Robert Spector Email & Phone Number

Sacramento, Ca, Us

Oakland, California, Us

Development of business strategy and supporting initiatives for the growth of the IFP line of business, inclusive of Blue Shield's participation on Covered California. Provides subject matter expertise to inform state and federal policy on numerous ACA and market related issues.

Oakland, California, Us

Responsible for overall strategy, contractual compliance, and relationship management with State of California for Covered California and Medi-Cal programs.

Oakland, California, Us

Accountable for overall strategy, operational compliance and integration, and relationship management with Covered California for Blue Shield's individual and small group lines of business.

Oakland, California, Us

Drove overall corporate product strategy, product line management and product development and implementation to help achieve sustained profitable membership for Blue Shield group segment. Built and managed organizational and operating models for a new, consolidated division leading 80+ staff and accountable for a $10m operating budget. Partnered closely with external consultants and clients, and led internal matrix partners within IT, operations, network management and care management to manage over 5,000 unique products each year.

Oakland, California, Us

Developed and implement strategies and product solutions to support profitable membership growth for the self-funded market. Developed Blue Shield’s Shared Advantage (shared adjudication / network rental) model, and implemented numerous capabilities to support self-funded growth.- Co-led the proposal and sales effort, and full accountability for the implementation for approximately 500,000 self-funded members in 4 years – the largest growth segment for the company.-Managed the relationship, implementation, and on-going operational support with national and local TPAs and Taft-Hartley funds. Responsible for the successful integration of eligibility and claims data, claims processing and health plan business processes across multiple claims adjudication and enrollment systems. -Received “A” grades on each client implementation

Worldwide, Oo

Senior Manager, Consulting (1998-2005)Focused on the public sector industry (primarily the State of California) advising and managing major system integration, business transformation and program management efforts. * Led organizational redesign, change leadership and readiness activities for multiple system integration and ERP efforts* Established and managed enterprise wide Program Management Offices for change leadership, BPR and information technology projects, involving the development of methodologies and tools, project oversight and control mechanisms Senior Consultant, Enterprise Risk Services (1996-1998)As a consultant to the financial audit team, performed general and application control reviews of information systems, processes and related financial applications for health care, manufacturing, financial, and service companies.

Armonk, New York, Ny, Us

Designed and implemented mid-market lead management process, which captured, distributed and evaluated business opportunities for the Western United States call centers.Implemented and managed the Mid Range Support Center which provided customer support and product information to more than 700 mid range systems customers.

Bs, Political Science / Economics

Master Of Public Administration - Mpa, Public Policy, Finance And Technology

Master Of Accounting - Macc