Six Sigma Management

Saima Khan

Email: *********@********.***

Address: **** ****** **** ****

City: Laurel

State: MD

Zip: 20724

Country: USA

Phone: 513-***-****

Skill Level: Director

Salary Range: $100,000

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Saima S. Khan, MHSA, MBA, CLSSBB ************@*****.***

3253 Purple Leaf Lane, Laurel, MD 20724

Cell: 513-***-****

CAREER PROFILE

DIRECTOR-LEVEL BUSINESS TRANSFORMATION HEALTHCARE EXECUTIVE

CERTIFIED LEAN/SIX SIGMA BLACKBELT

- Hold full accountability for business transformation & business process redesign initiatives and Lean/Six Sigma staff in dynamic healthcare companies, rescuing bottlenecked processes, and yielding significant savings in highly regulated environments

- 10 years of quality, performance improvement, and business transformation project and program management experience enabling prominent healthcare organizations to be more efficient and competitive in exceedingly leaner environments

- Well-versed in NY State and Federal managed care programs and products with proven ability to capitalize upon opportunities and optimize company benefits, while surpassing targets within deadlines and scope

- Partner with corporate executive management teams in planning and executing dynamic, enterprise-level initiatives operations, new contracts, programs, products, organizational process and IT infrastructure development, and culture change

BUSINESS TRANSFORMATION & MANAGEMENT COMPETENCIES

- Six Sigma DMAIC and Lean tools

- Organization / Operations / Maturity Management

- Startup, Transformation & Culture Change

- Strategic Development and Planning

- Multimillion-Dollar Revenue Creation and Cost Savings

Management

- Problem Solving & Change Management

- Staff Management and Training

- Certified Facilitator

- Building ROIs and operational benchmarks

- Cross-Functional Team Management

- Process Design/Redesign and Mapping

- Project Planning/Execution and Coaching

- Process, Performance & Quality Management

- New Product Service Launch & Management

- Large-Scope Service Delivery & Contract Management

CAREER OVERVIEW

DIRECTOR / Business Transformation Department / Affinity Health Plan, Bronx, NY (6/11 to Present)

A key member of the executive team, holding full accountability of entrepreneurial goals to develop a new Business Transformation Department and enterprise and corporate culture change through Lean and Six Sigma projects at Affinity Health

Plan, a multibillion dollar Medicaid and Medicare managed care organization. Target and secure additional revenue opportunities and cost savings through implementation of new business products, redesign processes for improved efficiencies, execution of newly negotiated contracts, and provide technical and managerial oversight to all aspects of business transformation projects.

Mentor, lead, develop and directly manage careers of 3 Lean/Six Sigma managers, and provide oversight and mentorship to 10-25+ on various cross-functional business transformation project teams resulting in approximately $40M in cost savings per year. Project life cycle includes project evaluation and ROI analysis, business process redesign and technology solutions, and change management to boost Affinitys competitive position in the emerging and fluctuating managed care environment. Provide advisory support to colleagues and C-level executives to establish, strengthen, and manage relationships with all customers.

Select Achievements:

- Chosen for a select executive leadership steering committee to provide advisory support to improve business development efforts in a Managed Long-Term Care (MLTC) program implementation team, including State application process, operational gap analysis, and provide business transformation resources to build needed business processes.

- Led a team of 40+ internal and 30+ external professionals knowledge experts, operational SMEs, contract, and process development experts through implementation of a new pharmacy contract and program, resulting in $25M in annualized savings for the company.

- Led the implementation of a new outpatient and specialty lab services contract, resulting in $10M in annualized savings for the company, which included initial RFP and selection process, building ROIs, business process implementation, including IT redesign efforts, control/leakage reporting, and staff training.

- Coached Six Sigma Blackbelt manager to investigate root causes of decreased member premium billing and reconciliation and implement an improved future state to address gaps, resulting in a recovery of $3.3M (annualized) revenue.

