Experience

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  TakeCare Insurance Company, Inc.

  • United States
  • Hospitals and Health Care
  • 100 - 200 Employee

  • Government & National Accounts Executive

    • Jan 2021 - Present

    Beginning January 2021, in consultation with the executive management team, I voluntarily changed roles within the organization. Recognizing the need to be more accessible/responsive to our US-based customers and my desire to be closer geographically to my family in the states, I have relocated to my home state of Florida. Working from Florida, I am responsible for coordinating and managing all of TakeCare’s federal and government accounts and activities including but not limited to its FEHB offering and/or all other public sector accounts. In addition, my focus is on the development and expansion of the company’s national accounts portfolio and ensuring membership, achieving premium revenue and profitability targets for this sector. See previous experience. To serve these accounts, I collaborate closely with them directly and my network of contacts within international employee benefit consulting firms including Mercer, Willis Towers Watson, Hub International, Alliant, and Aon Hewitt.Additional responsibilities include strategic planning and implementation, goals and results monitoring and tracking, open season and enrollment activities, compliance with contractual requirements and accreditation. Presentation and tracking of results, initiatives and strategies to executive management team.

  • Senior Manager - Sales, Marketing, and Customer Service

    • Jan 2018 - Jan 2021

    Beginning 1/1/18, I was promoted to this position with leadership responsibility for the sales, marketing, and customer service functions with 21 team members located in Guam, Saipan, Philippines. I serve as a member of the Health Plan Leadership Team reporting to the Health Plan Administrator, and the Sr. Leadership Team reporting to the President/CEO. During this time, TakeCare’s membership grew 11% to a level of 29,780 while meeting our annual PBIT target and solidifying our No. 2 position in the market. TakeCare’s CAHPS summary rate for Customer Service improved by 440 basis points.During the first year of the COVID-19 pandemic, successfully lead the sales, marketing, and customer service teams to a full remote work capability, enhancing lines of communication internally and externally, taking care of our customers and each other. Oversaw the redesign of TakeCare’s web site, expansion of its social media platforms, and creation/deployment of the company’s groundbreaking mobile app giving customers greater access to information and tools to better manage their health and wellbeing.I continue to be directly responsible for our Government Accounts (Federal Employee Health Benefit Plan [FEHB], Government of Guam, Judiciary of Guam, American Samoa Power Authority). See below.

  • National Accounts Manager

    • Oct 2009 - Jan 2018

    I help large, multinational employers evaluate, purchase and implement healthcare insurance programs that provide medical and dental coverages. Responsible for managing and growing a commercial book of business from $6M to $12.5M in annualized revenue over 8 year period. These employers have operations on Guam, Saipan (CNMI), American Samoa, and the rest of the western Pacific.To serve these clients, I collaborate closely with international employee benefits consulting firms including Mercer, Towers Watson, and Aon Hewitt.In addition, I led cross-functional teams that manage Takecare's offering to 8,800 employees, retirees, and dependents covered by the Federal Employee Health Benefits (FEHB) program, 6,700 Government of Guam employees, retirees, and dependents, 672 Judiciary of Guam employees and dependents, and 372 American Samoa Power Authority employees and dependents. For the FEHB program, I collaborate with staff at the federal Office of Personnel Management (OPM) in Washington DC.

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  TriZetto Healthcare Products

  • Consultant

    • 2006 - Oct 2009

    I helped insurance organizations evaluate, purchase and implement onshore and offshore BPO solutions that reduced their operational expenses and improved the outcomes associated with data or information processing, process improvement. Core service offering included front end claim processing, automated PPO Routing, remote data entry, enrollment, EOB and medical bill processing, FSA claim processing, online document management systems, software development and programming solutions.

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  inTandem Marketing Communications

  • Principal

    • 2003 - Oct 2009

    Provided business consulting services to multiple industries nationally working with CXO staff. Key service elements: developing integrated strategic sales & marketing plans, product development and pricing; multimedia advertising, Web 2.0, promotional programs, public relations and crisis communication management.

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  Protegrity Services

  • Sr. Vice President

    • 2000 - 2003

    Protegrity Services formed as a result of a management buyout of Humana WCS from Humana, Inc in 2000.Led all marketing and corporate communication projects for this organization, focusing on insurance industry opportunities, using technology to streamline operations, reduce expenses and improve customer satisfaction. One such result was the development and launch of workcompnow.com, a web-enabled, real-time quote/bind tool for small account work comp coverage used by over 900 agents.

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  Humana Workers' Compensation Services

  • Director of Marketing & Communications

    • 1997 - 2000

    PCA Solutions acquired by Humana, Inc. in 1997. Achieved successful transition of corporate identity with no loss of a significant customer, agent or physician contracts. Led team that created and launched key new tools: redesigned corporate newsletter, an improved E-survey, new sales incentive programs (for some 3000 field agents) and the new corporate web site.

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  PCA Solutions, Inc

  • Vice President, Marketing

    • 1996 - 1997

    In addition to managing marketing function, I lead a multi-functional (claims, medical management, underwriting) team that developed and launched first coordinated "24-hr" group health / work comp program in Florida.

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  Great States Insurance Company

  • Vice President, Sales & Marketing

    • 1992 - 1996

    FHP, Inc acquired Great States in 1992.Part of senior management team that successfully developed and launched ground-breaking "24-hour managed care" program coordinating group health and work comp in one program - a catalyst for change in the entire industry, HCO's, managed care work comp..

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  FHP Life Insurance Company

  • Director of Sales

    • 1987 - 1992

    Part of launch team that pioneered "Dual/Triple Choice" Indemnity/PPO/HMO group health programs that became industry standard.