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Yyyyyy x. yyyyyy
31 Lyncrest Dr. | Xxxxxx, XXXXXX xxxxxx xxx-xxx-xxxx | abc@xyz.com
Senior Operations & Healthcare Executive
Focused, innovative and entrepreneurial C-level Executive Consultant and Strategic Manager with more than 25 years of progressive and diverse experience in the areas of healthcare, finance and operations management. Analytical in navigating corporations as they experience accelerated growth. Foster and sustain positive working relationships and promote synergy across business lines to fuel positive change and heightened levels of profit. Expert in leading processes and programs by creating a framework that leads to business excellence. Proved vital in the launch of three cutting-edge concepts that expanded levels of revenue and operational success. Leader of disciplined decisions that set action into place, using financial acumen and valuable data to manage business functions. Capable of fortifying relationships cross-collaboratively to ensure cohesive operations. In pursuance of a Chief Operating Officer or Chief Information Officer role with a healthcare or technology focus. Targeting opportunities that will center on Data Analytics or Management Consulting.
Career Highlights
Devised comprehensive workflows to boost efficiency and pragmatism of the notice of action (NOA) turnaround time used to meet member notification guidelines and improve Fair Hearings outcomes
Lead cross-functional teams that achieved business goals and evolved concepts into tangible business plans
Successfully capitalized on growth prospects using market analysis, along with product and brand development measures
Reversed losses into profits by expanding and growing a previously-struggling $80M division; restored momentum, thus achieving YoY revenue gains and profits at steady 20% return rate
Secured control of the top-end of market and introduced cost-controlled solutions that called for expansion into high-potential markets
Influenced executives to include data governance principles in defining strategic targets and business solutions
Combined three acquired entities into a global $300M division that outperformed competitors, maximized strategic market share and elevated earnings; led return of 12%, championed two acquisitions and restructured operations to boost cost savings and efficiency
Revamped the least-performing business unit into a top performer; secured $60M in sales and 12% in still-growing profits in three years
Headed the Medicaid recertification, which increased advanced notification of members vulnerable to losing Medicaid and slashed the need for APS referrals
Drafted and managed initial schedule pairing of sales/marketing team members with Care Managers to identify potential members for transfer to a higher level of care health plan model (Medicaid to Medicaid/Medicare product)
Proved vital in introducing a lauded program comprised of professional development courses for staff
Professional History
POINTRF SOLUTIONS LLC | Chief Business Officer, 2014-Present
Deliver advisory services to major corporations; develop business tactics, market assessments, implementations, roadmaps and strategic plans
Engage in due diligence for private equity and venture capital firms as it pertains to developing healthcare investments; includes working consistently with Boards of Directors, CEOs and top-tier executive personnel
Fuel swift-moving rapid growth and garnered profit in first quarter with up to $6M in yearly revenue
Recruited and currently oversee five top-tier employees in delivering the firm s distinctive value proposition
Formulate lasting client partnerships rooted in trust and a shared vision to extend engagements past their intended parameters
Supervise daily firm functions centered on sales, purchases, supply chains, manufacturing, resourcing and distribution
Develop and introduce global supply chains and related operations; tackle full P&L accountability for purchasing and budgets
Complete business cases for long-term healthcare facilities at the global level; opened four new business verticals that projected five-year revenues of $79M
Lead reviews and validate PPS performance against completed process milestones and in meeting annual quality improvement performance targets
Standardize review practices fir the DSRIP program, including those used in onsite audits; train staff on pertinent policies and procedures
Expanded the market for software products from two states to over 10 which increased sales by 27%
Headed a transition to close gaps in the population management capability by as much as 60%
Introduced a strategic plan to increase efficiency in handling DSRIP, Population Health and Health Homes efforts
