Mark J. Caporale Email & Phone Number

4 Research Dr, Shelton Ct 06484

Shelton, Ct 06484

Shelton, Ct 06484

• Manage support team of 11 subject matter experts.• Drive data integrity accuracy score improvement..• Coordinate support and training to provider data loading team.• Coordinate team loading utilizing multiple automated and manual tools to complete tasks.• Analyze existing workflow processes, enhance existing processes and create new processes for the initiatives.

48 Monroe Tpke Trumbull, Ct 06611

• Manage a team of 5 Provider Data Analysts acting as subject matter experts to oversee multiple projects. • Responsible for development and review of project plan. Manage project plan to due dates. • Provide support for research and solution of project requirements. • Review UAT for each phase of project implementation. • Manage communications to business partners.

• Directed professional staff of 17 associates administered claim payments to institutional providers, encounter providers and members; facilitated payment, billing and recovery of self-insured client balances; and calculated payments of capitated and fee for service third party vendor contractual obligations.• Owned payment of third party capitated arrangements, $240M annually, for nine ancillary vendors, following New York statutory requirements, insuring compliance with Regulation 164. • Oversaw the payment management process for claim payments of $50M per week. Responsible for accurate balancing of weekly and daily check and ACH payments, the payment void and reissue process and payment escheatment process.• Developed and maintained weekly and monthly financial analytics to identify unusual variations in weekly claim settlements and monthly contractual payments to vendors. Provided analysis in monthly general ledger close meetings.• Participated in regularly scheduled Continuous Improvement Committee Implementation team meetings, resulting in implementation of regulatory mandates.• Partnered with internal and independent auditors on quarterly and annual audits.

• Directed a professional staff of 47 associates (7 direct reports) with responsibility for billing, A/R, collections, sales incentives, and broker compensation for $3.1B in premiums covering a four state region.• Developed and utilized performance measurement standards with a focus on timely billing, positive cash flow, and reduction of aged A/R. Reduced overall member payments to less than seven days of the due date.• Developed business user requirements and system design documents and formulated test scripts to be used during project implementation. Worked with senior management to develop and implement efficiencies, workflows and software enhancements.• Designed, prepared and disseminated statistical reports to executive management covering monthly billing, accounts receivable, revenue, margins, sales commissions, and other performance measurement categories.• Controlled and directed product line financial analytics for six licensed entities, including the calculation and analysis of revenue entries, SG&A expenses, product revenue yield, A/R and unearned revenues for monthly general ledger close meetings. • Responsible for cost center budget management and salary expense, revenue forecasts, cash receipt forecasts and selling expense forecasts.• Functioned as a primary liaison with internal and external auditors.• Spearheaded software and automation initiatives to improve overall performance resulting in staff reduction and annual savings of $150K.• Created and implemented multiple months billing to reduce A/R and streamline the billing process.• Key catalyst in the Health Net 1 business consolidation project to integrate broker commissions to new systems. • Promoted from Supervisor of Cash Applications and Collections to manager position.

Budgeting and Forecasting Operating Expenses and Payroll Expenses.Journal entry write up.Financial Statement preparation and analysis.Payroll and related Payroll Tax Filings.

Six Sigma Master Black Belt Certificate

Completed Certificate Program in Six Sigma Master Black Belt

B.S., Accounting