Process Manager, Strategic Communications
Louisville, Kentucky Area
During this period, I oversaw the implementation and integration of the SmartSummary (Medicare and Commercial), Smart-Results, SmartSummary Spending Accounts, Medicare Annual Communications, Home Health Aid questionnaire and fulfillment, Provider Welcome Kits, and Commercial and Medicare drug list/formulary products, along with the expansion of the Medicare SmartSummary to include CarePlus and medical claims for the Medicare Advantage Prescription Drug (MAPD) and Medicare Advantage (MA) beneficiaries. I supervised a team of 12 analysts and consultants, provided strategic direction for multiple initiatives, and partnered with various lines of business to determine value propositions and bottom line impact. In addition, I carried out project scoping and resource allocation.Selected Accomplishments:• Saved $28M and streamlined workflow by implementing a new system to automate the transfer of benefit data from the plan repository to the Centers of Medicare and Medicaid (CMS) PBP software. Met all Key Performance Indicators (KPI).• Implemented the industry’s first non-model Medicare EOB, which provided Humana with a major competitive advantage for 4 years.• Played a major role in Humana earning a patent for the Smart Summary Statements product.• Enabled $500,000 in savings by implementing the CarePlus SmartSummary Statement product.• Recognized with 2 awards for outstanding performance.