INSURx, INC. - CLEVELAND, OHIO Senior Vice President, Strategic Planning (12/91 TO 12/92) Contributed to the development of due diligence materials necessary for the acquisition of INSURx, Inc. by a publicly held NASDAQ company (SysteMed, Inc.). Developed recommendations for corporate restructuring and consolidation of sales/marketing functions of INSURx and SysteMed. Defined specifications for and managed implementation of electronic claims transaction interface with the National Electronic Insurance Corporation (NEIC). Completed design and programming of PC-based workers' compensation drug claim management system. Designed parameters for benefit structure of combined INSURx and SysteMed product. Defined components of preferred drug formulary program, and specifications for electronic point-of-sale drug utilization review system. Senior Vice President, Chief Operating Officer (8/90 to 12/91) Responsible for management of the company's Information Systems, Professional Relations, Account Implementation, Customer Service, Data Entry, Claims Services, Corporate Development and Utilization Reporting functions. Established and directed budget of $4.2 million through 3 Vice Presidents and a Director. Approved of all personnel status changes for a total staff of 80. Decreased labor component of transaction costs by 25%. Coordinated development of financial projections. Determined corporate priorities through ongoing interaction with the President and Chairman of the Board. Assembled and presented operations activity reports to the company's Board of Directors. Implemented audit procedures and document control standards. Completed introduction of document image capture technology. Designed and implemented PC-based customer-accessible data analysis tools. Vice President, Corporate Development (4/89 to 7/90) Implemented the assumption of all previously subcontracted operational product delivery services by internal resources. Responsible for budgeting, hiring and firing of Information Systems and Corporate Development staff. Designed and implemented the firm's primary applications software platform. Selected and implemented 4th GL tool for increased applications development efficiency. Planned operations facility and coordinated site transfer. Wrote technical specifications for integrated major medical software. Managed development of electronic claim interface with Blue Cross & Blue Shield Of Georgia on the HSA CAPS system. Supervised systems analysis function. Directed the translation of WellPoint Pharmacy Management executive requests into system requirements. Primary operational liaison with the company's largest accounts. Developed 22 of the firm's 28 utilization analysis reports. Planned and executed off-site system demonstrations. Director, Corporate Development (2/88 to 3/89) Responsible for production of all prospective client proposals and RFP responses. Directed development of utilization analysis reporting system created product sales presentations. Managed all client consulting activities related to benefit design and product capabilities. Planned transfer of all subcontracted product delivery services from external vendor sources to internal delivery. |
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