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Management Professional

Location:
Coto De Caza, CA, 92679
Salary:
55000
Posted:
June 11, 2009

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Resume:

MANAGEMENT PROFESSIONAL

AREA OF INTEREST: HEALTH CARE INDUSTRY

Highly talented, well-organized and seasoned professional with dynamic management experience, which involves leading people, building teams, and providing strategic plans. Vast knowledge of HMO's, PPO's, Medicare and Medicaid services. Self-motivated, creative and resourceful with key talents for negotiating and securing managed care contracts, increasing operating revenues, and enhancing service utilization. Articulate communicator and excellent relationship builder; able to build consensus with key industry resources. Key strengths include:

- Multi-Site Healthcare operations

- Strategic & Operational Planning

- Budgeting & Financial Reporting

- Needs Assessment

- Relationship Building

- Decision-Making & Problem Solving

- Presentations, Negotiations & Deal Closing

- Leadership & Team Building

EDUCATION

Associate of Arts in Health Care Administration - Expected Graduation: 2010

University of Phoenix-Las Vegas, Las Vegas, NV

CAREER HISTORY

LEADS SALES MANAGER - CityCenter Residential / MGM Mirage, Las Vegas, NV Aug 2006-Present

Hire, train and manage the entire sales force in Bellagio, MGM, Mirage, and THE Hotel. Develop and implement policies and standard practices. Strategically devise sound business plans to capture new business leads.

Career Highlights:

- Instrumental for the CityCenter department-wide performance integration

- Successfully managed $1.5B sales revenue of residential offerings

ACCOUNT MANAGER - HMA (Health Management Administrators), Bellevue, WA May 2004-Jun 2006

Worked collaboratively with other account managers on a daily basis. Accurately processed monthly financial statements and analysis reports. Prepared and revised both new and renewal proposals. Resolved issues pertaining to client and brokers in agile fashion.

ASSOCIATION UNDERWRITER, AUDITOR - Premera Blue Cross, Redmond, WA Sep 2001-Apr 2004

Performed audits on associations, third party administrators, brokers and employer groups to ensure compliance with Premera and Association/Trust procedures and guidelines. Rendered assistance to underwriters in evaluating financial viability of the Associations/Trust.

Career Highlights:

- Assessed and implemented controls throughout 20 associations in Oregon, Washington and Alaska that spawned nearly $355M in PBC revenue

- Established and managed new association underwriter auditor position

UNDERWRITING ANALYST - Intermountain Health Care, Salt Lake City, UT Mar 1991-Sep 2001

Oversaw and manage the financial viability of an assigned block of business consisted of new and existing groups ranging from 25 to 100 subscribers. Administered financial viability of contingently funded groups. Conducted personnel activities such as hiring and interviewing of candidates. Interacted with senior/staff underwriters and other personnel to promote standard underwriting practices and procedures.

Career Highlights:

- Assumed primary responsibility for determining eligibility of enrollment and contract provisions for fully insured plans

- Engaged with the negotiation of rates and benefits on new and existing groups

PROFESSIONAL DEVELOPMENT

Executive Management Training (MGM Mirage) | HIAA / LOMA and HIPAA

TECHNICAL EXPERTISE

Applications: MS Office Suite (Word, Excel, and PowerPoint) | WordPerfect | Quark Xpress

Software: SAS | CRM | FileNet

Platforms: Windows and AS/400



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