Allison Stead
Monroeville
Summary
An innovative, analytical leader with 28 years of healthcare and insurance industry experience with the ability to manage initiatives in a cross-matrixed environment and have high impact. Extensive knowledge of change management and other improvement methodologies including developing curriculum and teaching up to the executive level. Excels at people leadership and fostering a culture of inclusion and diversity.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Associate Director of Business Process
United Healthcare
Minnetonka
10.2020 - Current
- Established team-specific business objectives aligned with organizational priorities.
- Led collaboration with cross-functional teams to establish infrastructure for enhanced focus on deliverables.
- Led project management efforts for digital transformation, business integration, regulatory compliance, and functional process enhancements.
- Created cross-functional organizational process pathways.
- Enhanced strategic initiatives through consistent evaluation, reinforcement, and refinement processes.
- Managed end-to-end requisition processes, business continuity plans, and governed performance excellence initiatives.
- Provided continuous progress reports of initiatives to senior executives.
- Developed employee engagement action plans, and spearheaded the 'Voice of the Employee' feedback program.
- Configured Smartsheet solutions to optimize task and project management.
Program Manager / Manager of Business Operations
United Healthcare
Minnetonka
06.2017 - 05.2023
- Managed the Community and State Federated Program, consisting of 15 staff members, with an additional 11 staff members located globally.
- Management of the Community and State Data Reconciliation and Remediation Team, consisting of 30 staff members, with additional WIPRO vendor team oversight.
- Produced and maintained detailed program documentation.
- Ensured alignment with compliance mandates by working closely with UHN, health plans, and business partners.
- Established team performance benchmarks, individual DLA targets, and MAP objectives.
- Responsible for inventory management, the development of training curriculum, the internal auditing program, WFM collaboration, and team performance reporting.
- Responsible for employee engagement, team development, and employee relations concerns.
- Produced extensive documents addressing SOP process and training requirements.
- Enhanced workflow efficiency with custom-built HTML solutions.
- Utilized problem-solving skills to identify opportunities for process enhancement.
- Maintained transparency by building open and consistent relationships with stakeholders.
Network Implementations & PPACA Program Manager
United Healthcare
Minnetonka
01.2016 - 08.2020
- Responsible for the Patient Protection and Affordable Care Act program process and documentation.
- Fostered a collaborative program environment, promoting teamwork and cross-functional cooperation.
- Coordinated the integration of multiple projects within the program, ensuring cohesive progress and efficient resource allocation.
- Conduct data analytics, and ensure regulatory compliance throughout the program lifecycle.
- Provided executive reporting on program statistics and quotas.
- Relationship building and communications across the organization.
- Responsible for team development, engagement, and employee survey action plan.
- Project management supporting community and state growth implementation.
- Coordinated with internal stakeholders to ensure successful implementation of the program initiatives.
NE Regional Nework Operations Partner
United Healthcare
Minnetonka
09.2014 - 01.2016
- Responsible for Northeast Network Provider Escalation Program.
- Developed a cross-functional workflow application and accountability matrix to support the end-to-end escalation process.
- Conducted comprehensive research and data analysis to support strategic planning and informed decision-making, elevating overall provider satisfaction.
- Updated and maintained databases with current information.
- Facilitated cross-functional huddle calls to establish priorities.
- Produced detailed executive scorecards for leadership, including regional status assessments.
- Maintained an open relationship with the United Health Network team to provide transparency and communication.
Manager Prover Data
United Healthcare
Minnetonka
01.2014 - 09.2014
- Directed operations of over 100 staff across multiple departments onshore and internationally.
- Responsible for inventory management, employee engagement, performance management, team/individual development, human capital/employee relations concerns, and SOP documentation, including workflows and step-by-step action guides.
- Identify process improvements through gap analysis for the future state.
- Responsible for providing department statistics and quotas to senior leadership.
- Responsible for setting team metrics and individual DLA measures.
- Engaged partner areas, maintained relationships to provide transparency, and open communication.
- Facilitated decision-making for enhancing system configurations and developing reporting standards.
- Utilized problem-solving abilities to address complex issues.
Project Manager
United Healthcare
Minnetonka
09.2013 - 01.2014
- Responsible for gathering community and state provider contractual regulatory requirements across aligned markets, supporting state provider file, regulatory reporting, directory, and claims processing deliverables.
- Conducted and participated in group initiatives to resolve provider data discrepancies.
- Communicated updates to senior leadership on all running projects.
