Human Capital leadership. The Scorecard contains metrics that are instrumental in helping Firm Human Capital leaders make informed and adaptive decisions regarding PwC’s staff.-Implemented process improvements that decreased time it takes to do the Human Capital Scorecard by 25%. -Created backend operational reporting structure for PwC future firm wide pilot talent assessment tool. Responsible for moving the talent assessment operational reporting to production using SQL Server Analysis Services and Tabular Modeling.-Ad hoc reporting in PeopleSoft for various Human Capital stakeholders throughout the Firm. Show less

Enterprise Master Data – Enterprise Master Data SpecialistDevelop and publish global data standards, policies and processes required to effectively manage the company's enterprise master data across the material domain. Modify these standards, policies and processes as needed when customer requirements, business requirements and/or systems change.Collaborate globally and across both processes and data domains to ensure all needs are met with respect to the material data domain. Provide… Show more Enterprise Master Data – Enterprise Master Data SpecialistDevelop and publish global data standards, policies and processes required to effectively manage the company's enterprise master data across the material domain. Modify these standards, policies and processes as needed when customer requirements, business requirements and/or systems change.Collaborate globally and across both processes and data domains to ensure all needs are met with respect to the material data domain. Provide input to enterprise master data process development as needed to address material data domain needs in a manner that is integrated with business needs. Create process mapping for business functional areas using Business Process Management Notation (BPMN).Monitor all functions on utilization of company's enterprise master data governance policies and procedures within the material domain. This includes using SQL to analyze data against established data standards in order to find errant data due to incorrect master data procedures and/or data entry errors.Utilize advanced analytical tools and routines to maintain and improve the quality and integrity of the company's enterprise master data files.Develop KPIs to monitor and measure actual data quality and process effectiveness.Provide direction and guidance to Analyst I’s in the creation and modification of data quality queries. Analyze Analyst I’s data quality query output to ensure it is meeting the established data standards criteria as well as meeting the requirements of the functional area within the business. Show less

Took over the position of EC Settlement Supervisor for Canada reactive service activities in December 2008 when it was transitioned to Shared Services, adding to my other responsibility of CCNA Billing Supervisor.Responsible for the two revenue generating processes of the Equipment Control Department.Effectively organized my group in order to eliminate added headcount to fulfill Canada responsibilities. Responsible for overseeing the accurate daily settlement of Canada reactive… Show more Took over the position of EC Settlement Supervisor for Canada reactive service activities in December 2008 when it was transitioned to Shared Services, adding to my other responsibility of CCNA Billing Supervisor.Responsible for the two revenue generating processes of the Equipment Control Department.Effectively organized my group in order to eliminate added headcount to fulfill Canada responsibilities. Responsible for overseeing the accurate daily settlement of Canada reactive service activities.Responsible for overseeing the accurate keying of cash and charge invoices for Canada reactive service activities. Show less

Supervisor of a team of 4 clerks responsible for billing CCNA Fountain for rejected equipment service invoices.Responsible for ensuring departmental accuracy in maximizing service revenue by managing service work order process between CCE and CCNA Fountain.Built Access models and BASIS queries in order to standardize the billing process and maximize service revenue for a process that was centralized into the Shared Services environment from six Business Units.Decreased the amount of… Show more Supervisor of a team of 4 clerks responsible for billing CCNA Fountain for rejected equipment service invoices.Responsible for ensuring departmental accuracy in maximizing service revenue by managing service work order process between CCE and CCNA Fountain.Built Access models and BASIS queries in order to standardize the billing process and maximize service revenue for a process that was centralized into the Shared Services environment from six Business Units.Decreased the amount of lost revenue. In contact with Business Unit Directors and Market Unit Service Managers in order to come up with policy changes and escalation calendars. Monitored and managed workload to clerks.Ensured the proper training and development of direct reports.Assured goals and objectives were met for service area.Wrote documentation or policy changes as needed.Utilized conflict resolution skills among varying group member situations. Show less

Maintained the fuel card program for Coca-Cola Enterprises’ North American Business Units. Processed and verified applications for all new fuel cards issued in the field. Processed card deactivations, cost center moves, credit level increases and decreases, one-time fuel authorizations, and maintained the vehicle master pool for Business Units. Ran ad hoc reports for Business Unit senior level management and analysts.Communicated with Business Unit level management as well as… Show more Maintained the fuel card program for Coca-Cola Enterprises’ North American Business Units. Processed and verified applications for all new fuel cards issued in the field. Processed card deactivations, cost center moves, credit level increases and decreases, one-time fuel authorizations, and maintained the vehicle master pool for Business Units. Ran ad hoc reports for Business Unit senior level management and analysts.Communicated with Business Unit level management as well as employees throughout the field to ensure that Coca-Cola Enterprises’ North American fleet remained fueled and on the road. Show less

Analyzed data obtained from various computer applications in order to audit Coca-Cola drivers to ensure fraud was not occurring on their routes.Communicated with Coca-Cola customers to verify payment information on invoices being audited. Wrote violation reports when drivers were caught committing fraudulent activities.Developed a spreadsheet that improved the efficiency of the audit process.

M.B.A., Business Administration

B.S. Business Administration, Marketing/Management