Mark Wilmer Email & Phone Number

Richardson, TX

Led, evaluated, prioritized, chartered and executed projects for Provider Operations. Mentored 11 Green Belts trainees, teaching the DMAIC, Lean and process improvement methodologies. Created Capacity Planning spreadsheet for a team of 9 Green Belts/Process Consultants. Created DMAIC templates that are utilized by the Green Belts/Process Consultants during.

Jacksonville, Florida Area

Lead Cross-Functional tams to improve Quality outcomes. Coordinated/Update Monthly and Quarterly Repors across all Lines of Business. Monitor and Report on Individual Quality Certification (IQC) for Business Process Quality Management Call Auditors and Call Operations for all Lines of Business. Facilitated and consulted with all Lines of Business to.

Jacksonville, Florida Area

Execute projects with our external Provider Network utilizing Lean and Six Sigma methodologies. Actively lead cross functional teams internal to UHC and external Subject Matter Experts from the Provider to improve quality, reduce cost, improve cycle times and reduce rework. Evaluate, prioritize and charter projects for the Southeastern Region of the United.

Successfully execute projects utilizing both Lean and Six Sigma methodology, analytical tools and theory. Actively lead project teams to improve quality, reduce cost and improve cycle time, reworks rate and overall process improvement. Evaluate, prioritize and charter projects. Maintain positive channels of communication with Leadership and impacted areas.

CI/Six Sigma Specialist, MSSA, Blue Cross Blue Shield of Florida, Jacksonville, FL Apr 2007 to PresentSuccessfully execute projects utilizing Six Sigma methodology, analytical tools and theory. Actively lead project teams to improve quality, reduce cost and improve cycle time, reworks rate and overall process improvement. Projects executed to date have had.

Adjudicate claims in the Legacy system in accordance with departmental and contractual guidelines. Manage listings to meet departmental goals. Perform the duties of a SME and as a backup Senior. Subject Matter Expert in the New Hire Unit training new employees on the Legacy system and State specifics for claim processing. Perform duties of CBUD auditor.

Maintained enrollment data for Small Groups in Company's database. Researched RBMS and CICS to determine which groups assigned to Small Group Enrollment Operations needed to be renewed on a monthly basis. Screened and audited renewal documentation received from groups for compliance with Department of Insurance regulations and BCBSF Underwriting.

Bs, Health Administration

Activities and Societies: Phi Theta Kappa

Aa, Associate Of Arts

Diploma, High School/Secondary Diplomas And Certificates