Reinaldo Toro, Mba, Nremt

Reinaldo Toro, Mba, Nremt Email and Phone Number

Accomplished Dynamic Operations Executive Creating Value Through Collaboration and Development of High Performing Teams @ UST HealthProof
Pittsburgh, PA, US
Reinaldo Toro, Mba, Nremt's Location
Greater Pittsburgh Region, United States, United States
Reinaldo Toro, Mba, Nremt's Contact Details

Reinaldo Toro, Mba, Nremt personal email

n/a
About Reinaldo Toro, Mba, Nremt

I am an operations executive with 10+ years of extensive expertise across service operations, customer service, client relations, claims processing, budgeting, and support functions. I have a proven record of growing organizations successfully and building high performing teams.I am effective in aligning the needs of the customer into system set up requirements, policies, procedures and staffing. I have effectively converted/implemented a significant number of customer requirements to new processing systems and am able to quickly understand business requirements/challenges and develop into strategic and tactical solutions. I have moved operations to other locations successfully numerous times and have proven to be a successful leader of organizations across multiple locations.I possess strong expertise building service organizations to uniquely meet the needs of the customer, collaborating directly with them and business partners. I have successfully established and directed vendor relationships, implemented the strategic direction of the business to gain competitive advantage and contributed to growing market share through customer satisfaction.I am an energetic change leader who is customer focused with excellent communication and collaborative leadership skills. I have a proven track record of operation cost reduction, performance guarantee savings and operational improvement. I have significant experience in merger and acquisition operational due diligence and taken the lead role for merger and acquisition operational readiness, organization re-alignment and system conversions. CompetenciesProject DrivenAccomplished PresenterMergers and Acquisitions Change ManagementProcess ImprovementClaims Processing Contact Center Operations BudgetingTeam BuildingCoaching

Reinaldo Toro, Mba, Nremt's Current Company Details
UST HealthProof

Ust Healthproof

View
Accomplished Dynamic Operations Executive Creating Value Through Collaboration and Development of High Performing Teams
Pittsburgh, PA, US
Employees:
1089
Reinaldo Toro, Mba, Nremt Work Experience Details
  • Ust Healthproof
    Ust Healthproof
    Pittsburgh, Pa, Us
  • Ust Healthproof
    Director 1 Consulting
    Ust Healthproof Apr 2024 - Present
    Aliso Viejo, California, Us
  • Butler Ambulance Service
    Emergency Medical Technician
    Butler Ambulance Service Jan 2024 - Present
    Butler , Pa, Us
  • Self-Employed
    Independent Health Insurance Operations Advisor
    Self-Employed Feb 2023 - Present
    Independent Health Insurance Operations Advisor specializing in Contact Center Operations, Customer Relationship Management, Member Experience, Provider interactions and enabling technologies.
  • Highmark Wholecare
    Vice President Member Experience
    Highmark Wholecare 2018 - Feb 2023
    Pittsburgh, Pa, Us
    Executive owner of the member experience responsible for providing oversight for operations and strategic activities related to service delivery functions including Customer Service Center, inbound and outbound calls. Inbound call centers including pharmacy support and services, provider services, member services, member retention, and non-clinical care. Responsible for leadership in every phase of the members non-clinical experience.
  • Aetna
    Senior Director
    Aetna 2013 - 2017
    Hartford, Connecticut, Us
    Upon the acquisition of Coventry by Aetna, earned selection by management to move into the Public and Labor Service Operations role for the Northeast, Southeast and Mid America, assisting in the realignment of the organization and overseeing the system conversion of existing clients. Created and administered $37 million budget, responsible for staff of 500 FTEs, 7 direct reports, 70 vendor FTEs.
  • Coventry Health Care
    Vice President
    Coventry Health Care 1998 - 2013
    London, Gb
    Promoted to executive level position, taking on additional responsibility for multiple health plan operations. Strengthened company's business by leading acquisition responsibility for service operations, organization re-alignment, staffing, budgeting, and systems conversion. Direct responsibility for commercial large customer claims and customer service, pharmacy pre-authorization intake, individual market pre-existing condition review, transplant claims function, Federal Employees Dental Program, corporate Disease Management and HEDIS Outreach outbound call operations.
  • Unitedhealth Group
    Director Service Operations
    Unitedhealth Group 1996 - 1998
    Us
    Directed all operations for GE Service Center servicing 340,000 members
  • Empire Blue Cross And Blue Shield
    Manager Quality Improvement
    Empire Blue Cross And Blue Shield 1986 - 1995

Reinaldo Toro, Mba, Nremt Skills

Health Insurance Operations Management Managed Care Business Process Improvement Management Strategic Planning Program Management Leadership Development Hipaa Six Sigma Healthcare Strategy Business Analysis Analytical Skills Customer Service Insurance Team Building Leadership Vendor Management Executive Management Change Management Cross Functional Team Leadership Financial Modeling Claims Resolution Financial Forecasting Collaborative Problem Solving Customer Satisfaction Talent Developer Driving Results

Reinaldo Toro, Mba, Nremt Education Details

  • Butler Community College
    Butler Community College
    Emergency Medical Technology/Technician (Emt Paramedic)
  • Suny Albany - Mba
    Suny Albany - Mba
    Master Of Business Administration (Mba)
  • Syracuse University
    Syracuse University
    General

Frequently Asked Questions about Reinaldo Toro, Mba, Nremt

What company does Reinaldo Toro, Mba, Nremt work for?

Reinaldo Toro, Mba, Nremt works for Ust Healthproof

What is Reinaldo Toro, Mba, Nremt's role at the current company?

Reinaldo Toro, Mba, Nremt's current role is Accomplished Dynamic Operations Executive Creating Value Through Collaboration and Development of High Performing Teams.

What is Reinaldo Toro, Mba, Nremt's email address?

Reinaldo Toro, Mba, Nremt's email address is rt****@****vty.com

What schools did Reinaldo Toro, Mba, Nremt attend?

Reinaldo Toro, Mba, Nremt attended Butler Community College, Suny Albany - Mba, Syracuse University.

What skills is Reinaldo Toro, Mba, Nremt known for?

Reinaldo Toro, Mba, Nremt has skills like Health Insurance, Operations Management, Managed Care, Business Process Improvement, Management, Strategic Planning, Program Management, Leadership Development, Hipaa, Six Sigma, Healthcare, Strategy.

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