Kathryn Roach Email & Phone Number

Hartford, Connecticut, Us

Advisory, operational, and leadership role for member and provider facing risk adjustment programs and other revenue based programs in the Revenue Management Department. * Assisted Director of Revenue Management in defining and leading strategic business initiatives from development through successful implement. Programs year over year are yielding ROI ratios in the double digits which has translated into millions in revenue.* Created a new end to end process under tight deadlines for the ceding of individuals to the Maine reinsurance pool that has resulted in double digit reimbursements year over year.* Served in advisory role to Director of Revenue Management on design and implementation of the Revenue Management organizational structure to optimize limited resources while growing revenues.

Support the Director of Revenue Management and Chief Actuary in facilitating, defining, and organizing resources and initiatives to improve company wide performance under the Affordable Care Act. Responsibilities include managing the RFP process, negotiating contracts, vendor implementations, ongoing vendor oversight, facilitating and leading a cross functional "think tank" to generate new strategic initiatives or opportunities to change existing policy and procedures. * Recipient of the CFO Award in recognition of efforts and results* Assisted Director of Revenue Management in defining the newly created Revenue Management department strategic business initiatives from development through successful implement. Programs year over year are yielding ROI ratios in the double digits which has translated into millions in revenue.* Created, implement, and improved the Affordable Care Act Risk Adjustment Data Validation Audit processes that allowed for the cost avoidance of 3 FTEs.* Negotiated vendor contracts and renewals year over year realizing significant cost savings with additional services.* Implemented vendor services ahead of schedule consistently securing immediate return on investment.* Negotiated shared cross functional process and personnel efficiencies resulting in the organizational approval of 3 new FTEs.

Senior Program and Project Manager for corporate and finance projects. * Translated 4 Affordable Care Act provisions into business requirements* Responsible for a 70+ person corporate project that delivered critical quoting functionality for new and renewing business* Generated 1 million dollars in reimbursement monies through tenacious project management of an external reporting project.* Generated 15+ million dollars in reimbursement monies in a critical project for our customers by escalating deliverables and alerting leadership to risks. Interacted directly with town mayors and their staff to provide updates and address concerns.* Mentored junior staff and effectively managed personnel issues

Senior project manager, business analyst, and cross functional team consultant representing sales and customer service areas.* Solutioned and delivered CRM/Oracle data model and process recommendation to 30+ person leadership group for critical corporate compliance project. Full support secured in first session.* Delivered project, business analyst, and user acceptance testing expertise that allowed a project to reduce budget of 2 IT resources and delivered ahead of schedule. Project staffing and management model was adopted in subsequent years allowing department to fund other initiatives.* Responsible for 10 person team that delivered critical open enrollment processes throughout the year.* Redesigned key new business intake process that had not been revamped in 15 years. Secured the support of the Division of Insurance in 3 different states with first proposal.

Senior project management and business analyst role* Leverage momentum of previous success to re-open and deliver on company's first ever audit and data exchange policy and procedure for our customers. * Designed Oracle CRM data model that is still in use after 13 years and continues to support new products and markets.* Served as Sales business lead on Oracle ebusiness suite implementation. Responsible for 3 sales department representatives participating on project.* Identified and initiated collaboration with government affairs unit and lobbyist to change a Maine law that was an obstacle to implementing an existing no-cost solution for a critical business renewal process.

Project manager and business analyst role* Assembled and led a 11 department/ 20+ person cross functional team to develop HIPAA Group Health Plan disclosure policy for company. Received company's annual Project Management Award for this effort.* Recognized a self insured product opportunity due to market place observation and experience as a company account executive. Led grassroots effort that in less than one year resulted in a paradigm shift within the organization to competitively support this product. This product now represents 60% of the company's business.* Developed and delivered self-insured training program that is still used by company and remains 99% intact to its original content after 19 years*Designed and delivered on a new contact management database in 30 days with no loss in data. Original objective was a 6 month life expectancy but scalable design extended use to 4 years. Received first ever Sales Support award for this effort.* Selected by key IT business leadership to join and turn around stalled and over budget prospecting database project. Project issues were identified and corrected with one week.