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Human Resources Service Representative

Location:
Billerica, MA
Salary:
130000
Posted:
September 15, 2023

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Resume:

JASON EDWARD DEKOW

** ********** ****, *********, ** 01821 cell 978-***-**** Email: adzp32@r.postjobfree.com

Experience:

OptumRx: Boston, MA

(September 2019 – April 2023) Senior Manager: Government & Public Sector Markets

I led segment-wide policy research, communication, data, and analytics support. Planning and execution of segment-wide improvement strategies, financial analysis, and reporting efforts. Executing strategy around staff support, management, client management engagement, and policy support engagement through the Government and Public Sector segment at OptumRx.

Overarching support of 6.3M lives, $6B+ annual drug spend – emphasis on data tracking and governance, executive communications, PBM policy review, proposal response QA.

Continuous support of sales growth strategies across segments including Large State, Small to Middle Markets, and Medicaid, Fee for Service business – including management and RFP responses on client references and related technical proposal improvement initiatives.

Identifying improvements to the data quality assurance process – continued implementation and enhancements to improve systematic data quality processes and governance.

Pipeline management for a diverse range of Clients and client needs promoting upsell products that drive cost-savings with minimal disruption to the member (I.e. Home Delivery, POS services, Specialty Management).

NPS program management for 50 public sector clients. Driving segment-wide discipline on the net promoter score survey responses and action planning. Evaluates and executes quality assurance processes to ensure quality standards, procedures, and methodologies are in compliance as an active member in both the Retention Playbook and NPS Improvement Strategy.

Direct engagement with senior leadership, strategic planning, research, and financial analysis related to sensitive financial information.

Segment-wide Salesforce liaison responsible for driving accuracy in data governance and reporting for client management renewal and new business from existing accounts. Continuously redefining, tracking, and reporting on key quality success measures related to the accuracy and timeliness of data management and business processes.

Liberty Mutual Insurance: Boston MA

(October 2014 – September 2019) Senior Development Recruiter: Personal Lines Sales, Corporate Strategy and Research

I had the task of campus recruitment activities, including campus relationship management, events planning and execution, sourcing, screening, and candidate management. I developed and maintained relationships with colleges and universities to effectively cultivate a talent pipeline that meet and exceeded the workforce needs of Personal Lines Sales and Corporate Strategy and Research functions of Liberty Mutual Insurance.

Developed and managed programs and processes designed to improve the caliber of entry-level Sales and graduate-level Corporate Strategy and Research hires at Liberty Mutual.

Acted as a trusted advisor for hiring managers within the Corporate Strategy and Research Group and Personal Lines Sales plus helping attractive applicants realize that LMI was the best fit for their internship/careers.

Planned and executed on-campus recruiting events to promote the Liberty Mutual brand, employer value proposition, and full range of available opportunities across the organization. Managed all event logistics, partnering with SBUs and Corporate Functions to secure appropriate hiring managers to participate in events.

Cultivated a talent pipeline for intern and entry-level sales representative jobs. Actively sourced candidates from assigned schools and from other channels as required. Utilized appropriate technology to collect, screen, and share résumés.

Facilitated seamless experience between candidates and the SBU or Corporate Function. Ensured seamless handoffs between sourcing/screening, interview/selection, and hiring decision communication stages of the process.

Managed Sales internship programming including developing assignments, coordinating placements, designing ongoing development programs, and fostering relationships with national organizations for the benefit of hiring their members.

Demonstrated an understanding of the business strategies within Liberty Mutual, which inform the overall campus recruiting strategy and approach.

Blue Cross Blue Shield of Massachusetts: Boston MA

(September 2010 – October 2014) Senior Recruiter: Services & Operations; College Relations Program Manager

Spearheaded partnering with business leaders to meet the staffing needs of his or her assigned Service and Operations division. I developed and implemented strategic recruitment programs to support business objectives by creating a pipeline of qualified, diverse, and best-in-class candidates cost-effectively. I strategically partnered with the business to identify and define the current and future workforce needs. That included ongoing forecasting for attrition, changing market conditions, and skill set requirements.

Provided leadership, judgment, and skill/expertise in the selection and coaching of optimal candidates.

Coached leaders on best practice interviewing and the legal aspects of hiring. Facilitated optimal hiring decisions and works closely with HR Business Partners on select employee relations issues.

Collaborated with Vice Presidents, Directors, and other leaders to identify staffing needs and develop innovative short-term and long-term recruitment and retention strategies; tracked and reported on relevant recruitment data; and ultimately ensured that positions would be filled in a timely fashion with the most appropriate candidates.

Identified appropriate marketing and networking events to maintain competitive advantage and keep abreast of industry trends, promoting BCBSMA as an 'Employer of Choice.' Coordinates and participates in Job Fairs, Open Houses, and Community activities.

Worked closely on internal policies, procedures, and compensation plans. Analyzed and recommended improvements to BCBSMA’s recruitment strategy.

Established budgets with hiring leaders for recruiting needs and works within budget to meet the needs of the business.

Managed job postings and recruitment advertising.

Maintained accurate records including all applicant tracking and other recruitment metrics for compliance.

Generated reports and actively reviewed and monitored trends including applicant flow, turnover, and headcount.

