BLUE CROSS & BLUE SHIELD OF OHIO - CLEVELAND, OHIO Director, Product Development and Analysis (6/87 to 1/88) Designed and managed implementation of a statewide PPO health insurance product ("Super Blue"). Provided consulting to sales representatives and group decision-makers in the areas of benefit design modification and cost containment programs. Evaluated Information Systems requirements for the implementation of employee benefit programs. Wrote health benefit claim processing parameters. Evaluated competitors products and presented strategies for flexible benefits program. Responsible for writing benefit communication materials. Coordinated production of product and promotional literature. Developed departmental and product forecasts, plans and budgets. Managed Product Development and Analysis staff. Coordinated completion of an annual marketing plan. Manager, Product Development (4/86 to 5/87) Managed development of benefit structure, reimbursement method and underwriting policy for a capitated dental product. Presented capitation proposals to prospective providers. Implemented product line management system designed to reconcile utilization and payment levels to providers. Directed the compilation of materials for Department of Insurance approval of new products. Designed provider database for HMO and PPO participating physicians. Alternative Delivery Systems Product Development Specialist (8/85 to 4/86) Developed and implemented a system to produce health benefit utilization reports. Presented reports to clients describing patterns of utilization and possible benefit design modifications. Created a corporate client proposal package for prospects that illustrated all components of employee benefit programs. Supervised proposal production staff responsible for approximately 15 proposals per week. Marketing Analyst (8/84 to 8/85) Designed and coded PC-based system for administration of sales incentives. Responsible for audit and disbursement of monthly incentive checks. Designed and completed computer programming for health, life and short term disability sales proposal field rating system. Designed and statistically analyzed acquisition and cancellation surveys. Researched new health insurance product benefits. Organized American Marketing Association seminar on alternative delivery systems. Completed PPO financial feasibility study. |
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