Yyyyyy x. yyyyyy
Continued
NORTH SHORE LIJ HEALTH SYSTEMS | Senior Director, 2011-2014
Directed operations for a customer-focused durable medical equipment (DME) start-up business
Created an advanced business model that allowed the compaxxxxxx to compete in the medical supply field using developed strategic plans
Slashed $100M over three years by procuring a new Learning Management System for the entire facility
Managed P&L with an annual budget of as much as $450M, with 30% YoY growth for six consecutive years
Saved $3M in pharmacy costs using contract negotiations acumen; also secured a medical cost savings of $1.8M by administering medical reviews
Managed supply chain budgets for all acute care hospitals
Led staffing operations, such as hiring, termination and team succession planning
Carefully planned equipment sourcing, consumable goods purchases and other paid services
Established and adhered to cross-functional goals to support organizational goals
Developed operational functions that were crucial in enhancing the firm s productivity in the area of patient care
Assessed and established standards and guidelines, to be followed by all departments
Evaluated data to unearth new business opportunity patterns
Architected an enterprise data warehouse using star and snow flake schemas in concept; reduced the software cost and development time through the implementation of custom ETL processes
Designed and implemented a 17-faclity EMR rollout
Crafted and introduced an ICD-10 training program for 11K Physicians in the health system
Coordinated DSRIP projects across a multidisciplinary team that included clinicians, administrators and operational support in Primary Care-identified DSRIP practices
Advised the team during development, implementation and evaluation of designated projects related to the DSRIP Program in the primary care network
MEDCO HEALTH SOLUTIONS INC. | Director, 2009-2011
Developed a holistic direction for the Operations teams and led process improvement in all aspects of internal Pharmacy Operations
Worked with clinical pharmacy leadership and cross-functionally with Anthem health plan leaders
Efficaciously monitored delegated administrative functions of the pharmacy benefit manager across all lines of business
Aligned CMS requirements with Pharmacy Services to craft processes, training functions, and documentation per CMS, state and federal requirements
Managed pharmacy operations per contractual requirements; also lead PBM Vendor Performance functions
Enhanced pharmacy revenue by 24% by promoting to local groups, as well as seniors in nursing homes
Amplified sales 15% and gross margins 18%, reduced expenses and waste by implementing COE
Secured 50% in planning savings while simultaneously increasing customer satisfaction
Leveraged the use of strategic planning processes to mesh the customer voice with product and service requirements
Excelled in managing a $50M portfolio per business needs and risk projections
Advocated tirelessly for a new metrics management process, intended to standardize performance indicators across product lines
Earlier Experience
CIO/Consultant, Prism Consulting, LLC, 2009
Engagement Manager, McKinsey & Compaxxxxxx, 2005-2009
Trooper, Idaho State Police, 1996-1999
Senior Project Manager, TD Waterhouse, 2000-2005
Senior Manager-Global Business Technology & Systems Actuary, Group Health Inc., 1995-2000
Director of Health Services, CUXXXXXX, 1990-1995
Education & Credentials
Master of Business Administration, Business, Corllins University
Bachelor of Science, Computer Science, Corllins University
Certified, Six Sigma Black Belt
Certified, Volunteer Paramedic
Yyyyyy x. yyyyyy
31 Lyncrest Dr. | Xxxxxx, XXXXXX xxxxxx xxx-xxx-xxxx | abc@xyz.com
4016 N 111th St. Kansas City, KS 66109 xxx-xxx-xxxx abc@xyz.com
March 16, 2018
Hiring Agent Name
Title
Compaxxxxxx Name
Address
City/State/Zip Code
Dear [Hiring Agent Name],
I am pleased to submit my application materials for the (INSERT TITLE OF TARGET POSITION) vacancy and am submitting my documents for your review. As illustrated in the accompaxxxxxxing resume, my professional qualifications include the following accomplishments: given that you had so much in notes for us, I want to check and ensure I m on the right track as I develop this.
- Achievement
- Achievement
- Achievement
- Achievement
- Achievement
I am a focused, capable and highly experienced applicant committed to supporting the long-term goals of an innovative, reputable firm. I am confident that I could be a valuable asset to your organization, and look forward to interviewing with you in the near future.
Yours Truly,
Yyyyyy x. yyyyyy
Enc. Resume
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