Stephen Lobo, Pmp Email & Phone Number

California Health Plan

Greensboro, N.C.

Management of healthplan operations incl. claims, encounters and vendor management.

Manage end-to-end the Anti Fraud, Waste and Abuse compliance program for C&S Texas.Promoted to manage Program Integrity personnel in Kansas, Iowa, Pennsylvania, New Mexico, and North Carolina.Responsible for year-over-year budgeted financial goals being met.Serve as lead point of contact for the Texas Office of the Attorney General, and Texas Office of the Inspector General.Manage vendor for Special Investigations Unit and Program Integrity.Support national anti Fraud, Waste and Abuse initiatives.

• Member of the Texas Health Plan Leadership Team and Chair of the Service Quality Improvement Subcommittee.• Manage the delegated vendor relationships for the Texas Health Plan.• Provide end-to-end project management.Key Initiatives•Working to develop affordable housing options for tens of thousands of indigent members as a way to improve health outcomes. • Collaborating with 40-50 potential partners across housing, education, Dept. of Justice, banking, health care and law enforcement.• Developed a business case for increased cost-share revenue. • Completed a thorough analysis of the Texas Health Plan Operations function and provided a scenario and phased-based position paper.• Managing a project to fully integrate the Texas Dual Special Needs Plan into Operations.• Direct financial integrity goals for the Texas Health Plan in concert with United Payment Integrity.

Houston, Texas Area

• Completed an $18.5 million project that included $14.5 million in federal block grant funds.• Worked with key stakeholders to develop the project charter.• Co-authored written program guidelines.• Developed client in-take module and trained personnel from 22 agencies to use it.• Managed contract, material and performance risks by continuously evaluating contractor and vendor performance, inspecting at least 25% of work and auditing 100% of the cases funded.

Greater Denver Area

• Developed strategic plans for 3 NeighborWorks organizations in collaboration with key stakeholders.• Initiated the Corpus Christi Action Plan and raised $596,000 in seed capital for a loan fund. • Developed partnerships with organizations including United Way, Credit Counseling Services, Catholic Charities and the IRS to provide home-buyer education, tax preparation and loan options.

Houston, Texas Area

Set the strategic direction and management of over $2.2 billion of investment funds and established the architecture of Treasury Operations.• Saved $1.46 million by evaluating and renegotiating service contracts with consultants and banks. • Saved $1.3 million by completing the due diligence for a new top-tier investment consultant.• Set the strategic direction for the investment of $2.2 billion in capital assets.• Managed 55 financial service providers with an annual operating budget of $4.5 million.• Developed and managed an annual department budget of approximately $1.15 million.

Houston, Texas Area

Managed 3 community health investment programs: Community Direct Investment (a $30 million community development revolving loan fund), Community Benefits Reporting and Socially Responsible Investments.• Doubled the CDI (Community Direct Investment) loan portfolio to nearly $13 million.• Leveraged loans 6.4X with investments from government and private sources. • Funded 1,380-plus units of affordable housing and 78,500 sq. ft. of commercial office space. • Transitioned Community Benefits Reporting from a manual compilation system to a software and service-oriented system.

Certified, Project Management Professional

Masters, Administrative Management