• Manage the development, implementation, and migration of the BCBSMN client onto a new vendor-based transformational benefits coding tool. • Manage the intake and solution requests for the entire Quote to Bill Value Stream. Including but not limited to Enrollment, Billing, Client Group, Accounts Receivable and Electronic Invoicing and Payment. • Craft proposals and solutions in partnership with the HMHS Solution Organization for all partner health plans.• Successfully led a team of 10 consultants who work directly with all the pertinent players in finalizing partner solution requests.• Manage a team of consultants who act as Business Requirement Leads for a variety of projects across all value streams within the HMHS Organization.

• Spearheaded the $20M transformation of BCBSWY back-office operations, integrating BCBSWY into the Highmark’s Enterprise Health Solutions (EHS) Platform.• Crafted proposals, and managed pre-sales of transformation engagements valued $20M to $50M.• Strategically led up account operations and projects for marquee accounts, leading concurrent projects for technology, training, implementation, and analytics.• Executed strategic projects for major EHS platform clients; budgets ranging from $5M to 20M and total team size ranging from 20 to 60.

• Managed the delivery of strategic roadmaps for two major EHS platform clients from concept to delivery; delivered on time and on budget. • Performed software development, operational readiness, and organizational change management.

• Owned the product road map, infrastructure, and readiness of the integrated billing and invoicing application for the commercial, ACA, and the Medicare line of businesses; annual transaction value greater than $200M. • Led a diverse team of software development and quality assurance engineers in Mainframe, Java, PL/SQL and .Net technologies; team of 20 based in USA and India.

• Managed the $11M transformation of Independence Blue Cross’s Billing operation, integrating with Highmark’s EHS platform. • Spearheaded project deliverables, scope, schedule, and stakeholder relationship from SOW to delivery.• Monitored the financial health of all aspects of the billing operations transformation.

• Managed a team of 21 analysts, managing Membership, Billing, and ID Cards product lines.• Crafted functional requirements and user stories for strategic projects, managing scope, and quality. • Provided leadership in the development of short and long-term objectives to standardize business practices to increase the effectiveness of operations to deliver core services at a lower cost without compromising quality.

• Responsibilities included defining requirements through user interaction and participation in system design. • Provided direction and mentoring to a staff of four other analysts within my team.• Communicated with both business and technical participants to work through and implement systems solution.• Provided direct technical and business customer support to Highmark Billing System end users.

• Owned the product road map, infrastructure, and readiness of the premium billing and accounts receivable operation; annual transaction value greater than $100M. • Led a diverse team of 20 software development and quality assurance engineers.

• Supervised a team of 19, managing monthly billing for over 15,000 group health insurance customers with monthly receivables over $45M.• Ensured customer satisfaction by timely resolution of customer issues in enrollment and billing.

• Delivered customer service support for group health insurance members, achieved highest customer satisfaction. • Supervised the daily operations of the claim adjudication team. • Partnered with the leadership team to deliver key initiatives in the department.