As Vice President, I successfully delegated Health Plan functions with vendor partners in support of operating principles as well as short- and long-term planning for business goals. Under my oversight are overall facets of vendor engagement, project management, and process/product enhancement in close collaboration with the marketing and sales team.Below are some of my highlights: • Supervised and mentored compliance team aimed at meeting regulatory timelines.• Identified, evaluated, and implemented new business opportunities for the Health Plan.• Led planning and execution of initiatives for Health Plan's key strategies together with ensuring compliance in line with state/federal regulatory requirements.

The role of Director demanded me to deploy strategic plan to exit the Medicaid market while transitioning membership to another MCO. I effectively sourced out departmental staff for process improvement through documented workflows and project tracking/deployment. By leveraging my managerial skills, I headed inclusive implementation activities in support of business activities for the Health Plan.My key contributions are as follows:• Established new department within the Health Plan to focus on project management, business process improvement, and vendor interactions.• Collaborated with sales team on product analyses and market reviews to identify new business opportunities.• Lead all implementation activities to support all lines of business for the Health Plan.

While working as Executive Director, Enterprise Network Strategy & Implementation, I have headed multi-year deployment of new data platform for the enterprise by developing data model, implementing integrated workflow process, and formulating strategy for future business conversion to new data platform.Mentioned below are some of my valuable achievements in the role:• Planned provider data governance model to oversee requested data access for partners via extracts and web services.• Identified emergent issues of provider data and deployed corrective actions/modifications accordingly to ensure enhancements translated into proper administration.

In the position of Executive Director, Managed Care, I was responsible for conducting comprehensive analysis and recommended pre-payment claim review process while coordinating with internal partners focusing on $500,000+ valued claims for self-funded clients. My day-to-day duties included delivering inclusive oversight regarding critical regulatory activities for deployment and ongoing maintenance of HMOs in Texas through HMO Compliance program.Here are some of my notable duties performed in this job:• Pinpointed areas of improvement to reduce cost of care for Texas market offerings together with engineering alterations to enhance market performance.

Executed huddle training sessions, while acting as Executive Director, Marketing Consulting Group to Texas sales and account management teams to raise awareness on critical information of the Affordable Care Act. My supervision was upon successful implementation of five new networks and enhancements for existing enterprise network to market in coordination with products offered on the Exchange.Below described are my important contributions in the organization:• Led significant legislative initiatives of company acting in capacity of enterprise business lead.• Played pivotal lead role in the implementations for the enterprise for final rules released for Women’s Contraceptive Coverage and Certificates of Creditable Coverage through the Affordable Care Act.My Additional Experiences are:• Director, Strategic Market Development, Blue Cross Blue Shield of Texas, Richardson, Texas• Executive Director, Product Management, Blue Cross Blue Shield of Texas, Richardson, Texas• Director, Product Development & Administration, Blue Cross Blue Shield of Texas, Richardson, Texas• Senior Manager, Product Development, Blue Cross Blue Shield of Texas, Richardson, Texas• Product Development Manager, Blue Cross Blue Shield of Texas, Richardson, Texas• RFP Coordinator, The Travelers Insurance Company, Richardson, Texas• Senior Account Administrator, The Travelers Insurance Company, Hartford, Connecticut• Administrative Underwriter, The Travelers Insurance Company, Hartford, ConnecticutAll of these career choices enabled me to gain valuable experiences and groom my professional competencies to a great extent.