Scott Covert Email & Phone Number

Wylie, Tx, Us

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Led Operations Solutions area responsible for enabling HCSC's customer service and back-office functions (claims, provider servicing). The team of 800+ provides strategic & business planning, workforce management, operational excellence, analytics, automation, quality, training and knowledge management services across all our group, individual and government operations (17m+ customers & 15k+ employees).

Chicago, Il, Us

Promoted to direct transformation of HCSC care management business model and strategies across national commercial group, retail, and government lines of business. $XXXM P&L and vendor oversight, up to 300 staff in 5 departments.• Initiated business turnaround, slashing ~$XXXM loss forecast for 2015 by defining and selling business case for strategy to build new, competition-beating technology capabilities, delivering program for $XXM, $XM under budget to gain $XXXM addition to bottom line in 2016 while accelerating time-to-market for changes from months to days.• Delivered $XXM in operating cost reductions, 2017 and 2018, versus $XXM target through 3-prong strategy, including aggressive contract re-negotiation and alternative sourcing, labor restructuring, and organizational redesign.• Collaborated with major universities on data science and analytics research and reporting to forestall state and federal legislation with adverse effects on service costs and delivery in 2 key markets

Chicago, Il, Us

Responsibilities expanded to lead matrix team of 50+ in creating multi-year divisional technology and analytics strategy to prepare company for ACA and other government regulatory changes. Successfully sold plan to C-level decision makers.• Delivered urgent integration of advanced analytics into business process management platform, gaining $XXM through lower implementation costs and faster speed-to-market, and enabling adaptation to growing complexity of healthcare market.• Oversaw country's largest-ever, $XXM care management transition to new technology platform, delivering project on time and on-budget, with new platform successfully scaling to expanding organizational needs.

Chicago, Il, Us

Brought in from Texas BCBS subsidiary to leverage success in market strategy development in creating department responsible for defining and delivering enterprise-wide strategic initiatives. Team of 50 in 3 departments, $XXM budget responsibility.• Turned around off-track behavioral health insourcing strategy in less than 11 months, delivering project on time and within budget with no service disruption, and generating targeted $XXXM in savings.• Reduced operating costs by $XXM over 3 years by negotiating better vendor contracts; turned around operations to improve efficiency by 65% and customer satisfaction by 45%.• Added $XM in annual revenues by co-leading development of mobile-accessible decision-making tools and care collaboration portal at minimal expense to enable cross-organizational patient care planning, with services still in use today.

Recruited by largest Texas health insurer to build new department for critical integration of business operations, technology platforms, and vendor network, to slash costs, re-define strategy, and enable continued financial viability and growth. • Reduced operating costs by $XM/year by consolidating 10 departments into organization's first web-based care management / clinical operations system.• Achieved 99% patient renewal, and boosted sales 150% in 24 months by designing and implementing plan to enhance product features and value proposition.• Created organization's first business-wide continuity plan to ensure ongoing critical functions.

• Managed a $XX million budget in 2000 and initiated appropriate cost control measures to reduce the 2003 budget to $X million.• Managed provider reporting to support operational and client facing requirements.• Served as team lead on implementation of a new enterprise wide provider system for Texas and New Mexico plans.• Developed and administered department policies and procedures, and interface processes with suppliers.• Developed and negotiated contracts with suppliers and vendors.• Served as the Chair of the Data Integrity Workgroup and Texas Provider Reporting Workgroup, and served as member Provider Leadership Group, Member Satisfaction Workgroup, Provider Network Committee, and Network Consolidation Committee.• Monitored the development process and deployment of system changes.• Troubleshot system issues and served as the liaison between end users and IT areas.• Developed new internal quality provider credentialing control department, including business plans, policies and procedures.• Created systems to track employee quality scores, trends, training needs, and support operational reporting.• Produced internal training manuals for system and credentialing processes and procedures

Executive Presence Program

Executive Leadership Program: Critical Conversations

Mba, Business Administration

Bachelor Of Business Administration (Bba), Management Information Systems, General