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Management, Operations and Program Management

Location:
Honolulu, HI
Salary:
market
Posted:
March 06, 2019

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Resume:

Benjamin G. Yuan

Honolulu, HI ● 808-***-**** ● ac8o4c@r.postjobfree.com

SUMMARY

Peak-performing executive with broad-based experiences grounded in Strategy, Information Technology, Program Management, and Organizational Improvement. Industry experiences include Healthcare, Government Services, Public Sector and Non-Profit. Core competencies include analysis of mission critical issues; business and IT strategy; financial analytics/analysis; people leadership; procurement and vendor management; and cross-functional collaboration.

PROFESSIONAL EXPERIENCE

Agilon Health

Director – Operations Excellence

Honolulu, Hawaii

August 2018 – Present

Program management: Oversee project management functions as assigned across the Market including scope planning, schedule development, resource planning, budgeting, project plan development and maintenance, risk management, reporting, implementation, measures development, and project wrap up.

Performance Excellence: Leverage and embrace technology to drive process improvement, operational efficiency, and improved clinical results. Act as coach and change agent, instilling a continuous improvement structure throughout the organization.

Market leadership: Function as part of the market leadership team to drive initiatives with provider partners, payers and the enterprise MSO. Serve as primary lead with the health plans on operational matters & supports with health plan strategic initiatives.

HMSA

Senior Manager – Program Management

Honolulu, Hawaii

November 2014 – August 2018

Technical program management: Oversaw technical program delivery at Hawaii’s largest health plan; directed hardware/software/business process management, documentation, systems administration, technology purchasing, policy development, and IT governance

Staff and financial administration: Managed teams of temporary and contract personnel (on an as-needed basis) to complete technology projects; Assisted in creation and administration of operational budgets; Developed corporate policies and grant proposal related to health plans’ technology functions

Cross-functional relationship and account management: Liaised with a range of internal and external partners, including health plan’s membership services, finance, marketing and sales departments, Department of Health and Human Services (HHS), Center of Medicare and Medicaid Services (CMS) to effectively maintain business and health policy needs.

Procurement: Managed multiple technology selection and purchasing activities; Prepared RFPs for products and contracted services; Led vendor selection processes; Reduced costs by negotiating long-term contracts with vendors

Key Accomplishments

Lead successful system and business migration of state-based marketplace to federal marketplace. HMSA awarded Project of the Year by Project Management Institute (PMI) for outstanding project delivery excellence (2015)

Lead successful enterprise wide implementation of key health policies: Non-Discrimination provision and multiple language taglines (2016), Claims, Membership and Billing Systems Replacement project (2014-2017)

Oversaw successful RFP submission and 3-year award of largest account, EUTF contract worth $3.8 Billion (2017)

State of Hawaii / Hawaii Health Connector

Senior Manager – IT Consulting & Advisory Services

Honolulu, Hawaii

July 2013 – October 2014

Relationship Management: Oversaw post-implementation of Hawaii Insurance Exchange (HIX) and Affordable Care Act as management consultant for the State of Hawaii. Provided risk management oversight and quality assurance for the state agencies. Acted as the primary liaison between program management, vendor partners and other functional groups and resolved issues around configuration management documentation.

Operations Management: Interviewed, analyzed documents, and drew out requirements through workshops, surveys, visiting sites, developed business processes using task flow analysis and work-flow analysis. Coordinated transition to BAU as client moved from design and development phase to maintenance and operations stage. Supervised solutions delivery, testing, QA and business analysis team of 15+ members.

Key Accomplishments:

Recognized as Consultant of the Year by Hawaii’s Office of Information Management and Technology (2013)

Benefit Plan Solutions

Consultant / Team Leader – Health& Welfare Benefits Consulting

Honolulu, Hawaii

January 2012 – May 2013

Budgeting and Financial Forecasting: Prepared annual budgets for various multi-employer groups and collectively bargained trust funds. Prepared multi-year projections, analyzed impact of plan modifications and analyzed monthly budget to actual financial reports.

Actuarial Services: Analyzed claims data and cost trends for clients with self-insured benefit plans. Worked with actuaries to calculate postretirement benefit obligations for various trust funds.

