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Yyyyyy x. yyyyyy

31 Lyncrest Dr. | Xxxxxx, XXXXXX xxxxxx xxx-xxx-xxxx |


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



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 |

4016 N 111th St. Kansas City, KS 66109 xxx-xxx-xxxx



March 16, 2018



Hiring Agent Name


Compaxxxxxx Name


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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