Nigel A Thompson, Mba,Csm®,Ssm(Safe® 6) Email & Phone Number

Anna, Tx, Us

Woonsocket, Ri, Us

• Managing and coordinating external pharmacy file verification processes.• Troubleshooting pharmacy file setup requirements and transmission errors for daily extract files.• Creating and managing COLA requests for SFTP file requests.• Leading bi-weekly claim surveillance reviews by tracking and monitoring PrudentRx claims adjudication processes including Coordination of Benefits(COB)/Copay Assistance Programs(CAP) processes.• Processing and submitting PrudentRx Direct Billing for monthly PrudentRx Administrative fees. • Designing, implementing and managing financial dashboard to track key performance indicators such as Client Gross Savings, Client Net Savings, Client Member Savings, Revenue, Labor Cost, LDD Savings, Performance guarantees, etc. • Conducting one hundred plus Client Value Scoring opportunities with a potential margin score of $7.3M for PrudentRx products sold.• Managing PSM File monitoring and inquires, billing lump sum adjustments, payments questions, and custom Financial Agreement set up verifications.

Woonsocket, Ri, Us

• Collaborated with Sr. Manager to develop monthly account reconciliation instructions and onboarding team cross-functionally, including successfully training and developing staff on RxClaim financial reporting. `• Conducted and supported internal/external control testing of Client Billing cycle check sheets and monthly account reconciliation functions in compliance with SOX, preparing reporting and analysis documents and explaining variance drivers.• Improved processes within 236 Control Report for Auditing purposes, by identifying gaps within the 236 Control report and 1013 Billing report by utilizing As-Is and To-Be process models to enhance 236 Control report to accurately capture activities flagged as daily in the SAP billing table to eliminate variances. • Identified source of variability, and improved Monthly Account Reconciliation process, by creating As-Is and To-Be process models utilizing Six Sigma DMAIC framework to engage stakeholders and reduce overall cycle time by 50%.• Solved complex problems by identifying monthly general ledger variances and reconciling billed account to accrual account for all PBM claim activities utilizing pivot tables, VLOOKUP functions etc., processing adjustment postings to general ledger in SAP, running general ledger balancing program to make sure accrual and billed account cycle assignments are cleared, compiling required control documentations, and submitting completed audit packets to Director for approval.• Led and collaborated in cross-functional projects to enhance CCPDS report from manual process to automated process.

Woonsocket, Ri, Us

• Analyzed and managed prescription claims data utilizing SAS and SQL to extract data at both the client and overall book of business levels with the objectives of monitoring and managing price discount guarantees to model data to improve overall performance.• Queried adjudication systems to view and understand client benefit set-ups, produced standard reporting, and performed “what-if” and ad-hoc analyses to support management decisions around client-specific price adjustments. • Managed, analyzed and tracked underperformance/over performance of watch list clients with monthly drug spend of $23M plus by determining variances between clients contracted rates and actual realized effective rates.

Falls Church, Va, Us

• Supported development and implementation of case analysis work for reconciliation of data from the health insurance exchanges. • Collaborated with training staff to train stakeholders on triage, research and technical knowledge to resolve transaction and processing issues. • Analyzed discrepancies in the eligibility reconciliation process for multiple stakeholders.

Charlotte, Nc, Us

• Resolved complex or escalated fraud calls and emails from ultra-high net worth clients and financial advisors.• Processed redemption and funding of Certificate of Deposits and Money market accounts ranging from $250K to $2M plus.• Managed comprehensive “White Glove” service by assisting new to bank Wealth Management clients transfer core banking relations.(Premium Account Transfer Service).• Communicated with new-to-bank Wealth Management clients to manage and process new accounts such as checking, savings, and trust accounts.• Directed credit and collections recovery unit utilizing Reg. CC, Reg. B, Reg. Z, Equal Credit Opportunity Act, Fair Credit Reporting Act and Fair Debt Collections Practices Acts.

Westlake, Texas, Us

• Confirmed and reconciled Alternative Investments such as hedge funds, private equity, limited partnerships etc. held in Schwab client accounts. • Reviewed position activity and balances reported by a general partner or transfer agent and confirmed transactions and holdings on Schwab’s books and records. • Networked with senior personnel internally and externally in own area of expertise and across groups to resolve issue, gaining needed information and influencing customized deliverables.

Nashua, New Hampshire, Us

• Identified opportunities within potential client accounts. • Cultivated and maintained relationships with new corporate clients such as Silicon Valley Bank, Taylor Farms etc.• Utilized professional selling expertise and business acumen to meet and exceed sales targets by 15% within a broad geographic sales territory of 2500.

Scottsdale, Arizona, Us

• Enabled Scottsdale-based equity research firm to expand into European markets and generate an additional $1M annually by leading a cross-unit team (e.g., quantitative analytics, sales, equity research) in the development and launch of a new product for analyzing small and medium cap European companies.  Leveraged the firm’s domestic client list to gain entrée to their relationships with hedge funds, mutual funds, law firms and investment banks in Europe. Utilized web conferencing technology to demonstrate product value and win face to face meetings with prospective clients. Identified over 1000 prospects and converted 30% into sales.  Analyzed market needs and influenced product management team to refine features in accordance with client preferences to enhance sales.

Valley Forge, Pa, Us

• Provided details on Vanguard and Non-Vanguard funds (Class, type, load, margin ability, minimums, transaction details) • Discussed the different types of orders (market, limit, stop, etc.) Also bid/ask, spread, size • Explained the maintenance requirements for margin (House calls, Fed calls, short sales) • Explained various methods of asset transfers (giving time frames and explaining partial transfers, Automated (Client Account Transfer System, mutual funds, Dividend Reinvestment Plan.

Lean Six Sigma Green Belt Certified(Lssgbc)

Master Of Business Administration (M.B.A.), Management And Leadership At The Executive Level

Bachelor Of Science (B.Sc.), Finance