- Built relationships with United Health Network teams and local health plans to allow for transparency and open communication.
- Participated in cross-functional teams responsible for developing innovative solutions to ensure requirement adherence.
- Managed multiple projects with competing deadlines simultaneously.
Supervisor Provider Data Administration
United Healthcare
Minnetonka
08.1996 - 09.2013
- Oversee and maintain provider demographics, contracts, and credentialing data in NDB, Facets 4.71, and Cactus Systems for various Medicaid and Medicare lines of business.
- Develop training materials, inclusive of data entry manuals, workflow charts, and job aids.
- Assist in system configuration and reporting decisions.
- Maintain provider information and credentialing for 21 delegate provider groups in multiple states.
- Set up providers for 835/ERA, EFT, Pill Split Program, and IRS Levy Notifications.
- Oversee the entry of negotiated agreements for non-participating providers.
- Ensure timely processing of claims submitted by PNOF providers.
- Implement processes to ensure workflow accuracy and meet deadlines.
- Conduct system demonstrations for audit reviews.
- Coordinate testing scenarios for system upgrades.
- Organize monthly department meetings.
- Supervise departmental projects, problem-solving, timecard approvals, PTO, schedule changes, and annual reviews.
- Provide technical support for system integration projects. (NDB, Facets, Lotus Notes, Navigator)
- Oversee vendor integration and roster management for DBP, Optum, UBH, March Vision, and Block Vision.
- Proficient in software, including Excel, Access, and Microsoft Outlook.
- Directed and delegated projects to team members.
- Created departmental policies and procedures.
- Assisted in the software conversion from HPR Credentialer to Cactus.
- Developed a Microsoft Access tracking database for credentialing correspondence, applications, and contracts.
- Converted Excel files for delegated entities, and created provider profiles.
- Trained new employees on department procedures.
- Completed weekly audit reports.
Credentialing Data Analyst
Unison Health Plans, Inc
Monroeville
05.1996 - 08.2000
- Responsible for verifying all necessary credentials required by NCQA regulations.
- Maintained credentialing, demographic, and contractual data in HPR Credentialer and Diamond.
- Creating tables, reports, and queries on various information in the HPR Credentialer Export Module, Microsoft Access, and Excel.
- Experienced in submitting queries to the National Practitioner Data Bank.
- Developed and implemented data collection systems and strategies to optimize statistical efficiency and data quality.
- Created data visualizations and reports for management, showcasing findings and recommendations.
- Collaborated with cross-functional teams to prioritize business and information needs.
Education
Associate in Travel And Tourism -
Pittsburgh Technical College/United Travel School
Monroeville, PA01-1991
High School Diploma -
Gateway Senior High School
Monroeville, PA01-1989
Skills
- Project management
- Program management
- Regulatory compliance
- Reporting and data analysis
- Process improvement
- Employee engagement
- Cross-functional collaboration
- Leadership of high-performing teams
- Servant Leadership
- Business operations and process management
- Risk mitigation
- Inventory Management
- New Business Implementations and Migration
- Key Initiative Enablement
- Change Management
- Cross-functional team collaboration
- Lean Six Sigma Foundations
- Knowledge of Generative AI
- Leadership communications,
- Relationship building
- Performance metrics
- New Hire and Onboarding
- Time Management and Organization Skills
- Critical Thinking and Problem Solving
- System Knowledge: NDB, CSP Facets, Amaardi, Knowledge Central, Business Objects, AHA, ChatGPT
- Proficient in Smartsheet, Microsoft 365, Microsoft PowerPoint, Word, Excel, Visio, CoPilot, SharePoint
Certification
- Lean Six Sigma Foundations
- Six Sigma White Belt
- Intro to AI
Timeline
Associate Director of Business Process
United Healthcare
10.2020 - Current
Program Manager / Manager of Business Operations
United Healthcare
06.2017 - 05.2023
Network Implementations & PPACA Program Manager
United Healthcare
01.2016 - 08.2020
NE Regional Nework Operations Partner
United Healthcare
09.2014 - 01.2016
Manager Prover Data
United Healthcare
01.2014 - 09.2014
Project Manager
United Healthcare
09.2013 - 01.2014
Supervisor Provider Data Administration
United Healthcare
08.1996 - 09.2013
Credentialing Data Analyst
Unison Health Plans, Inc
05.1996 - 08.2000
Associate in Travel And Tourism -
Pittsburgh Technical College/United Travel School
High School Diploma -
Gateway Senior High School
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