Management: Hired, supervised, trained, and assisted in the learning and development of financial analysts and operations staff.

ViTech Systems Group

IT Solutions Consultant – Business Systems Architecture

New York, New York

August 2011 – December 2011

Process Improvement: Responsible for the analysis of the business needs and documenting the business rules across client accounts. Responsible for collection of client documents for weekly review and management of reported issues and modification requests, including the testing of and confirmation of reported issues.

Solutions Delivery: Serve as liaison between development staff and user community during development, testing and implementation stages as well as for ongoing modifications. Develop project plans in conjunction with development staff to meet project needs. Undertake on-site application deployments, test script development, and test script execution.

Relationship Management: Provide on-site and remote support to client application users including training, general support, and problem diagnosis and resolution milestones and to accommodate client needs.

Kaiser Permanente

Analyst – Business Development, Marketing, Sales and Actuarial Services

Honolulu, Hawaii

May 2008 – July 2011

Sales Support: Developed and executed account plans to ensure attainment of goals. Implemented new and existing policies, procedures, and methodology and continuous quality improvement programs.

Actuarial Services: Worked with actuarial modeling for Medicare fee schedule and commercial rate projections.

Product Management: Led the Region to achieve 5+ (Total Replacement Tool, POS Cost Analysis, Retro-Rating, Benefit Decrement Model, Cost Calculator) product and programs into production rollout.

Bank of Hawaii

Systems Analyst – Performance Metrics and Risk Analysis

Honolulu, Hawaii

March 2005- May 2008

Performance Reporting: Validated the integrity of legacy data and maintenance by performing testing of tables on all platforms. Performs daily reconciliation of investment trading activities and monthly reconciliation of accounts and performance numbers to produce reports for portfolio managers.

Process Improvement: Proactively determined modifications to include recommendations/implementation across various systems. Improved accuracy of accounting and reporting on investment positions and income.

EDUCATION

Wharton School – University of Pennsylvania

Executive Education (Leadership and Management Certificate)

Philadelphia, PA

April 2018

Hawaii Pacific University

Master's in Business Administration (Finance)

Honolulu, HI

May 2011

University of Hawaii - Manoa

Bachelor's in Business Administration (Finance)

Honolulu, HI

December 2004

PROFESSIONAL CERTIFICATION

Certified Scrum Master (CSM), Scrum Alliance, License #000644740

Certified Scrum Product Owner (CSPO), Scrum Alliance, License #000645630

Certified Six Sigma Black Belt (CSSBB), Expert Rating, License #3284104

Master Project Manager (MPM), American Academy of Project Management (AAPM)

Project Management Professional (PMP), Project Management Institute (PMI), License# 1934634

SAFe Agilist (SA), Scaled Agile Framework, License# 412*****-****

COMMUNITY LEADERSHIP

Board of Directors - International Institute of Business Analysis (IIBA), Honolulu Chapter 2013 - Present

Board of Directors - Project Management Institute (PMI), Honolulu Chapter 2013 - Present

Business Advocacy Committee - Chamber of Commerce 2015 - 2017

Faculty/Instructor- School of Business – Management Information Systems, Hawaii Pacific University 2016 - Present

Steering Committee - HMSA Emerging Leaders Program 2015 - 2018

Supervisory Committee - HMSA Employees’ Federal Credit Union 2016 - Present

TECHNICAL SKILLS

•Applications: Microsoft, Adobe, ServiceNow, Citrix, BenefitFocus,, Informatica, PeopleSoft, Workday

•Architecture: The Open Group Architecture Framework (TOGAF), Amazon Web Services (AWS), Microsoft Azure

•CRM: Salesforce, Oracle, Siebel, SAP, Microsoft Dynamics

•Data: Teradata, Oracle, AWS, MarkLogic

•Languages: C++, Java, JavaScript, SQL, .NET, Python

•Operating Systems: Microsoft Windows 7/8/8.1/XP, Linux Mint, Macintosh X

•Project/Program Management: Software Delivery Life Cycle (SDLC), Product Life Cycle (PLC), Scaled Agile, Scrum/XP/Kanban/Lean methodologies



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