Mark J. Email & Phone Number

Greater Denver Area

Owns and operates a creative arts company specializing in acrylic and oil landscapes paintings.

• Managed 3 high performing teams and 170 contractors focused on implementing and executing Anthem National and local accounts with a budget of $4.7M and 6,500+ Open-Enrollment events. Ensured Compliance with BCBSA, SOX.
• Negotiated and managed contracts for 7,700+ accounts, resulting in: o $730M expense reduction. o $120M in revenue. o $110M in payments to vendors.
• Reduced account receivable write-offs by $8.1M, and properly re-classed $4.5M by identifying areas of risk and corrective actions that drove expense mitigation.
• Conducted 100+ monthly audits measuring 2.8M data points for compliance with Sarbanes Oxley (SOX), Consortium Health Plan (CHP), and Blue Cross Blue Shield Association (BCBSA), resulting in consistently receiving 0.
• Drove strategy and policy impacting entire Blue Cross Blue Shield (BCBS) system by chairing CHP Pricing workgroup, leading BCBSA workgroups, and supporting corporate initiatives, such as Value Based Programs, and.

Greater Denver Area

• Managed 2 teams focused on cost reduction, strategic analysis of key financial metrics, and financial integrity of payments to and from external partners. Implemented and maintained InterPlan Teleprocessing Services.
• Led initiatives that reduced expenses and identified money due to Anthem, leading to an impact of $5.1M and operating gain of $3.8M.
• Managed technical infrastructure and 6,600 prefixes for 8 claims processing systems with more than 360K Plan Profile updates, allowing 117M claims to process annually.
• Implemented internal and external controls and audits that ensured financial integrity with SOX and Statement on Auditing Standards (SAS 70).
• Won BCBSA Best of Blue Financial Integrity Award for development and implementation of InterPlan Pricing and Ceding system (IPAC).

Greater Denver Area

• Managed system analyst team and was lead negotiator for inter-company contracts, and strategic planning and analysis. Conducted “Train the Trainer” sessions on systems and developed training material for corporate and.
• Reduced total cost 8% by negotiating contracts with other BCBS Plans for 100,000+ subscribers.
• Achieved $1M+ in savings by providing project management leadership on key initiatives, including systems migrations and shutdowns, California Business Migration Project, and Colorado Adjustment Project.

Greater Chicago Area

Greater Chicago Area