Katy Eld Email & Phone Number

Lake Mary, Fl, Us

Jacksonville, Florida, Us

Responsible for facilitating the development and monitoring of Florida Blue Medicare's regional strategies to drive sustainable growth and increase segment business performance. Coordinate the collection of regional market intelligence to understand our target market/prospects buying preferences and competitive positioning. Identify strategic capabilities and initiatives that need to be implemented to achieve key business outcomes. Manage the development and report out of regional dashboards/scorecards to track and monitor key performance indicators. Responsible for the development of operational and governance models that support the oversight and maintenance of regional strategies.

Jacksonville, Florida, Us

Provide leadership and management oversight of the Vendor Management team who was accountable for 10 business-critical Vendor Partners, their related programs, and program budget spend more than $14M. Develop the construct of the contracts to support optimal performance of the vendors to achieve financial and operational targets; drive the vendor’s adherence to legal, regulatory and contract requirements; resolve issues with and ensure an efficient integration of vendor processes across the entire enterprise. Conduct new vendor program evaluations and implementation process, vetting services and medical cost savings; obtaining cross-functional and executive approval of solutions and developing vendor management operational tools and processes.

Jacksonville, Florida, Us

Accountable for providing leadership and operational oversight of strategic Vendor Partners to achieve successful program management and medical cost savings goals. Responsible for contract negotiation, compliance, and enforcement of all aspects of the vendor’s operational performance, financial performance/guarantees, strategic alignment, and compliance. Ensure corporate wide integration of the Vendor within the Enterprise, Florida Blue and applicable affiliate’s operational areas to ensure seamless member and provider experience. Conduct strategic planning with the vendor’s Senior Leadership to advance Florida Blue’s vision and strategy through the vendor’s advancement, expansion, and business models.

Jacksonville, Florida, Us

Provided direct day-to-day operations and overall performance of innovative healthcare retail center, to include customer satisfaction, sales, member engagements, facility maintenance, patient care, P&L, and financial reporting. Hired, trained, and evaluated 22 direct reports. Was accountable for brand management, marketing and new business development, community relevance/penetration, member experience, business processes and analytics, and operational excellence initiatives. Marketed healthcare and ancillary insurance products, covering dental, life, hospital indemnity, critical illness, and accidental coverages.

Richardson, Tx, Us

Provided on-demand analytics and client services to healthcare organizations to improve clinical, financial, and operational performance. Planned and managed all aspects of client solutions, to include analyzing data, defining KPI requirements, product development, testing, and service enhancements. Performed functional and technical analysis between existing product capabilities and client requirements; consistently identified and capitalized on upsell and cross-sell opportunities. Serve as primary contact for execution of client services, product enhancements, and ongoing support.

Jacksonville, Florida, Us

Recruited to manage team of 13 Physician/Provider Relations Specialists, serving 1,800+ physicians, hospitals, and ancillary providers throughout Orange, Seminole, Lake, Brevard, Flagler, and Volusia counties. Planned and directed all departmental activities; resolved fee reimbursement and claims processing issues. Drove proactive, data driven solutions and best practices; identified, implemented, and monitored Continuous Quality Improvements. Interacted with key stakeholders across multiple business units, to include Network Management, Provider Technology Solutions, Care Management, and Local Presence/Sales. Provided education on self-service tools (availity, care calc, electronic billing) to expedite payments.

Orlando, Fl, Us

Accountable for monitoring and reducing days in AR, optimizing reimbursement, and resolving aging AR issues; oversaw 4 staff. Provided financial analysis of associated payors and managed settlements and advances with contracted payors. Engaged in continuous improvement activities for business processes, critical issue resolution, and collaboration with internal/external business partners. Established and maintained intra-interdepartmental communication and education of payor guidelines; performed reimbursement training related to associate payors.

Ba, Liberal Arts

Aa, General