Reinaldo Toro, Mba, Nremt Email and Phone Number
Reinaldo Toro, Mba, Nremt work email
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Reinaldo Toro, Mba, Nremt personal email
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
Ust Healthproof
View- Website:
- usthealthproof.com
- Employees:
- 1089
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Ust HealthproofPittsburgh, Pa, Us -
Director 1 ConsultingUst Healthproof Apr 2024 - PresentAliso Viejo, California, Us -
Emergency Medical TechnicianButler Ambulance Service Jan 2024 - PresentButler , Pa, Us -
Independent Health Insurance Operations AdvisorSelf-Employed Feb 2023 - PresentIndependent Health Insurance Operations Advisor specializing in Contact Center Operations, Customer Relationship Management, Member Experience, Provider interactions and enabling technologies.
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Vice President Member ExperienceHighmark Wholecare 2018 - Feb 2023Pittsburgh, Pa, UsExecutive 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. -
Senior DirectorAetna 2013 - 2017Hartford, Connecticut, UsUpon 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. -
Vice PresidentCoventry Health Care 1998 - 2013London, GbPromoted 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. -
Director Service OperationsUnitedhealth Group 1996 - 1998UsDirected all operations for GE Service Center servicing 340,000 members -
Manager Quality ImprovementEmpire Blue Cross And Blue Shield 1986 - 1995
Reinaldo Toro, Mba, Nremt Skills
Reinaldo Toro, Mba, Nremt Education Details
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Butler Community CollegeEmergency Medical Technology/Technician (Emt Paramedic) -
Suny Albany - MbaMaster Of Business Administration (Mba) -
Syracuse UniversityGeneral
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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