Demonstrates extensive abilities and/or a proven record of success as a team leader, and in operations roles within a professional services firm or corporate environment, helping companies to identify, clarify and resolve complex issues critical to their strategic and operating success, including:

• Payer operations strategy - Sales, Marketing, Benefits/Products, Clinical Management, and Core Operations (Enrollment, Claims, Billing, and Customer Service); and,
• Domain expertise - Data & Analytics, Automation, Artificial Intelligence, Health Advocacy, Cost Benchmarking and Complex Project/Program Management

Demonstrates extensive abilities and/or a proven record of success as a team leader with Payer Operations Experience relating to Transformation program requirements such as:

• Program implementation, product/market expansion and Growth;
• Experience with quality programs and provider network design;
• Business Development - growing existing clients and developing new clients within the Payor sector;;
• Payer industry market trends and industry as it relates to leading practices in order to develop insights and provide recommendations;
• Experience across payer back office, specifically to drive growth across operations, IT and strategy engagements;
• Domain experience across areas that include: claims, enrollment, billing, membership, provider data, product management, and related functions;
• Experience with either process level familiarity and/or familiarity with the technology solutions that enable payer back-office functions;
• Experience with payer back-office technology platforms such as COTS platforms including TriZetto Facets/QNXT, HealthEdge, and;
• Experience with data and systems interactions including IT tools and technology.

​Demonstrates extensive abilities and/or a proven record of successof leadership, strategic and creative thinking, problem solving, individual initiative, and the following abilities:

• Leading teams to generate a vision and creating an atmosphere of trust, leveraging diverse views and encouraging improvement and innovation;
• Building productive and collaborative relationships with team members and proactively providing and seeking guidance, clarification and feedback;
• Leading a team to a successful project conclusion through problem solving complex operations issues;
• Managing the planning, organizing and delivery of operations tasks and projects, overseeing independent analyses and ensuring the quality of client deliverables;
• Leading the development and improvement of various frameworks and methodologies within operations;
• Identifying and addressing client needs: building, maintaining, and utilizing networks of client relationships;
• Communicating effectively in an organized and knowledgeable manner in written and verbal formats; and,
• Leveraging quantitative analyses to construct analytical frameworks and synthesize complex data into meaningful insights.