University of Michigan
University of Rochester, College of Arts and Sciences
Keidaean's Senior Honor Society; Dean's Lists; Outstanding College Students of America Award; Phi Kappa Tau Fraternity
Certificate in Project Management
Master of Business Administration (MBA)
University of New Haven, School of Business
Aug 2007 - Present
VICE PRESIDENT/CHIEF ADMINISTRATIVE OFFICER
Samsung SDS Corporation
Senior Executive and CEO advisory office member for this global ($3 billion in revenues) company which providesbusiness and IT strategy consulting to the financial, insurance, medical, electronics and manufacturing industries.
·Responsibilities include: expanding its global consulting practice in North/Central American, Middle East, Europe and Asia; developing global sourcing strategies; customer relationship management; and executing strategies for achieving revenue and earnings growth targets.
·Accomplishments include: helped grow the company’s revenue from $2B to $3B; personally generated over $300 million in revenue; developed strategies to launch new global health care and managed care products in Korea; conducted end-to-end business operations efficiency/effectiveness reviews for insurance companies; developing a telemedicine/home monitoring business leveraging enterprise mobile technology to improve disease management programs; developing global HIS/EMR solutions, and implemented a strategic alliance with CapGemini.
Jul 1999 - Jul 2007
VICE PRESIDENT OF BUSINESS DEVELOPMENT AND UNDERWRITING
Managed regional/middle market customer segment to large national corporate accounts: $65 million P&L of self insured behavioral health medical business and $300 million in fully insured business.
·Successfully launched a new business and product lines growing EAP membership to 1 million members with 9% operating margin in its 1st full year of operation; played key senior role in due diligence, purchase and integration of $60 million Magellan Behavior Health Company; performed medical cost planning and set trend levels for its 11million members.EAP business grew by 150% to $9 million and operating margin at 30% in the 2nd year.
·Served as interim Business Unit Financial Officer – monitored and reported balanced scorecard results.
·Key senior P&L executive:developed pricing/underwriting guidelines; worked with sales and business areas on organic and M&A growth strategies; competitive benchmarking and product development responsibilities; created new distribution channels; established ROI/value propositions for products and programs; managed vendor partnerships, selection and contract negotiations; served as business sponsor for IT projectfunding prioritization.
Head of Production and Enhancements, Aetna Business Solutions Delivery (02-04)
Senior executive who managed an $80 million IT budget and over 900 IT professionals--co-sourced with IBM as a strategic partner.
·Reduced SG&A expenses by 15% through benchmarking, process improvements and outsourcing initiatives offshore to India.
·Met or exceeded all IT/enterprise application help desk, maintenance, support, and project level agreements.
·Attained the Capability Maturity Model (CMM) Level 2 TQM certification for the first time at Aetna.
Operations Support Center Head, Aetna National Customer Operations (00-02)
Successfully managed a large-scale department reorganization of 150 people including call center operations, claim production support, and intranet/web production services.
·Turned around department call and claim operational results while also reducing the department’s cost basis by 10%.
·Partnered with regional claim and customer service operations heads to achieve financial, quality and productivity objectives getting the company back to basics on service delivery.
VP of National claim Production, Aetna Core Claims Department (99-00)
Managed large-scale national and international outsourced claim processing vendor relationships (Magellan, Offshore India processing vendors) to insure collaborative partnerships while resolving operational issues.
·Improved national provider relationships forging partnerships and collaboratively resolved claim payment issues—formed Aetna’s first national claim rework team with HealthSouth, Tenet Healthcare, Pediatrix, and Quest Lab.
·Monitored backlog/aging/productivity of customer service centers and managed workload balancing across sites.
Dec 1996 - Jul 1999
IT DIRECTOR/DEPUTY CIO
Yale New Haven Health System-Bridgeport Hospital
Played key senior role in 425 bed hospital operations; achieved Joint Commission accreditation. Strategically managed a $12 million capital and $8 million operating IT budgets and vendor contracts.
·Improved IT service and on-time delivery capabilities; turned enterprise IT operations around from project delays, budget overruns, and slow help desk response to flawless execution.
·Achieved online electronic medical records by successfully installing new clinical systems from Cerner Corporation.
·Custom developed and implemented an online clinical data repository for physicians to view clinical results online.
·Improved hospital’s business continuity/disaster recovery plan for its major systems.