Actively served as a trusted advisor to senior business leaders for workforce planning, talent development, and performance management. Designed and developed high-impact talent management processes and programs assuring the alignment and integration of initiatives with company and human resources strategies.

Served as Human Resources Business Partner and established strategic outreach and communications plan to protect and promote the brand with external stakeholders including government officials, vendors, and community partners.

Tracked, analyzed, and reported on conversion metrics and the effectiveness of our programs.

Blue Cross Blue Shield of Massachusetts: Boston MA

(July 2010- September 2012) Project Manager: Human Resources Alignment and Value Delivery Project

Blue Cross Blue Shield of Massachusetts was going through a change from a traditional HMO to a leader in the delivery of Integrated Health Management solutions to the Massachusetts marketplace. It developed new offerings to simultaneously manage both cost and quality, segmenting its markets and providers to better focus, coordination, and deliver high-impact care and wellness -- and developed a new operating model of integrated business processes to deliver and sustain its mission of “Making quality health care affordable” to its members.

A high performing Human Resources organization and fully engaged Associates to support these efforts are a must, I worked with 30+ colleagues of similar ilk to define the future state vision for Human Resources, and for developing the roadmap for significant Human Resources transformation including:

Closer alignment and integration of Human Resources with the business to improve business partner confidence in its efforts.

Clearer responsibilities for, and greater consistency in, the execution of Human Resources practices.

Improved talent management, development, and performance management practices to improve the competency and capacity of the enterprise to deliver on its vision.

The reengineering of Human Resources processes to streamline and reduce the manual work and cost of basic Human Resources transactions.

Oversaw Workday implementation ensured tasks had been assigned and deadlines would be met while managing resources effectively.

Facilitated communication between stakeholders, managed risks, and made strategic decisions to keep the WD project on track ultimately ensuring a smooth and effective WD implementation.

Blue Cross Blue Shield of Massachusetts: Boston MA

(August 2007 – August 2010) Specialist: Workforce Development and Training

I led and executed the BCBSMA internship programs and entry-level hiring. In this position I researched, strategized, designed, implemented, and managed the Blue Cross Blue Shield of Massachusetts College, University, and Community Engagement Programs encompassing all intern programs from High School to Graduate Level. The College, University, and High School intern programs were a key component of the Strategic Talent Management program and are critical to the diversity and succession planning process.

Provide proactive account management through regular interaction and relationship building to exceed expectations for program initiatives.

Recruited to launch and oversee College & University Relations department to infuse the company with innovative talent while expanding a diverse pool of trained healthcare professionals.

Created, designed, and supported partnerships with Harvard University including Harvard Business School’s Healthcare Initiative and BCBSMA partnership for pipeline development with Harvard School of Public Health.

Assisted in establishing criteria for appropriate school partnerships and developed relationship models

Consistently developed and maintained long-term relationships with key contacts e.g. Deans, directors, professors, and career services departments.

Provided proactive account management through regular interaction and relationship building to exceed expectations for all graduate, undergraduate, and Private Industry Program initiatives.

Introduced internship training initiative as mandatory training for all interns, practicum students, and managers.

Accountable to execute programs in coordination with HR and the business leaders, and assist with company-wide communications.

Blue Cross Blue Shield of Massachusetts: Quincy MA

(June 2006 – August 2007) Member Service Representative

As the primary contact for our customers, the Member Service Representative is one of the most important positions at Blue Cross Blue Shield of Massachusetts. The ability to provide outstanding service to our members continued to be a top goal for every associate.

As a Member Service Representative, I worked in a structured inbound call center environment. I completed a twelve-week classroom training program that specialized but wasn’t limited to HDHP’s, CDHP’s; FSA’s, HRA’s, HSA’s, and HIPPA.

Delivered a high level of service to both members and internal associates with a proficient resolution to complicated member scenarios. Investigated and resolved member inquiries through correspondence and computer research.

Contributed to our team to exceed service, production, and quality goals while exceeding daily, weekly, and monthly performance goals

Advised customers regarding policy and benefit information for multiple health plans.

Identified errors and implemented solutions with team members and leaders.

Achievements: Member of Member services PULSE team developing associate engagement within BCBSMA.

Selected to join Member Centric Service Team on date of hire.

Trained for Chronic Conditions service model, Asthma, Breast Cancer, and Diabetes.

Selected for training for Direct Blue Policies and CDHP plans offered to members.

Education: Bachelor of Science in Business Administration, Nichols College: Dudley, Massachusetts

Certification: Certified Scrum Product Owner (CSPO), Scrum Alliance: Expires March 2025

Skills: Early Career Hiring Strategy, Leadership, Stakeholder Management, Stakeholder Engagement, Talent Acquisition, Campus Recruiting, Strategic Thinking, Diversity, Equity and Inclusion (DEI), Candidate Experience, Networking, Global Perspective, Team Leadership, Adaptability, Effective Communicator, Budget Management, Data and Analytics, Data Analysis, Recruiting Metrics, Employment Branding, Visionary Leadership, Execution Orientation, Experience, Inclusive Culture, Passion for results, Recruiting Best Practices, Project Management, Program Management, Process Improvement, Talent Sourcing, Multitasking, Continuous Learning



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