Melissa Whitley, Emba, Chc Email and Phone Number
Melissa Whitley, Emba, Chc work email
- Valid
- Valid
- Valid
- Valid
- Valid
Melissa Whitley, Emba, Chc personal email
Melissa Whitley, Emba, Chc phone numbers
Melissa has over 25 years of experience in health insurance operations, with the past 10 years focused on Medicare Part D business operations and IT project management. Melissa’s expertise is in the identification and remediation of operational issues and compliance risks, operating within matrix organizations and managing cross-functional teams. Her experience in understanding both the business operations and IT components of project management has proven instrumental in her success.
-
Chief Operating OfficerMass Advantage Jul 2024 - PresentWorcester County, Massachusetts, United States
-
Vp Plan OperationsMass Advantage Jun 2022 - PresentBoston, Massachusetts, United States
-
Vp Client ServicesBluepeak Advisors Feb 2015 - May 2022BluePeak Advisors assists health plans, pharmacy benefit management companies, pharmaceutical companies and health care alliance companies with Medicare Parts C and Part D operational and compliance issues. BluePeak consultants, with experience from CMS and the industry, perform many mock audits and CMS validation audits each year, assist with actual CMS audits onsite, design staffing plans and act as interim staffing, and assist with remediation efforts. -
Senior Director, Client Operations; Government ProgramsCvs Caremark Corporation Jan 2011 - Feb 2015Leader for Government Programs for Aetna Account, including Medicare Part D, Medicaid and Public Exchanges.Business Owner for migration efforts to transition Aetna Medicare Part D business to CVS Caremark systems.Transitioned to CVS Caremark through Strategic Agreement with Aetna. Responsibilities include assisting with transition and integration of Aetna’s Pharmacy Business to CVS Caremark, including 14M members, over 1,000 different Benefit Plans and 800+ transitioning… Show more Leader for Government Programs for Aetna Account, including Medicare Part D, Medicaid and Public Exchanges.Business Owner for migration efforts to transition Aetna Medicare Part D business to CVS Caremark systems.Transitioned to CVS Caremark through Strategic Agreement with Aetna. Responsibilities include assisting with transition and integration of Aetna’s Pharmacy Business to CVS Caremark, including 14M members, over 1,000 different Benefit Plans and 800+ transitioning employees.Act as Change Management agent with Client relationship, processes, technology. Show less -
Head Of Pharmacy Customer OperationsAetna Oct 2006 - Dec 2010•Responsible for managing multiple departments and functions for Pharmacy Customer Operations including project management, plan set-up and installation, eligibility and member overpayment recovery.•Operational Business oversight for Pharmacy claim applications. Managed team of application subject matter experts on Commercial and Medicare Part D programs.•Responsible for leading and managing large scale business projects. Including opening new service center and in-sourcing 1.8M… Show more •Responsible for managing multiple departments and functions for Pharmacy Customer Operations including project management, plan set-up and installation, eligibility and member overpayment recovery.•Operational Business oversight for Pharmacy claim applications. Managed team of application subject matter experts on Commercial and Medicare Part D programs.•Responsible for leading and managing large scale business projects. Including opening new service center and in-sourcing 1.8M annual calls.•Responsible for strategy planning, including development of departmental 3-year strategy and annual Operating Plans. •Management of Training and Quality Department for Pharmacy Customer Operations. Develop training and quality strategy for customer service operations.•Responsible for managing outsource vendor and call center/vendor strategy. Includes vendor contract business negotiations, new vendor evaluations and implementation activities. •Team participant on Customer Operations Merger and Acquisition activities. Show less -
Senior Project ManagerAetna, Inc Mar 2004 - Oct 2006•Operational oversight for member website and member email management application (KANA)•Partner with segments and other business areas to drive web strategies and innovations and provide enterprise operational oversight for Aetna Navigator and KANA•Responsible for management and oversight of application and business production issues, small enhancements, as well as, being responsible for preparing and presenting management reports•Member of KANA Customer Advisory Board – providing… Show more •Operational oversight for member website and member email management application (KANA)•Partner with segments and other business areas to drive web strategies and innovations and provide enterprise operational oversight for Aetna Navigator and KANA•Responsible for management and oversight of application and business production issues, small enhancements, as well as, being responsible for preparing and presenting management reports•Member of KANA Customer Advisory Board – providing R&D feedback•Business management for KANA application upgrade, including application evaluation, contract negotiations and user testing. Show less
-
Director Of Customer Service QualityCigna 1995 - 2004•Responsible for leading and managing the National Customer Service Quality program, with full responsibility for annual budget of $4 million•Redesigned call quality program to include end to end evaluation of member experience, resulting in a 2% increase in member satisfaction surveys.•Successfully consolidated 7 quality review sites into 2- net savings over $1 million per year.•Successfully lead quality application upgrade business project
Melissa Whitley, Emba, Chc Skills
Melissa Whitley, Emba, Chc Education Details
-
Charter Oak College3.5
Frequently Asked Questions about Melissa Whitley, Emba, Chc
What company does Melissa Whitley, Emba, Chc work for?
Melissa Whitley, Emba, Chc works for Mass Advantage
What is Melissa Whitley, Emba, Chc's role at the current company?
Melissa Whitley, Emba, Chc's current role is Chief Operating Officer at Mass Advantage.
What is Melissa Whitley, Emba, Chc's email address?
Melissa Whitley, Emba, Chc's email address is me****@****gel.com
What is Melissa Whitley, Emba, Chc's direct phone number?
Melissa Whitley, Emba, Chc's direct phone number is +186034*****
What schools did Melissa Whitley, Emba, Chc attend?
Melissa Whitley, Emba, Chc attended Strayer University (Va), Charter Oak College.
What are some of Melissa Whitley, Emba, Chc's interests?
Melissa Whitley, Emba, Chc has interest in Collecting Antiques, Exercise, Home Improvement, Collecting Art, Reading, Gourmet Cooking, Food, Home Decoration, Health, Cooking.
What skills is Melissa Whitley, Emba, Chc known for?
Melissa Whitley, Emba, Chc has skills like Business Process Improvement, Program Management, Management, Process Improvement, Leadership, Strategy, Change Management, Health Insurance, Outsourcing, Vendor Management, Healthcare, Training.
Free Chrome Extension
Find emails, phones & company data instantly
Aero Online
Your AI prospecting assistant
Select data to include:
0 records × $0.02 per record
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial