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Strategic, goal-oriented individual with strong leadership skills. Organized, highly motivated and detail-directed problem solver. Ability to lead multi-million dollar projects from concept to fully operational status. Effective in developing and maintaining working relationships with all levels of the organization and with external vendors.
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Vice President Configuration And ClaimsUcare Jan 2023 - PresentMinneapolis, Mn, Us -
Chief Operating OfficerNeugen Nov 2021 - Jan 2023Member of Executive Leadership team providing strategic leadership and transforming the Insurance Operations Units including Claims Administration, Cost Containment/COB, Enrollment and Billing, and Operational Fulfilment. Establish synchronization of operations with all teams including Sales, Finance, and Medical Management.• In August 2021, assumed responsibility for Configuration, IT Infrastructure, Security, Application Development, Enterprise Data Services, and Quality Assurance • Develop and provide comprehensive strategic management of 52% of the company’s administrative budget• Implemented Qualtrics to measure Net Promoter Score, achieving an average score of 80. Established systems to carry out improvements based on member feedback• Effectively deployed Agile Project Management approach to prioritize and execute corporate strategy and cross-departmental initiatives. Efforts resulted in more than $1 million in annualized savings while doubling output of corporate portfolio • Leading operational shutdown of health insurance line of business including redistributing responsibilities to optimize workload during periods of decreased staffing resources
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Vp Of Insurance OperationsNeugen Mar 2018 - Nov 2021Member of Executive Leadership team providing strategic leadership and transforming the Insurance Operations Units including Claims Administration, Cost Containment/COB, Enrollment and Billing, and Operational Fulfilment. Establish synchronization of operations with all teams including Sales, Finance, and Medical Management.• In August 2021, assumed responsibility for Configuration, IT Infrastructure, Security, Application Development, Enterprise Data Services, and Quality Assurance • Implemented Qualtrics to measure Net Promoter Score, achieving an average score of 80. Established systems to carry out improvements based on member feedback• Effectively deployed Agile Project Management approach to prioritize and execute corporate strategy and cross-departmental initiatives. Efforts resulted in more than $1 million in annualized savings while doubling output of corporate portfolio
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Senior Director Of Insurance OperationsWea Trust Apr 2013 - Mar 2018Madison, Wi, UsTransformed the Insurance Operations units with an Emphasis on creating and achieving KPIs, improving efficiencies, reducing costs, hiring, and mentoring staff.• Restructured the operations division resulting in a reduction of 35 FTE and an annual administrative budget savings of 5%• Improved claims auto-adjudication rate from 70-90% in less than 18 months• Implemented and mentored cross functional teams to improve member experience and operation efficiencies -
Vice President Of Operations / Senior Director Of OperationsPhysicians Plus Insurance Corporation 2008 - 2012Madison, Wi, UsMember of Executive Leadership Team which developed and executed corporate strategy, planning, budget, staff training and process management. Provided Executive leadership and direction to operational units including Call Center; BPO Outsourcing relationship; IS &T, Facilities Management, Administrative Services, Medicaid Contract, Business Analysts, Training, Subrogation and Recoveries, Configuration, Cost Containment and Project Management. Managed $12M annual budget. • Provided leadership and facilitated a facility and data center move for 130+ staff including a phone system conversion. Move was on time and within budget.• Managed a significant system upgrade that included the primary medical claims transaction system and 4 integrated systems. Upgrade resulted in a HIPAA compliant platform for 5010.• Provided strategic leadership for the acquisition and operationalization of a WI Medicaid (Badger Care Plus) contract adding over 7,000 new member lives. • Developed a PMO role and led the development of a systematic process to review and prioritize strategic and cross-functional projects.• Responsible for implementing procedures and policies to insure accurate coding and payments. In 2011, savings exceeded $6M. • Acquired leadership responsibilities for the IT department, including network, data warehouse management and development.• Renegotiated outsourcing contract that resulted in $1 million savings over three years. -
Director Of Business Integration / Business ProcessesPhysicians Plus Insurance Corporation 2000 - 2008Madison, Wi, UsProject managed two (2) multi-million dollar conversions consisting of integration of administrators and core transactional systems. - Provided strategic and tactical leadership for the daily operations of multi-million dollar outsourcing contract. Contract services include transaction system and reporting, billing, enrollment, claims processing, customer management, benefit and pricing configuration, system controls, customer web portal, HIPAA and other related interfaces.- Oversaw management cost recovery activities including subrogation and fraud and abuse. Analyzed and research business processes to improve efficiencies and reduce costs.- Managed professional staff that provided business support in the areas of cost containment, subrogation, benefit and reimbursement accuracy, systems and business process training, and administrative services/facility management.- Developed and implemented key work processes that drove process excellence through leadership and coordination of key internal and external stakeholders. - Participated in the documentation and site visit for a Malcolm Baldrige award.
Terri Lowe Skills
Terri Lowe Education Details
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University Of Wisconsin-MadisonEducation
Frequently Asked Questions about Terri Lowe
What company does Terri Lowe work for?
Terri Lowe works for Ucare
What is Terri Lowe's role at the current company?
Terri Lowe's current role is Managed Care & Health Insurance Executive.
What is Terri Lowe's email address?
Terri Lowe's email address is tl****@****lth.com
What is Terri Lowe's direct phone number?
Terri Lowe's direct phone number is +125167*****
What schools did Terri Lowe attend?
Terri Lowe attended University Of Wisconsin-Madison.
What skills is Terri Lowe known for?
Terri Lowe has skills like Health Insurance, Cross Functional Team Leadership, Hipaa, Process Improvement, Managed Care, Leadership, Insurance, Management, Project Management, Business Process Improvement, Healthcare, Strategy.
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