Experience

Dominion National

• United States
• Insurance
• 100 - 200 Employee

• Senior Product Manager

  • Apr 2018 - Present

  Overall responsibility for Dominion’s insurance products, defining the road map for our commercial and Affordable Care Act (ACA) products as well as each of our ten health plan partners. -Conduct market analyses to support the launch of new dental and vision products -Analyze key performance metrics, including membership and premium trends, financial performance and loss ratios to support launch/expiration of products -Work with cross-functional team to implement new products; includes Sales, Underwriting, Marketing, Legal/Regulatory, Financial Services and Provider Relations -Develop and present PowerPoint product recommendations to senior leadership and external clients -Develop product positioning, messaging and sales collateral for internal/external clients -Led annual ACA product filings and QHP applications in seven states. Led a team of 12-15 employees through product and rate development, QHP template completion and state/CMS objections. Due to new products, membership increased 44% and revenue increased 46% from 2016 through YTD 2018 -Led 2017 product expansion in GA, NJ and OR; included ACA and large group products to support Dominion commercial in all three states and an alliance in GA-Led 2018 dental portfolio re-launch for large health plan in AZ. Analyzed previous dental portfolio against AZ marketplace and developed new product and network options. Membership is expected to increase 300% through 7/2019 -Support Business Development team by generating PowerPoint presentations for prospective alliances-Supported Dominion’s 2016 acquisition of a dental carrier by conducting product and membership analyses and product filings to allow for transition of 130K members -Partner with each of Dominion’s ten health plan alliances on annual implementation of their dental product portfolios. Includes market/product analyses, design and presentation of innovative plan options and assisting with all product filing and sales collateral updates. Show less

• Product Manager

  • Apr 2015 - Apr 2018

  I work with cross-functional teams to deliver product enhancements and new products based on the needs of our customers and strategic partners. I also lead our product and health care reform implementations.

• Senior Proposal Specialist

  • Jul 2013 - Aug 2015

  Overall responsibility for the production of proposals on all large groups, municipalities, school systems, health plans and unions for Dominion as well as our strategic alliance partners. - Demonstrated strong project management skills while working on a high volume of proposals with short turnaround times. - Led cross-functional meetings to review proposal requirements with executive leadership, input on plan design and rates, and creative selling measures. - Completed all proposal requirements including questionnaire responses, GeoAccess reports, provider network disruption analyses, exhibit preparation, proposal assembly and timely delivery. - Partnered with subject matter experts and department leads to develop responses for questionnaires and network analyses. - Acted as liaison between Sales, Underwriting and executive leadership to keep proposal on schedule and provide persuasive proposal responses. - Printed, assembled and shipped proposals, ensuring all documents were signed and all bid requirements were met. - Other responsibilities included: quarterly shelf product rate development, consolidated one-page rate brochure design and implementation, updated monthly provider list (including Microsoft Access query development), updated and tested proprietary broker Producer Portal, prepared and assembled PowerPoint finalist presentations, competed GeoAccess and disruption analyses, network adequacy and service area templates for ACA and ad hoc requests from internal and external clients. Show less

• Proposal Specialist

  • Jul 2011 - Jul 2013

• Claims Specialist

  • Jan 2010 - Jul 2011

  As a Claims Specialist, I was responsible for reviewing all single restoration crown and bridge claims for Dominion’s parent company. As one of four clinical review specialists, I was the only claims member certified by our Dental Director to approve and deny clinical dental claims. During my 18 months as a Claims Specialist, the efficiency with which claims were processed increased to company highs in each quarter: - Average number of days to pay claims from January 1, 2010 through July 2011: 4.75 days; industry standard: 15 days. - Thoroughly trained in proprietary programs used to research and process claims. - Effectively responded to dental providers and Member Services staff with specialized claims inquiries in a timely manner while maintaining HIPAA compliance. - Used Microsoft Excel to maintain electronic records, complete weekly prediction reports, and prepare ad hoc claims reports for management. Show less