Kathleen Dalton Email & Phone Number

Senior-level accounting and financial operations professional actively seeking an opportunity in the healthcare or health insurance industry where my experience and skills will improve process efficiencies.

Accountable for the accuracy, timeliness, and accounting of all cash receipts, claims disbursements, administrative expenses, and company bank accounts. Selected, implemented, and upgraded internal and third-party vendor cash receipts and disbursement systems.Accomplishments: • Teamed with a cross-functional management team to select the TriZetto System, a state-of-the-art insurance claims processing and billing system. Selected ClearCycle, a financial payment and payment… Show more Accountable for the accuracy, timeliness, and accounting of all cash receipts, claims disbursements, administrative expenses, and company bank accounts. Selected, implemented, and upgraded internal and third-party vendor cash receipts and disbursement systems.Accomplishments: • Teamed with a cross-functional management team to select the TriZetto System, a state-of-the-art insurance claims processing and billing system. Selected ClearCycle, a financial payment and payment reconciliation system, as a financial enhancement to the TriZetto System functionality. The TriZetto/ClearCycle Systems’ conversion began in August 2009 and is scheduled to complete in March 2013.• Selected Callidus Software System, a state-of-the-art broker commission/incentive payment system, to replace the company’s in-house commission payment system. Prepared and presented the business case to obtain company funding and resources for the project. System was implemented on schedule in January 2009. • Implemented the federally-funded Center for Medicare and Medicaid Services (CMS) Regional Part D Drug Program. • Successfully implemented electronic funds transfer systems for providers, vendors, brokers, and members. • Transitioned an in-house payroll system to an outsourced model with Ceridian HR/Payroll Web. Show less

Providence, Rhode Island Area

Directed all financial areas of BlueCross' HMO managed-care company, Coordinated Health Partners, Inc., (BlueCHiP), including accounting, billing, collections, financial planning and analysis, and state and federal regulatory programs and reporting.Accomplishments:• Teamed with senior staff to turn around the managed-care company’s financial results from a $23.2M loss in 1998 to an $11.0M profit in 2004.• Successfully merged Coordinated Health Partners into Blue Cross & Blue… Show more Directed all financial areas of BlueCross' HMO managed-care company, Coordinated Health Partners, Inc., (BlueCHiP), including accounting, billing, collections, financial planning and analysis, and state and federal regulatory programs and reporting.Accomplishments:• Teamed with senior staff to turn around the managed-care company’s financial results from a $23.2M loss in 1998 to an $11.0M profit in 2004.• Successfully merged Coordinated Health Partners into Blue Cross & Blue Shield of RI including: - transitioning the managed care business into the corporate billing and claims processing system, - combining the company’s managed care product lines with BlueCross product lines, - relocating staff and transitioning employees’ work responsibilities and processes, and - preparing financial reports and explanations effecting the change of ownership for state and federal regulators.• Participated in financial contract negotiations with the RI Dept. of Health & Human Services, hospitals, and physician groups who chose to share financial risk for BlueCross’ Medicaid, Medicare, and Commercial members. Show less

Charlestown, Massachusetts

Accountable for all company financial functions including accounting, billing, collection, payroll, payable/purchasing, financial planning and analysis, state and federal regulatory reporting, and tax filings.Accomplishments:• Implemented Oracle’s integrated financial general ledger and accounts payable/purchasing systems on schedule and within budget. • Served on a 12-person senior management leadership team responsible for policy decisions to meet the company’s present… Show more Accountable for all company financial functions including accounting, billing, collection, payroll, payable/purchasing, financial planning and analysis, state and federal regulatory reporting, and tax filings.Accomplishments:• Implemented Oracle’s integrated financial general ledger and accounts payable/purchasing systems on schedule and within budget. • Served on a 12-person senior management leadership team responsible for policy decisions to meet the company’s present goals and ensure the company’s future success. Show less

Mansfield, Massachusetts

Directed the financial activities of a $132M Industrial Products Division with 10 industry-focused business units including the budgeting and planning activities of the division and its three manufacturing plants.

Bachelor Of Science (Bs), Business Administration, Management And Operations, Cum Laude

Master Of Business Administration (Mba), Business Administration And Management, General