Nov 1995 - Dec 1996
CHIEF INFORMATION OFFICER
Community Health Network
Directed all IT operations and systems training for this start-up company and managed its $5 million budget. Provided corporate vision and strategic direction on enterprise technology issues for the board of directors. Developed/implemented IT policies for the company; set-up IT governance structure; outsourced IT infrastructure.
·Successfully installed this startup HMO’s first automated systems for claim processing, customer service, enrollment, billing, accounting, physician credentialing & contracting; set-up their local and wide-area networks and intranet site.
·Established electronic data interchange transaction capabilities with their contracted trading partners/vendors.
Aug 1994 - Nov 1995
EDI MANAGER, EDI Unit (95)
Aetna Life and Casualty, Aetna Health Plans
Marketed electronic data interchange (EDI) to physicians and hospitals in the Northeast Region in partnership with data clearinghouses (e.g., NEIC/Envoy now WebMD) and practice management system vendors.
·Achieved $2 million savings through increased electronic claim submission volume.
I.T. Consultant, Information Technology Dept. (94)
Assisted with the development of a $60 million company-wide integrated managed care system. Project managed a team to document system requirements and business processes.
Jun 1992 - Jul 1994
Directed all pharmaceutical manufacturing operations for this privately held business; developed and implemented strategic business plans; monitored the company's operating plan and financial performance; managed supply chain relationships and contracts; managed sales and customer relations activities with distributors, retailers and consumers.
·Improved small pharmaceutical manufacturing company’s revenue by 10% and profits by 5% year over year through product innovation and customer segmentation strategies.
Insurance experience in Product Development & Management, Claims and Customer Service Process Training, Sales Support & Account Management, Provider Data Maintenance, Billing & Enrollment, and Underwriting.
Board of Directors: SolBridge International Business School (08-present); KLCEI, Inc. (07-present); Parents Anonymous of Connecticut-chapter of the National Org. to Prevent Child Abuse (90-92); Mt. Hood YMCA in Oregon (93-94).
Presidential Council for Future Vision for Korea (10 - present): Technical advisor to the Blue House for developing strategies to generate economic growth engines in the healthcare, biotechnology, and medical industries for Korea.
Advisory committees to the Secretary of Health and Human Services in Washington, DC,National Uniform Billing & Claim Committees (00-04): NUBC committee, chaired by Amer. Hospital Assoc.- establishes coding standards for the UB02 billing format used by CMS (formerly HCFA) and the health insurance industry.NUCC committee, chaired by AMA - maintains the HCFA1500 billing format standard.
Alliance for Managed Care Chairman (00-04):National trade organization for the insurance and managed care industry.Worked with State and Federal Agencies and industry associations on claim coding and payment policies.
Strategic Advisor, John K. Lim Oregon State Senate Campaign(92):Helped the candidate successful market and win the 11th district seat (3rd largest district in Oregon).
A recognized executive with international expertise in profitably growing a business, turning around service delivery and achieving business unit results.A proven track record in optomizing operations through global sourcing strategies and delivering enterprise technology initiatives on time and on budget.A strategic thinker with strong management and financial acumen skills who has expertise in M&As, B2B/B2C operations, and product and service innovation.Exhibits exceptional leadership skills which nurtures a culture of employee engagement, high performance, and loyalty.
·International business development experience in North/Central America, Middle East, Europe, and Asia markets.
·Helped launch a new business division and products in a Fortune 200 company.Grew customer base to 1 million members with $3.5 million in revenues and a 9% operating margin in its 1st full year of operation.Helped acquire and integrate a $60 million company along with its 11 million members.
·Established and operationalized a profitable new startup company.Captured 25% of the market share.
·Improved market share for a small privately held company through product innovation and customer segmentation.
·Managed an $80 million IT budget and over 900 IT professionals.Outsourced IT functions offshore to India, attained CMM level 2 quality certification and cut expenses by 15%, while meeting or exceeding all customer service level agreements.
·Turned IT operations around from project delays and budget overruns to flawless execution and delivery.
·Turned customer call center performance around from high wait times and abandonment rates to exceeding industry standards (less than 20 seconds TSF and greater than 95% accessibility).
·Achieved $2 million in administrative savings by leveraging automation and business process improvements.
·Skilled at successfully changing culture from poor performance to exceeding standards with minimal employee turnover.
·Served on a corporate task force commissioned by the Chairman of the Board on enhancing ethical decision-making in the company; served on various company governance boards and steering committees.