Developed, and managed a department dedicated to Provider Data Quality to ensure accuracy of contracted provider data. Created innovative processes and strategies to dramatically increase the accuracy of provider directory data and increase efficiency in operational execution of provider data. Accomplishments include:• Developed team missions and objectives. Created roles, responsibilities and all pertinent provider data workflows and reporting. Innovated to improve existing input processes by eliminating nonvalue added work and additional extra steps. • Improved audit performance on average by nearly 50%. Our last audit produced a nearly 100% accuracy rate. • Increased volume of correction of existing data by an estimated 300%. • Developed root cause analysis techniques to ferret out causes for inaccuracies and failures in processing.• Oversaw cross functional project teams, including Provider Account Executives, external departmental team members, and external provider groups to increase accuracy of information submitted.• Worked with and honed processes with third party vendors to supply provider data, ingest, processes, and manage provider data, including identification of high-risk data and processing of change data.• Worked with Compliance teams to develop in house periodic “Secret Shopper” directory audits.• Reduced initial entry error rates by identifying root cause of initial data errors. Revised all intake forms to reduce ambiguity and drive submission of relevant accurate information.• Developed Communication Initiatives for providers and provider groups. • Developed all reporting, KPI’s and metrics.• Maintain 95% attestation rate among PCP offices.• Provided annual strategic planning documents and managed annual budgets. Provided monthly senior management updates.

Apply Problem Solving, Leadership, and Project Management skills for projects and process improvement initiatives in all departments of large health insurance provider utilizing Six Sigma, as well as, develop process flow diagrams, supporting documentation, and key metrics for success. Utilize PMBOK Project Management methods to manage projects. Skills required include the ability to quickly learn and become an expert in new business units, conduct analysis, flexible interpersonal skills, and manage teams through development, and implementation. Accomplishments include:• Architected flexible and robust software solution for the automation of processing changes to complex provider/payer relationships. Designed new user interface, automated data extraction, documentation assembly and archiving, as well as, automation of communication channels to impacted stakeholders, including impacted members via automated letter generation. Also, developed efficient reporting and auditing methods, as well as, process and procedures for insuring government compliance of member outreach.• Recommended by UPMC Health Plan COO to conduct analysis and recommended improvement to work methods and inventory control for Environmental Services Dept. for UPMC Mercy Hospital. Included on site observations, development of user requirements, value stream analysis, and model development for roll out to all hospitals in the UPMC Health System. Inventory reduced by 5%, labor reduced by 17%.• Coordinated development of award winning first Health Plan I-pad application for collecting and disseminating clinical data derived from Health Screening Events for Medicare members • Utilized Project Management methodology to manage the implementation of new telecommunications fax server software and document imaging technology Health Plan wide.

Hands on direction of workforce and management of all aspects of operations for a small manufacturing facility. Responsibilities include Lean Manufacturing initiatives, Purchasing, Inventory Control, Scheduling, Budgeting, Engineering, R&D, Project Management, Staffing,and Facilities Management, as well as, part time Sales and Database Administration. Accomplishments include: *Introduced Lean Manufacturing techniques to reduced “in-season” lead times from 8 weeks to 2-3 weeks. *Reduced work force size approx. 25% while incurring 10% sales volume increase. *Redesigned plant layout and work flow to achieve greater efficiencies and worker effectiveness. *Increased net profit over 200% in first full year. *Reduced Inventory levels approximately 30%. *Developed the company’s first Quality Control Program. *Engineered and developed new Ice Control Products and Salt Spreader product. *Engineered and developed industry first “Hybrid” Hydroseeder. *Re-engineered existing products to improve performance and lower cost of manufacturing. *Redesigned and implemented part number system for all parts and finished goods.

Directed the workforce and managed all aspects of the operation of a manufacturing department within a large multi-departmental electronics manufacturing facility. These duties included staffing, budgeting, scheduling, planning, process improvements, etc. The department consisted of up to 150 employees in 16 cost centers working four different shift rotations. Accomplishments include: • Contributed to conversion of existing processes to Lean Manufacturing techniques through process redesign and employee training.• Established correct Bill of Material methods to eliminate stock-outs and excessive inventory of packaging materials. • Instrumental in changing production processes and redesigning process equipment in various areas resulting in scrap reductions from 10% to 30%, more consistent product and lower production costs.• Redesigned workflow and job responsibilities to reduce 25% of workforce while maintaining output and quality.• Chaired and served on quality teams. Additionally, trained all Ferrite Finishing and Quality Control employees in Statistical Process Control and Q-1 quality procedures.• Developed numerous analytical models for analyzing information and developing solutions to production challenges. • Provided continuous troubleshooting and problem solving skills to promote efficiency and communication within the production and administrative processes.

Responsibilities included procurement of capital goods and services, major operating supplies, and maintenance and repair supplies in an MRP environment for a $100 Million multi-divisional manufacturer of electronic components and specialty alloys. Also responsible for evaluating vendor financials, establishing long term vendor partnerships, and negotiating the selection of freight carriers. Accomplishments include:• Administered contracts for large capital expenditures in excess of $2Million. • These purchases included new process equipment, buildings, and facility upgrades.• Over five year period dramatically reduced the cost of various supplies, including the cost of safety supplies (30%), janitor supplies (21%), and production supplies (5%).• Evaluated and selected suppliers of raw materials, purchased components, services and capital expenditures and established and maintained multiple blanket order agreements.• Stabilized inventories of key packaging components by developing spreadsheets that accurately calculated Bill of Material information.• Established the first companywide freight movement policies and procedures and published a comprehensive freight guideline for inbound and outbound freight movements. Report included carrier summaries, negotiated carrier discounts, preferred carrier routing guide, F.O.B. summary, and freight claim guidelines.• Reduced the cost of large freight movements in excess of 50% and increased the discounts received on Less-Than-Truckload shipments by as much as 25% to 40%.• Spearheaded a project to re-evaluate and rewrite freight contracts with all of our Less-Than- Truckload (LTL) freight carriers.