- Developed the companys first Lean and Six Sigma curriculum in the companys corporate education program, to promote basic Six Sigma and Lean concepts and bolster culture change throughout all levels of the organization.

LEAN SIX SIGMA BLACKBELT / Performance Improvement Department / Healthfirst, New York, NY (5/07- 5/11)

PROGRAM MANAGER / Performance Improvement Department / Healthfirst, New York, NY (7/06-4/07)

Managed full project life cycle of projects, overcoming several complex business and IT challenges, at Healthfirst, New York Citys largest Medicaid and Medicare managed care company. Responsible for the expansion of the Medicare product into 7 additional counties and the acquisition and integration of a new Managed Long-Term Care (MLTC) company. Sole facilitator in several corporate strategy development sessions with senior management.

Chosen for special assignment after one year of employment to be trained and certified as a Lean Six Sigma Blackbelt to support the companys efforts, including vision and execution of several performance improvement initiatives strategies focused on revenue enhancement and cost savings. Applied Lean and Six Sigma principles, project management methodology, and NY Medicaid and Medicare product knowledge to enterprise-wide change initiatives and projects. Led company-wide initiatives by building consensus and influencing key stakeholders through executive level presentations, change control, and status reporting.

Select Achievements:

- Credited with increasing Medicaid member retention efforts through the development of the companys first qualitative analysis of member retention trends and executed improvements in the Medicaid application quality, resulting in additional $10.8B revenue per year.

- Lead on team tasked with acquisition and integration of a new Managed Long-Term Care (MLTC) company.

- Led a finance reconciliation project to identify and close $40M gap in accrued medical expense.

- Appointed Interim Director of Operations for New Jersey health plan (new product) as a result of seamless project management support and execution of expansion activities.

- Extensively documented and recommended improvements for core business processes using Provision and MS Visio software (business process mapping software) and Minitab (statistical software).

- Developed Six Sigma, Lean, and Business Analyst Tools curriculum and training class for company corporate education program.

- Directed and mentored Business Analysts with data mining and reporting to provide key analytical support.

PROGRAM COORDINATOR / SeniorLink Department / TriHealth, Cincinnati, OH (1/04 - 5/05)

BUSINESS ANALYST / Performance Improvement & Consulting Department / TriHealth, Cincinnati, OH (7/03-1/04)

ADMINISTRATIVE RESIDENT / Office of the EVP of Systems Development / TriHealth, Cincinnati, OH (7/02-7/03)

Advanced and quickly promoted in early career through superior data analysis, project execution, and implementation of cost savings initiatives at TriHealth, a partnership of Bethesda and Good Samaritan Hospitals.

Select Achievements:

- Effectively managed, coached, motivated and evaluated administrative and quality improvement department staff (6) for the hospitals SeniorLink department, a PACE program focused on providing comprehensive care to the frail elderly.

- Implemented technology in the SeniorLinks medical clinic resulting in 50% greater staff productivity; Conducted profitability and quality assurance investigation of catheter insertions, resulting in 67% increase in TAT in radiology suite.

- Developed proposal and negotiated sign off from CFO for complete overhaul of hospital registration processes, resulting in additional $2M (annualized) in collection of copayments.

Led preparation of JCAHO and CMS accreditation review of hospitals and assisted on-site review by auditors.

EDUCATION AND HONORS

Education and Credentials:

- Certified Lean Six Sigma Blackbelt (CLSSBB), 2007

Breakthrough Management Group, Denver, Colorado

- Master of Health Services Administration (MHSA), 2003

- Master of Business Administration (MBA), 2002

Xavier University, Cincinnati, Ohio

- Bachelor of Science (BS) in Psychology/Pre-Med, 2000

The University of Michigan, Ann Arbor, MI

Honors:

- 2007 Healthfirst Leadership Award

- 2004 Best Results Winner in TriHealth Quality Competition

- Federal Traineeship Internship Scholarship, Xavier University, January 2001

- Xavier University Graduate Scholarship, Xavier University, August 2000

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