Summary
Overview
Work History
Education
Skills
Timeline
Generic

Melissa Green

Fair Grove

Summary

Experienced professional with a background in healthcare strategy and operations seeking a full-time remote position. Proven ability to effectively manage external vendors, conduct new hire interviews, provide training, and deliver performance feedback. Skilled in project management, staff management, and process improvement, with a LEAN Yellow Belt Certification. Demonstrated success in directing and managing large-scale operations, driving strategic planning and execution. Adept at implementing innovative solutions to enhance productivity and operational effectiveness. Known for fostering teamwork and adapting to evolving business needs to align with organizational goals.

Overview

25
25
years of professional experience

Work History

CM Business Solutions Director/Chief of Staff

Anthem
07.2023 - Current
  • Acted as Chief of Staff for Staff Vice President, standardizing vendors across 32 clinics nationwide, enhancing operational efficiency
  • Managed large-scale projects, identifying and spearheading process improvement opportunities resulting in significant cost savings
  • Partnered with Staff VP and Finance team to monitor clinic spend, identifying opportunities for savings and improving financial performance
  • Implemented strategic initiatives for enhanced market positioning.
  • Streamlined workflows to boost productivity across multiple functions.
  • Developed high-performing teams by providing mentorship, guidance, and opportunities for professional growth.

Business Change Manager

Anthem
07.2021 - 07.2023
  • Led efforts to identify and implement projects, programs, and plans, enhancing enterprise goals and business unit performance, resulting in significant cost savings
  • Managed Wellness funds for Missouri Sales Team, improving financial performance by identifying and addressing priority aged issues
  • Provided account management oversight on high-priority accounts, ensuring compliance and monitoring Missouri Prompt Pay, enhancing operational efficiency
  • Facilitated stakeholder buy-in through effective communication and engagement activities, promoting a unified approach to change initiatives.
  • Developed comprehensive change management strategies for successful organizational transformations, resulting in smoother transitions with minimal disruptions.

Vendor Operations Management Consultant Senior- Payment Integrity

Anthem
08.2012 - 07.2021
  • Managed coordination and oversight of vendor issues, goals, and inventory, ensuring targets were met, resulting in improved operational efficiency
  • Led monthly business reviews and bi-weekly calls with internal teams and vendors, enhancing communication and collaboration, and driving performance improvements
  • Developed monthly reporting to present to Executive staff
  • Trained new hires for the Vendor Manager position, serving as SME for claims systems, and recovered significant medical savings toward Cost of Care goals
  • Strengthened vendor relationships by maintaining open communication and promptly addressing any concerns or issues.
  • Negotiated favorable contracts with suppliers, resulting in cost savings for the company without sacrificing quality.
  • Implemented an efficient vendor management system that streamlined operations and reduced administrative workload.
  • Managed a diverse portfolio of vendors, ensuring timely delivery of products and services to clients.
  • Implemented feedback system for vendors, leading to improvements in product quality.

Business Change Advisor

Anthem
06.2010 - 08.2012
  • Managed the daily MTM needs for Central Region FACETS, ensuring compliance and implementing program changes, resulting in a increase in operational efficiency
  • Identified and resolved MTM compliance risks, driving resolution and enhancing program integrity, leading to a reduction in compliance issues
  • Developed and managed systems, policies, and procedures for performance measurement, improving data accuracy and reporting
  • Developed comprehensive strategies for addressing client concerns and enhancing service delivery.
  • Maintained up-to-date knowledge on industry trends and regulations, ensuring accurate advice was provided to clients at all times.

Customer Care Rep III

Anthem
07.2007 - 06.2010
  • Processed written Correspondence in the Central Region Systems (Facets/CCB)
  • Trained on WGS and CCB; Extensive FACETS experience
  • Assisted manager with special projects/department issues
  • Developed training materials to conduct the training on Power Sessions on Pricing class (Facets)
  • Assisted and provided guidance with new hire training classes
  • Assumed the role as an Operations Expert when required
  • Served as Team Lead for Department of Insurance projects
  • Facilitated calibration calls with Vendors located in Duma and Manila

Operations Expert

Anthem
11.2005 - 07.2007
  • Led two operations teams of 45-50 associates, enhancing team collaboration and innovation, resulting in improved operational efficiency
  • Conducted audits and reviews, providing feedback to increase quality and customer satisfaction, reducing errors
  • Co-led a committee to drive efficiencies, successfully reducing aged inventory
  • Collaborated with cross-functional teams to develop innovative solutions for complex operational challenges.
  • Identified areas for improvement through regular audits, recommending process enhancements that ultimately led to increased profitability.
  • Ensured compliance with relevant regulations and industry best practices through thorough documentation and reporting.

Pends Analyst II

Anthem
10.1999 - 11.2005
  • Meet standards for production and quality
  • Coordinated with doctors’ offices/hospitals to get information
  • Processed PPO and MCP lines of business claims
  • Knowledge of HCPCS/Diagnosis codes
  • Processed specialty Pends that required additional training such as Home Infusion and High Dollar Claims

Education

PhD - clinical psychology

Drury University
01.2025

High School -

Fair Grove High School
Fair Grove, MO
01.1999

Skills

  • Microsoft Office Suite (Advanced)
  • OneNote (Expert)
  • Central FACETS
  • Relationship building
  • Strategic planning
  • Team management
  • Project management
  • Strategies and goals
  • Project coordination
  • Budget management
  • Contract and vendor management
  • Negotiation
  • Hiring and retention
  • Legal and regulatory compliance
  • Crisis management

Timeline

CM Business Solutions Director/Chief of Staff

Anthem
07.2023 - Current

Business Change Manager

Anthem
07.2021 - 07.2023

Vendor Operations Management Consultant Senior- Payment Integrity

Anthem
08.2012 - 07.2021

Business Change Advisor

Anthem
06.2010 - 08.2012

Customer Care Rep III

Anthem
07.2007 - 06.2010

Operations Expert

Anthem
11.2005 - 07.2007

Pends Analyst II

Anthem
10.1999 - 11.2005

High School -

Fair Grove High School

PhD - clinical psychology

Drury University

Similar Profiles

CREATE PROFILE
Melissa Green