Vera Clement Email & Phone Number

Connecticut, United States

Founding member of the Mental Health Parity Business Team responsible for Parity compliance and state and federal regulatory reporting. Lead develop and updates to compliance tools such as Benefit Classifications, NQTL Comparative Analysis and Outcomes reporting. Currently leading enterprise readiness for the upcoming parity legislation including driving strategic business decisions, budget forecasting, and operational readiness. Enterprise Subject Matter Expert on parity, enterprise impacts, compliance strategies and risk evaluation.

Connecticut, United States

Director of management and development of Commercial Medical Products at Aetna ensuring we are marketing competitive and compliant plans and benefits. Delivered product expertise across the enterprise consulting on and direct strategic business decisions including assessing impacts on Insurance filings, quoting and rating, plan set-up, claims processing, sales, and account management, compliance and legal.

Hartford, Connecticut Area

Commercial Migration lead for Medical Product and plan designs for the integration of a new company purchased by Aetna with over 33K Plan Sponsors and 2MM members. Identified the key plan differences between the two companies and made recommendations to Senior Management and Medical Directors on the features needed to meet the goal of no lapse rate in any segment.Developed the large group product migration medical benefit strategy, processes and tools.

Hartford, Connecticut Area

Develop and manage ACO-inspired enhancements to existing Aetna health benefit products and services that exceed expectations of National Account and Middle Market customers and increase membership growth in these segments. Work collaboratively with Segment and Product Colleagues. Responsible for the end-to-end development and management of products including market needs assessment, product ideation, prioritization of features (roadmap), development of product requirements, oversight of product development and market launch.

Hartford, Connecticut

Managed significant product initiatives. Established and managed large cross-functional development and implementation work groups. Anticipated resource needs, set priorities, established accountabilities, defined roles and responsibilities and managed relationships to secure necessary resources not under direct control.Graduated early from a multi-year Leadership Development Program demonstrated results and growth. Program requirements included completing complex leadership assignments and robust management training and mentoring. Managed the establishment of a Product Review Board responsible for reviewing new enterprise product and vendor initiatives and ensuring they align with Aetna’s business strategy and present a potentially profitable business opportunity that will increase membership, revenue and / or operational effectiveness. Drove end-to-end, enterprise business process and system changes to ensure compliance with the Patient Protection and Affordable Care Act (PPACA) Summary of Benefits and Coverage and Uniform Glossary [Sec. 2715]. Winner of MP&C Team Award for “Summary of Benefits Coverage (SBCs) part of the Affordable Care Act” work.

Middletown, Connecticut

Acted as business owner for an enterprise application managing daily operations, strategic planning and hiring and supervising the team. Secured over $1.5 million dollars for application enhancements to support business development and grew team from .5 full-time employees to five employees to support system growth and maintenance. Established and managed a business support team to help Underwriting and Sales Support with plan design creation and medical benefits related projects with demonstrated improvements in operational effectiveness and legislation compliance.Obtained Aetna Process Improvement (API) Green Belt Certification by completing a green belt project and implementing improvements to enhance sales and drive membership growth. Managed and collaborated on projects to support operations for Middle Market Underwriting and Sales Support.

Newington, Connecticut

2014 Member of the Year; 2010 Probationary Member of the YearIn addition to voluneering as an EMT-B:-Probationary Coordinator responsible for the training of all new members and deciding when they are qualified to act as an independent EMT-B - 2015 to present-Training Officer responsible for coordinating member recertification training and continuing education credits - 2013 to 2015 -Field Training Officer - 2010 to present-Future Planning Committee - 2012 to present-Good and Welfare Committee Chair - 2010 - 2012

B.A., Asian Thought/Area Studies

Activities and Societies: Equestrian Team; Cross Country Team; Tutor;

Oceanography

Studied Marine Biology, Navigation and maritime literature and I completed an extensive study of the oxygenation of water in fjords.

H.S. Diploma

Activities and Societies: Massachusettes Advanced Studies Program - Biology; Girls StateValedictorian