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Business Analytics Human Resources

Location:
South Windsor, CT, 06074
Posted:
February 12, 2024

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Resume:

Robert W. Pitney

South Windsor, CT *****860-***-**** • ad3k1y@r.postjobfree.com • LinkedIn Profile URL (customized) SUMMARY

MSBA Candidate, Business Analytics and Process Improvement Professional. Certified Lean Six Sigma Black Belt, Innovative problem-solver with diverse experience in Operations, Finance, Quality Performance Improvement, Human Resources and Consulting within insurance, healthcare and financial services. EDUCATION

Bentley University McCallum Graduate School of Business, Waltham, MA Master of Science Business Analytics candidate May 2025 GPA: 3.25 Database Management & SQL, Business Analytics Management, Statistics and Negotiating. Next semester: Optimization

& Simulation for Business Decisions, Quantitative Analysis for Business, Data Science, Python Data Driven Development Boston College

Bachelor of Science, Business Administration – Quantitative Analysis Magna Cum Laude GPA: 3.34; May 1985 ANALYTICAL AND BUSINESS SKILLS

Data Analysis, Modeling and Visualization; Process Analysis & Improvement; Forecasting, Budgeting and Capacity Planning; Business Case Development, Negotiating, and Project Leadership; Presentation and Public Speaking TECHNICAL SKILLS

SQL, Oracle, Minitab, Tableau, Power BI, and Python Nexidia Analytics, KaiNexus, Cognos, full MS Office Suite including Power BI, Access, Visio & Project ACADEMIC PROJECT(S) (if applicable)

• LeeAnne Winery – Database design to implementation using Oracle and SQL Datagase Management and SQL October 2023 – December 2023

• Linked In – Data analysis and hypothesis testing, utilizing Tableau Business Analytics Management October 2023 – December 2023 PROFESSIONAL EXPERIENCE

UMASS Memorial Health Worcester, MA November 2020 – April 2023 Process Improvement Engagement – System Co-Owner

• Visual management system leader from design thru implementation to 16K EEs, achieved 80+% participation in 2 yrs.

• Managed $ 1 Million idea system “Innovation Fund” owned by CEO. Grew program from 60 to 135+ grants in 2 years

• Lead annual “Innovators of Year” recognizing 800+ individuals for ideas & projects, from design to CEO presentation. Emblem Health, NY NY and Connecticare, Inc – Farmington, CT June 2016– June 2020 Process Improvement/Analytics Manager

• Cooperatively developed end to end governance model, for major change to clinical policy, effecting 3.5M members

• Lead process management to improve, customer experience, service, quality efficiency and cost, Saved $4.0M in 2 yrs.

• Project Mgr. and/business lead for launch of Customer Interaction Analytics to measure VOC insights and drive change

• Developed management dashboards, along with automated auditing of compliance related components of 100% of calls Corporate Information Technologies @ Connecticare – Farmington, CT April 2014 – June 2016 Business Process Management Consultant

• Core team member for Premium Payments Program, to strategize and implement best in class, simple, easy and automated ways for customers to pay monthly premiums for their Exchange, SOLO, and Medicare plans

• Responsible for all aspects of business process analysis, mapping, design and management for the multi-year end-to end solution of the new “Quote to Card” system for selling to installing all Connecticare business. Pro-Unlimited @ Cigna Bloomfield, CT February 2014 – April 2014 Business Consultant

• Temporary Contractor – Special Investigations Unit for process mapping, improvement, innovation and data analysis AETNA, Inc. Hartford, CT June 2012 – January 2014

Sr. Business Consultant

• Utilized LSS customer centric approach to identify $20+M of annual savings opportunities using IVR systems, Business Process Automation, case installation process changes, quality measurements and medical cost reduction.

• Aetna Process Improvement (API) program mentor, trainer, certification panelist and blogger

• Designed and financially modeled a new Performance Guarantee approach for innovative efficient attractive offerings CIGNA HEALTHCARE Bloomfield, CT

Continuous Quality Improvement Director August 2008 – June 2012

• Utilized DMAIC, DFSS, and LEAN Six Sigma methods to improve medical claim quality, cycle time and reduce cost.

• Developed and implemented automated solution to address preventive care component of federal healthcare reform, utilizing global macros to isolate, review and correct 80% of 1.8 – 2.0M claims annually. Saving $10M per year. Team received “Presidents Award” for this accomplishment.

• Designed, developed and implemented Gage R&R Measurement System Analysis process for 200+ auditors.

• Lead problem identification/quantification and automated solution for addressing policy vs. administration gap in payment of Anesthesia, Radiology and Pathology claims. Annualized savings of $7M of cost and improved service. Auditor, External Entity Management September 2006 – August 2008

• Co-leader for development, implementation and execution of CIGNA’s 1st generation enterprise wide policy and oversight program for key supplier relationships and Business Process Outsourcing

• Utilized Failure Modes Effects Analysis (FMEA) tool to identify highest risk exposure areas within company.

• Responsible for auditing and overseeing all6 Customer Service Operations, in support of aligned business partners Manager, Financial Operations Controller April 2002 – September 2006

• Finance lead for Service Strategy, including economic model 5 year forecast of cost reductions in excess of $300M

• Responsible for achieving overall Service Operations expense plan of $636M, consolidation of all Risks and Opportunities submissions monthly including reforecasting of staffing and expenses. Regional Service Manager Visalia, CA August 1985 – December 1994

• Managed division of Service Center encompassing all aspects of claim processing and customer service, through a staff of 100+ servicing the Los Angeles, San Diego and select (non-jumbo) national accounts

• First manager to lead its organization’s transformation effort toward self-empowered work teams. First to use IVR. AETNA INC. Windsor, CT May 1999 – January 2002

Regional Claim and Reporting Manager

• Manage operation planning, reporting and analysis for Northeast Regional Traditional claim business.

• Coordinate intra (5 sites) & extra regional (5 regions) resource balancing on a weekly and monthly basis. The Hartford Life, Inc. Simsbury, CT August 1997 – January 1999 Financial Manager

• Managed budgeting, expense control and analysis processes of $40+ M for Benefit Management Services Aware Treatment Clinic, Inc. Visalia, CA January 1995– February 1997 Vice President

• Acting President/CEO for majority of 1996. Integral role in company growing ten-fold to six locations, from 3 to 45 employees, over 6K clients, and revenue of $4.7M and net income of $1.8M in 1996. COMMUNITY INVOLVEMENT

• Member, New River Community Church – Men’s Ministry – Annual Retreat Organizer 2010 – Present

• Volunteer, State of CT Department of Corrections – facilitated 12 step meeting/outside sponsor 2009 – 2020

• Director, The Recovery Club, Inc. Board Member, Grant Writer, Founder of Golf Tournament 2004 – 2011



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