Michele Powers

Michele Powers Email and Phone Number

Senior Operations Executive @ MetLife
new york, new york, united states
Michele Powers's Location
Greater Philadelphia, United States
Michele Powers's Contact Details

Michele Powers personal email

n/a

Michele Powers phone numbers

About Michele Powers

Results driven senior operations management professional with more than 20 years experience in the health services industry. Excel at building/developing management teams focused on the customer experience and organizational needs. Strong business acumen and proven leadership skills enable a successful transition from strategy to implementation of cost effective, quality driven improvements. Successful in leading change using a highly collaborative and inclusive leadership style. Demonstrated accomplishments and expertise in:- Large Scale Operations Management

Michele Powers's Current Company Details
MetLife

Metlife

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Senior Operations Executive
new york, new york, united states
Website:
metlife.com
Employees:
50713
Michele Powers Work Experience Details
  • Metlife
    Worldwide Benefits Operations Leader
    Metlife Sep 2017 - Present
    Wilmington, Delaware
    Lead global operations for expat medical, life, ad&d and LTD products - claims, customer service, enrollment, billing, ID cards, vendor oversight, quality and operational compliance.
  • Independence Blue Cross
    Vice President Customer Service
    Independence Blue Cross May 2015 - Nov 2016
    Greater Philadelphia Area
    Managed 600+ customer service staff handling phone, email, correspondence, grievance & appeal inquiries, servicing 1.3M commercial medical and dental members with $50M annual budget.- Directed operations servicing 3M+ calls and 200k+ written customer inquiries per year.- Drove a multi-year Call Center Transformation project with 8 work streams with a cross functional implementation team targeting improved quality and cost. Reduced operating cost by $5M and improved first call resolution by 5% in first year.
  • Emblemhealth
    Vice President
    Emblemhealth Jan 2009 - May 2015
    Greater New York City Area
    Managed 1900+ claim, customer service, and technical support staff in multiple locations servicing 2.6M medical and 500K dental members with $220M annual budget.- Directed operations adjudicating 30M+ claims with $6B+ in payments; serviced 4.5M+ calls per year with 92% first call resolution.- Managed Government Programs staff servicing CMS Medicare Secondary Payer Recovery and COB Administrator contracts.- Drove $52M in Claim Accuracy and $22M in Coordination of Benefit run rate savings and $20M in administrative expense savings during a 3 year medical/administrative expense reduction project.
  • Cigna Government Services
    Vice President Operations
    Cigna Government Services Jun 2007 - Nov 2008
    Greater Nashville Area, Tn
    Managed 500 employees responsible for processing Medicare Part B claims and handling provider inquiries for the States of Tennessee, North Carolina and Idaho.- Responsible for managing a $32M budget and processing 57M+ claims annually.- Expertise in RFP / bid development, government contracting and compliance.- Trained in Six Sigma Lean Principles with documented process improvement projects.
  • Cigna Healthcare
    Vice President
    Cigna Healthcare Sep 2001 - May 2007
    Chattanooga, Tennessee Area
    Managed two Customer Service Centers in Chattanooga, TN and Charlotte, NC with 1000+ employees and a budget of $60M+.- Led operation supporting 2.9M members adjudicating 31M+ claims and handling 3.5M+ calls annually.- Managed Six Sigma methodologies that reduced claim rework by 45% through various initiatives aimed at improving customer satisfaction.- Worked in a matrix environment including oversight of outsourced mail operations, claim and customer service functions.
  • Aetna
    Vice President
    Aetna Sep 1999 - Aug 2001
    Sugarland, Tx
    Moved to Aetna as part of Prudential HealthCare acquisition.- Managed 900+ employees supporting 1.5M members, adjudicated 9.6M+ claims and handled 3.6M+ calls annually.- Managed billing, enrollment, case installation and data entry functions in addition to claim processing and customer service.
  • Prudential Healthcare
    Director
    Prudential Healthcare Jul 1984 - Sep 1999
    Horsham, Pa
    Claim functional lead for 4 National Service Centers monitoring inventory and quality nationally while driving quality programs and policy setting. (Director - 1996-1999) Started as a management trainee and held numerous operational roles of increasing responsibility throughout career that included 6 relocations. (1984-1995)

Michele Powers Skills

Managed Care Medicare Claim Management Health Insurance Medicaid Hipaa Healthcare Provider Relations Insurance Healthcare Information Technology Process Improvement Healthcare Management Hmo Healthcare Industry Employee Benefits Network Development Healthcare Consulting Disease Management Health Policy Ppo Contract Negotiation Claims Management Physicians Executive Management Emr Ehr Account Management Workers Compensation Pharmacy Benefit Management Software Documentation Cross Functional Team Leadership Data Analysis Budgets Revenue Cycle Underwriting U.s. Health Insurance Portability And Accountability Act Business Process Improvement Healthcare Information Technology Motivational Speaking

Michele Powers Education Details

Frequently Asked Questions about Michele Powers

What company does Michele Powers work for?

Michele Powers works for Metlife

What is Michele Powers's role at the current company?

Michele Powers's current role is Senior Operations Executive.

What is Michele Powers's email address?

Michele Powers's email address is mi****@****ast.net

What is Michele Powers's direct phone number?

Michele Powers's direct phone number is +171335*****

What schools did Michele Powers attend?

Michele Powers attended Rider University, Monmouth University, Kpmg Executive Leadership Institute For Women, Ahip.

What are some of Michele Powers's interests?

Michele Powers has interest in Children, Health.

What skills is Michele Powers known for?

Michele Powers has skills like Managed Care, Medicare, Claim, Management, Health Insurance, Medicaid, Hipaa, Healthcare, Provider Relations, Insurance, Healthcare Information Technology, Process Improvement.

Who are Michele Powers's colleagues?

Michele Powers's colleagues are Emily Tallman, Emily Tan, David Brzegowski, Work Stream Lead/sr Rte/delivery Lead, Vaibhav Gupta, Amy Abernathy, Md Kamal Hossain, Steven Parkin.

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