Mary Powers Email & Phone Number

Vandalia, Oh, Us

Bloomfield, Ct, Us

Currently responsible for the management of Behavioral Health programs in the Evernorth PMO which conducting analysis against anticipated budgets, determining workstreams and objectives as well as advising executive level of progress including risks, strategic advantages, and disadvantages. • Implementation of current and new Healthcare clients on the new Provider network that included weekly team meetings, system testing between the two companies and 3+ months of post Go Live monitoring.• Creation/submissions of program charters, RAIDS, Program Plans.• Weekly/monthly status reports presentations to clients. • Executive level Program presentations.

Tampa, Fl, Us

Responsible for the Codysoft application (Allied Services Dashboard Solution) specifically for Medicare, Marketplace, and Medicaid health plans. • Managed the implementation of all new clients on the web-based application. • Conducted pre/post client training on the application and modules.• Conducted weekly client meetings ensuring project milestones were on time/accurate.• Creation of required internal SOPs.• Managed/Conducted the monthly and annual directory reviews of current clients.• Conducted required testing on modules if/when required.

Dayton, Oh, Us

Orchestrate product forms, reporting, and filings for Ohio-based health plan that serves the state’s Medicaid and Medicare population. Oversee project plans to acquire and consolidate information required for annual Ohio Department of Medicaid (ODM) and US Centers for Medicare and Medicaid Services (CMS) submissions, as well as for the Marketplace and Special Needs Plan (DSNP) documentation. Collaborate with internal business owners for insight on capacity forecasts, potential risks, and remediation initiatives. Enforce best practices and resolve bottlenecks, escalating project issues. Supervise vendor relationships and policies and procedures regarding Product Forms and Filing Standards, in addition to their continuous process improvement. • Implemented CodySoft Health Plan Management software in cooperation with third-party vendor CodySoft within CareSource systems to simplify the annual filings for CMS.• Annually formulate four complex project plans for Medicare Advantage (MA), MA-DSNP, MyCare, and Marketplace, in addition to associated timelines; successfully manage all to completion.• Errata-free submissions. • CMS submissions delivered on or before State and CMS deadlines.

Dayton, Oh, Us

Overseeing vendor performance on delegated quarterly and annual audits, I validated and approved delegation and service level agreements. I also served as Subject Matter Expert (SME) on regulatory requirements and compliance with federal and state provider agreements. Ensured internal documents and reporting tools were updated and in compliance. I coordinated with Marketing and Underwriting to research new business categories' potential legal requirements. In addition, I led initiatives on process improvements and Line of Sight goals. Onboarded and trained new staff.• I regularly devised strategies to increase vendor engagement on compliance, quality, outcomes, and cost management.• Successfully audited results on the eight assigned vendors reflecting improvement year-over-year.• And met Line of Sight goals for two consecutive years.

Dayton, Oh, Us

As a Project Manager, I was asked to spearhead multiple financial, IT and healthcare projects. Under the Healthcare function, I managed various projects within the cross-functional ICD-10 program that transformed company's data reporting to comply with new government-mandated medical classification data set. I also coordinated program-related administration with all management levels organization-wide.• Used Agile methodology to helm IT's Unified Contact Center Enterprise (UCCE) program; composed roadmap, engaged third-party administrator (TPA) vendor, conducted sprint reviews, and updated C-level leadership as each stage was completed.• Headed Finance department's conversion to Kyriba Treasury System within five months versus projected two years.• And planned and executed a ICD-10 focused Day in the Life company-wide.

Nyon, Vaud, Ch

At Access Financial, I shepherded complex, large- and medium-sized systems development life cycle (SDLC) projects for enterprise and business unit solutions, in addition to improving daily operations at company's retail locations. As part of my job, I collaborated with our Lima, Peru-based offshore development team to meet project life cycle schedules and milestones. I was SME for Peruvian team on objectives, project scope, and timelines; intervened if needed to meet deadlines.• Managed all external vendor relationships; negotiated contracts and audited work.• Set-up and trained team on Innotas IT project portfolio management software.• My major projects included upgrade to retail loan transaction processing to comply with eight new state regulations.

Cincinnati, Ohio, Us

During my time at Hillman, I directed a project to streamline their internal price increase procedure of plumbing and hardware wholesaler. We adhered to Six-Sigma methodologies, using Microsoft Visio to detail current process flow and documented workflow across five organizational areas involved with increasing prices. Identified root causes, countermeasures, and IT solutions.

North Mankato, Mn, Us

I monitored operational and financial performance for this nationally known printing company's Distribution, Warehousing, and Customer Service business units. Identifying opportunities for business process improvements, I recommended and implemented enhancements. I also ensured operational and Call Center compliance with processes and procedures, documentation, and regulatory requirements of confidentiality for healthcare clients.• We slashed company expenses $1.5M through implementation of Six Sigma-uncovered cost-saving initiatives.• And I also played a key role in new Customer Service Center launch, trained 100 staff, and audited their ongoing performance.Previous Standard Register Positions:Client Care ManagerBusiness Consultant, Corporate OfficesOperations, Warehousing, and Facility Manager

• 15 direct reports• Managed 20+ vendors & responsible for on sight customer inventories