Mechanicsburg, Pennsylvania, United States
Dad, football coach, and problem-solver in the healthcare space. As Managing Director in Accenture’s Salesforce Business Group, I help health plans deliver smarter, faster, and more connected experiences. What drives me: -Real impact. My start at Capital Blue Cross taught me that every policy and claim touches a real person. -Bridging the gaps. I love aligning payors, providers, and tech to make complex systems actually work. -Building teams. Whether mentoring at work or coaching on the field, I focus on lifting others up and executing with precision. What I do: -Lead health payer delivery programs powered by Salesforce -Align tech, operations, and data so payors can adapt fast -Drive transformation that delivers measurable value Outside of work, you’ll find me on the field coaching youth football or connecting with other leaders shaping the future of healthcare and it's delivery.
Served as the principal Sales/Operations Subject Matter Expert and led the Salesforce.com solution design to facilitate seamless integration's with other systems and streamline current business processes. Acted as a liaison between the business project participants and the implementation partner and IT. Specialized in taking the business needs and being able to solution for them and deliver the solution to the implementation partner and IT.
Achieved annual goal of selling over 2,000 new contracts every year by prospecting and selling all healthcare lines of business. Obtained deep experience in every aspect of the sales process including influencing product design, providing RFP responses, offering consultative solutions and presentations to executive decision makers, conducting open enrollment meetings and ensuring proper enrollment within FACETS. Breadth of knowledge and experience resulted in achieving a 95%+ CSAT score every year.
Renewed and up-sold 40 accounts in the Large Group market (50-500 subscribers) on a yearly basis to consistently meet annual sales goals. Utilized Siebel 7 and homegrown system (MARIS) to submit quotes and process paperwork for the sales cycle.Obtained strong product and FACETS knowledge enabling an annual target group retention rate of 92% by efficiently resolving an array of issues ranging from medical and pharmacy claims disputes to enrollment and billing problems.
On-boarded new accounts using Capital Blue Cross’s home grown electronic enrollment maintenance system, eGEMS. The process utilized legal agreements, web registration and security provisioning. Managed EDI transactions into FACETS leveraging the FXI web service including on-boarding accounts (ANSI 834), filing claims (ANSI 837) and managing providers (ANSI 274). Ran discovery meetings to advise others of the 834 file process and performed testing for vendor and customers. Served as the enrollment File SME for the Seibel 7 integration with FACETS to load group enrollment directly into FACETS. Defined and captured requirements, designed and tested the integration.
Entered both group and member enrollment into the FACETS billing and adjudication system for 80-100 accounts. Processed hundreds of group and membership enrollments/changes weekly and mastered FACETS to understand interdependencies for both group and member enrollment perspectives including but not limited to product and billing entity tables. Worked in Customer Service Call Center during peak open enrollment times as part of support/cross training. Supported enrollment, billing, claims and coverage inquiries for both members and producers.