JOHN J O'ROURKE

Email: abox3y@r.postjobfree.com

Address:

City: Southbury

State: CT

Zip: 06488

Country: USA

Phone: 203-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Sixteen years of health care industry experience Six Sigma Green Belt Experienced with Agile project management methodology Developed and executed marketing strategies and enterprise-wide adoption plans Successfully managed teams with annual project budgets of more than $10M Implemented innovative and strategic solutions Established partnerships with Sales, Account Management, Brokers and Business Operations, IT partners, and 3rd party vendors Demonstrated ability in web site management and communication to internal and external constituents Experienced with various aspects of health care industry business: Finance, Banking, eBilling and Payment, Marketing, Electronic Eligibility & Reporting and Project Management Demonstrated leadership ability, problem solver, self starter, works well in a matrix organization Organized and delivered National Training sessions for Sales, Account Management, and Client Services Teams Presentation experience to all levels of management, customers and consultants

Educational Background:

High School Dipolma from Western Connecticut State University, Danbury CT 1/2001 to 12/1987 (Marketing)

High School Dipolma from Connecticut School of Broadcasting, Danbury CT 1/2001 to 10/2012

Job History / Details:

Professional Summary

Sixteen years of health care industry experience

Six Sigma Green Belt

Experienced with Agile project management methodology

Developed and executed marketing strategies and enterprise-wide adoption plans

Successfully managed teams with annual project budgets of more than $10M

Implemented innovative and strategic solutions

Established partnerships with Sales, Account Management, Brokers and Business Operations, IT partners, and 3rd party vendors

Demonstrated ability in web site management and communication to internal and external constituents

Experienced with various aspects of health care industry business: Finance, Banking, eBilling and Payment, Marketing, Electronic Eligibility & Reporting and Project Management

Demonstrated leadership ability, problem solver, self starter, works well in a matrix organization

Organized and delivered National Training sessions for Sales, Account Management, and Client Services Teams

Presentation experience to all levels of management, customers and consultants

Professional Experience

August 2010 to Current

Aetna Hartford, CT

Business Project Program Manager -Billing Process Owner

Monitor, lead and manage business activities of 8 billing platforms including EBS, GEBAR Group and Non-Group, AAS, SFB, AES) systems to ensure continuity and data integrity -- participate in GEMS Replacement (BEAR) and EZ-Link phase out

Identify and improve processes and workflows

Implement electronic billing and payment solution for all market segments (100,000 Small Group customers, 10,000 Middle Market customers)

Report metrics and project status to PMO

Establish, document and manage priorities and resource commitments across matrix organizations.

Identify inconsistencies and duplication

Champion root cause analysis and resolution

Establish presence and involvement in third party vendor relationships

Partner and interact extensively with ADA and ASO MAPS project team members, Information Technology, Finance, Portfolio Management, Accounting Operations, Financial Reporting, National Customer Operations, Actuarial and Planning & Forecasting

Ensure Billing solutions sought by business support enterprise needs, reporting accuracy & integrity and strategic direction

Guide billing project team through various implementations and projects (e.g.Medical Conversion)

Prepared presentation materials for Steering Committee

Set strategic priorities

December 2003 to October 2009

Aetna Middletown, CT

Business Project Program Manager-Strategic Systems and Processes

Managed business project team to improve plan installation processes

Successfully delivered projects on time and on budget

Prioritized strategic projects with Executive leaders

Created tools to plan, organize, and control project activities

Prepared materials for presentation to Steering Committee

Delivered performance evaluations and provided performance feedback

November 1999 to January 2005

United Health Group Hartford, CT

March 2003 to December 2004

UnitedHealth Group

eSolutions Adoption and Utilization Director

Lead National eServices Billing adoption effort among Key, Major, and Public Accounts as well as with Small Business Sales and Account Management Teams

Implemented & developed customer and broker adoption and utilization plans

Interfaced with all levels of UnitedHealth Group management to promote adoption and utilization of Employer eServices and United eServices

Achieved 95 percentage adoption rate (online billing) for the Northeast region

Created internal and external marketing materials (e.g.sales slip sheets, presentations, customer letter, interactive demos, articles for the Broker eBulletin and Key Account University training materials)

Managed the execution of the eServices Customer Reporting communication and training plan

Coordinated field communications process to inform sales and account managers about strategic initiatives

Represented EmployereServices, Myuhc.com and United eServices at finalist meetings, health plan launch events, broker expositions and health plan training sessions.

February 2001 to April 2003

Project Manager

Managed business risk for team.

Provided input in the functional design & business requirements process.

Monitored and reported customer adoption statistics against the business case targets.

Responsible for overall deployment of the eBill solutions to internal and external customers while directing a team of 16 individuals.

Coordinated team activities to ensure tasks are completed on schedule.

Established work plan and task assignments for team members.

Lead Adoption Core Team meetings with senior leadership Managed policies and procedures creation and implementation pertaining to the eBill solutions.

Planned communication and training strategy Lead various meetings that address the eBill solution timelines and deliverables.

November 1999 to February 2001

Banking Manager

Directed operations unit of UNET Banking Team.

Business Owner of SIFS banking system and EFT system Managed performance and results of twelve direct reports.

Coached & mentored team as needed to meet operation goals Developed internal controls and procedures to monitor customer's overdrawn bank accounts and suspense transactions.

Determined Banking standards for the Administrative Options Guide (PRP).

Review & Respond to SAS70 audit results.

Developed KPI measurements for department and staff.

Ensured Y2K readiness.

Problem solved for unique customer situations.

Personnel responsibilities include staff evaluations, staff motivation, employee development plans, and salary reviews, interviewing potential employees and hiring decisions.

January 1996 to September 1999

Oxford Health Plans Milford, CT

Manager of Broker and Internal Sales Commissions

Oversee monthly and quarterly commission payments for 8,000 brokers and 100 internal sales professional with annual commission disbursements of $120 million.

February 1994 to February 1996

Business Technologies - Trumbull

XEROX Sales Account Representative

Completed Leesburg XEROX Sales Training Course 7/94.

Led agency in sales revenue for 1994.

Responsible for 3500 customer and non-customer accounts regarding sales support, customer service and demonstration of products.

Initiated marketing campaigns to generate new business.

Education and Training

1987 Western Connecticut State University Danbury, Connecticut

BBA Marketing

1990 Connecticut School of Broadcasting Stratford, Connecticut

Broadcasting

Skill Highlights

MS Word, MS Excel, MS Project, MS Powerpoint,

Vision, Share point, Quickbase

Contact this candidate