Experience

DirectPath

• United States
• Insurance
• 1 - 100 Employee

• Benefits Educator

  • Oct 2013 - Present

  Healthcare Benefits Healthcare Benefits



DST Health Solutions

• Account Executive

  • Dec 2010 - Present

  Provide business process outsourcing (BPO) for health payers and Third Party Administrators (TPA) as a complete health plan enterprise back office administrator. Responsible for service delivery for multi site clients, relationship management, client account planning, managing client expectations, developing client solutions, and ensuring that the work performed meets or exceeds contract and service level obligations. Interact with multiple product groups and Sales Team to coordinate… Show more Provide business process outsourcing (BPO) for health payers and Third Party Administrators (TPA) as a complete health plan enterprise back office administrator. Responsible for service delivery for multi site clients, relationship management, client account planning, managing client expectations, developing client solutions, and ensuring that the work performed meets or exceeds contract and service level obligations. Interact with multiple product groups and Sales Team to coordinate projects among those groups as their Client Advocate, ensuring that product deliverables are met, as well as facilitating implementation, training and support of business work flow solution software. Responsible for client billing set-up to ensure billing accurately meets contractual obligations, including resource allocation. Support and ensure 5010 Implementation, Health Care Reform client compliance ICD10 Assessment, Mitigation and Solution Strategies Show less Provide business process outsourcing (BPO) for health payers and Third Party Administrators (TPA) as a complete health plan enterprise back office administrator. Responsible for service delivery for multi site clients, relationship management, client account planning, managing client expectations, developing client solutions, and ensuring that the work performed meets or exceeds contract and service level obligations. Interact with multiple product groups and Sales Team to coordinate… Show more Provide business process outsourcing (BPO) for health payers and Third Party Administrators (TPA) as a complete health plan enterprise back office administrator. Responsible for service delivery for multi site clients, relationship management, client account planning, managing client expectations, developing client solutions, and ensuring that the work performed meets or exceeds contract and service level obligations. Interact with multiple product groups and Sales Team to coordinate projects among those groups as their Client Advocate, ensuring that product deliverables are met, as well as facilitating implementation, training and support of business work flow solution software. Responsible for client billing set-up to ensure billing accurately meets contractual obligations, including resource allocation. Support and ensure 5010 Implementation, Health Care Reform client compliance ICD10 Assessment, Mitigation and Solution Strategies Show less



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Strategic Account Executive

  • Jan 2001 - Oct 2009

  • Manage care delivery (PPO, HMO’s, gatekeeper, managed indemnity plans) and partner with client, brokers and consultants with the renewal and retention of Employer Group Health Benefits • Responsible for the maintenance, growth and increased profitability of existing Key account membership, the acquisition of new business with existing accounts, and the strategic direction of assigned accounts. • Responsible for managing >100 size employer group and high profile customers with… Show more • Manage care delivery (PPO, HMO’s, gatekeeper, managed indemnity plans) and partner with client, brokers and consultants with the renewal and retention of Employer Group Health Benefits • Responsible for the maintenance, growth and increased profitability of existing Key account membership, the acquisition of new business with existing accounts, and the strategic direction of assigned accounts. • Responsible for managing >100 size employer group and high profile customers with Healthcare and Ancillary Benefits for the Gulf States Region. • Provide strategic planning and consultative advice to clients through the execution of client specific business plans for Medical, Pharmacy, and Specialty Pharmacy, Dental, Vision, Voluntary Short Term Disability, Long Term Disability, Life insurance and FSA products. In addition, proactively recommended and promoted solutions, including clinical initiatives, disease management, retail and mail benefit for Pharmacy program solutions and Wellness initiatives. • Partner with Sales and Underwriting for quotes, bids and account documentation regarding renewal/pricing exhibits to ensure business unit growth and retention. • Attend quarterly client onsite meetings to deliver, provide interpretation and recommendations of the financial/claims/utilization reports. Prepare strategies and goals for Executive and Underwriting team. • Oversee the coordination of program enhancements, business/product implementations, analyzing RFP responses, contract negotiations and financial underwriting. Show less • Manage care delivery (PPO, HMO’s, gatekeeper, managed indemnity plans) and partner with client, brokers and consultants with the renewal and retention of Employer Group Health Benefits • Responsible for the maintenance, growth and increased profitability of existing Key account membership, the acquisition of new business with existing accounts, and the strategic direction of assigned accounts. • Responsible for managing >100 size employer group and high profile customers with… Show more • Manage care delivery (PPO, HMO’s, gatekeeper, managed indemnity plans) and partner with client, brokers and consultants with the renewal and retention of Employer Group Health Benefits • Responsible for the maintenance, growth and increased profitability of existing Key account membership, the acquisition of new business with existing accounts, and the strategic direction of assigned accounts. • Responsible for managing >100 size employer group and high profile customers with Healthcare and Ancillary Benefits for the Gulf States Region. • Provide strategic planning and consultative advice to clients through the execution of client specific business plans for Medical, Pharmacy, and Specialty Pharmacy, Dental, Vision, Voluntary Short Term Disability, Long Term Disability, Life insurance and FSA products. In addition, proactively recommended and promoted solutions, including clinical initiatives, disease management, retail and mail benefit for Pharmacy program solutions and Wellness initiatives. • Partner with Sales and Underwriting for quotes, bids and account documentation regarding renewal/pricing exhibits to ensure business unit growth and retention. • Attend quarterly client onsite meetings to deliver, provide interpretation and recommendations of the financial/claims/utilization reports. Prepare strategies and goals for Executive and Underwriting team. • Oversee the coordination of program enhancements, business/product implementations, analyzing RFP responses, contract negotiations and financial underwriting. Show less