Wheeling, WV
Kevin Donahie
Career Goal
Seeking position to match my experience, knowledge
and expertise in stop loss insurance and employer
funded group health administration.
Personable and high-energy person who is
trustworthy, hardworking and reliable. Seeking to
leverage my extensive background as the current
manager of multi million blocks of stop loss and
self-insured business to assist in further
development of stop loss business. Enthusiastic,
"roll-up-your-sleeves" work ethic demonstrated
through both present and prior employment as well
as through volunteer activities with several local
charitable organizations.
Experience 2004-Present The Health Plan St Clairsville, OH
Manager, Allied Services Division
Increased membership and revenue from 14 self
funded employer groups to 34 groups
Established a stop loss product through THP
Insurance Company representing excess of $2,000,000
in annual premium
Successfully retained approximately 98 to 100% of
employer group TPA and stop loss clients
Successfully engaged and brokered stop loss
coverage with national carriers
Developed relationships with the broker community
throughout West Virginia, Ohio, and Pennsylvania.
Created partnerships with numerous regional
provider networks in West Virginia, Ohio,
Pennsylvania and Kentucky as well as national
provider networks.
Expanded product offering in several southern
states such as North Carolina, Mississippi and
Kentucky
Development of new group implementation guide to
assist all pertinent staff.
Successfully brought TPA in-line with SAS70 audit
protocol.
Maintained and developed relationships with various
ancillary carriers for life insurance, long term
and short term disability coverages.
Assisted in establishing a new Benefits
Administration product / unit covering over 15,000
participants
1999-2004 The Health Plan St Clairsville, OH
Account Executive, Allied Services Division
Increased third party administration sales
Retained 100% of self-funded group health clients
within service area
Implemented self-funded sales / service protocol
Assisted in development of service procedures to
increase service response time
Developed and maintained relationships with several
stop loss carriers and MGU's
Trained various staff members and departments on
self-funding concepts
1994-1999 Advantage Health Plan Wheeling, WV
Provider Relations and Contracting Representative
Increased both physician and facility network
membership
Enhanced service protocols to physicians
Assisted with Y2K system upgrades
Maintained system based provider fee schedule
1992-1994 Keystone Health Plan Pittsburgh, PA
Provider Relations Representative
Responsible for daily service issues with providers
Assisted with provider payment disputes
Involved with provider appeals committee
1989-1992 EU Services Rockville, MD
Inside Sales Representative
Assisted outside sales team to increase overall
sales
Developed relationships with internal staff and
outside vendors
Became the regions 4th largest full service
printing company
Education West Liberty State College West Liberty, WV
B.A., Business Administration and Marketing
Community Membership in several local charitable
organizations