-- Developing Metrics for Inventory Control-- Building Quality Control Query Audit Automation-- Leading a Quality Assurance team of 30+ across US and India-- Establishing Value Added quality metrics to improve overall quality of the organization

-- Developed and implemented a control validation audit program for Optum Payment Integrity-- Developed strategic operating disciplines with metrics for Operations Risk Management team in Optum Payment Integrity-- 70% year over year improvement of Payment Integrity regulatory reporting risk score.-- Maintained Anti-Fraud plans and contact forms for regulatory Anti-Fraud compliance.-- Created and monitored operational metrics for Subrogation, Data Mining, UHC and Optum Behavioral Health compliance and regulatory reporting.-- Mentored new and emerging leaders within Optum Payer Operations -- Supervised 13 direct and 17 indirect employees maintaining a year over year Manager Effectiveness and Employee Engagement score of 100% and a customer Net Promoter Score (NPS) of 90%.-- Two-time UHC Compliance Rock Band Award winner

Lead a a group of 5 auditors that act as professional liasons to external audit firms. They ensure streamlined communication between external audit firms and Optum claims transactions for 3, distinctly different, business sites

Oversaw audit operations of 16 auditors across 4 claim platforms. Developed new business audit processes and drive claim quality for Optum.** Created, developed and deployed a new quality program for new business for claim as well as enrollment and eligibility.** In 2013, lead and supported 4 quality summits and participated on 3 Black Belt projects.** Increased efficiencies by 12% and improved quality 1% to 98% overall auditor quality.** Supported IT team in training and transitioning into our audit system.** Helped IT team onboard a new quality team to support 50 people.

** Directly managed and coached an international team of mental health and substance abuse claims auditors. Auditors of 21 people in 5 states across 5 claim platforms. Managed a monthly audit inventory of 13000 claims.** Drove and maintained the achievement of claims quality metrics of 250 global claims processors by 2% in one year’s time.** Implemented policies to streamline our audit process which resulted in improved quality and efficiencies. Improved audit process in Houston and Santa Ana; saved the auditors 25 hours a month in their process. ** Improved production of audits by 15% while maintaining 97% overall quality.** Successfully passed 3 external audits in 2010 plus our SOX control audit; these were the first ever passed audits for the team. Supervised 4 audits in 2011; 2 in Houston, TX and 2 in Duluth, MN. ** Active in developing an audit program for CDH (Consumer Driven Health) and COBRA in OptumHealth Financial Services. ** Successfully moved our closing date by 10 days sooner to improve the feedback communication of our audits.

** Selected to Pilot our BIC tool; became expert in 6 weeks.** Selected to participate, with other experts in various fields, in an RDM (Rapid Decision Making) that focused on improving quality.** Used Six Sigma tools to remediate manual quality errors of the claims process team.** Carried out all the needs of external auditors and presented their findings to senior management. ** Maintained quality measures for our performance guarantee accounts.** Ran data analyses for any significant error patterns among the transactions team. ** Worked on two Six Sigma Green Belt projects with other UnitedHealth Group departments.