Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

BARBARA PRATT

Penn Hills,PA

Summary

Dynamic Senior Business Operations Analyst with management experience and a proven track record at Highmark Blue Cross Blue Shield, excelling in business process improvement and strategic thinking. Achieved significant cost savings through resource optimization and enhanced team productivity via effective communication. Skilled in Tableau dashboards and committed to fostering collaboration for operational excellence.

Overview

10
10
years of professional experience

Work History

Senior Business Operations Analyst

Highmark Blue Cross Blue Shield
03.2019 - 03.2025
  • Optimized resource allocation for significant cost savings and improved performance metrics.
  • Enhanced team productivity through effective communication and collaboration strategies.
  • Reduced operational bottlenecks by automating manual tasks using advanced software,
  • Produced detailed and relevant reports for use in making business decisions.
  • Restructured procedures through coordination with compliance director to create and execute projects.
  • Identified areas of improvement in operations, proposing and implementing innovative solutions.
  • Improved overall business efficiency by streamlining processes and implementing new technologies.

Manager of Operations

Highmark Blue Cross Blue Shield
03.2015 - 03.2019
  • Managed 4 supervisors, Leads and up to 160 customer service representatives across multiple campuses.
  • Responsibilities included workforce management and predicting, budget, hiring, onboarding, coaching, time management, quality evaluations, training, curriculum creation, performance reviews and disciplinary action up to an including termination.

Education

Associate of Science - Business Management

Everest Business Institute
Pittsburgh, PA
07-1989

Skills

Problem-solving

  • Strategic thinking
  • Verbal and written communication
  • Stakeholder engagement
  • Analytical thinking
  • Business process improvement
  • Operations management
  • Microsoft Office Suite
  • KPI Tracking
  • Reporting and documentation
  • Teamwork and collaboration
  • Customer service
  • Problem-solving abilities

Accomplishments

  • Led a team that included Highmark's Marketing Team (Tonic), Legal, Compliance, Sales, Clinical, Branding, Operations and government agencies to consolidate, eliminate or rewrite over 1100 corporate outgoing mailed materials. Earned the mailed materials Center for Plain Language - Clearmark Award. https://centerforplainlanguage.org/2022-clearmark-winners/
  • Led National Customer Service and Clinical teams to meet 100% of SLAs by trending, analyzing results, identifying areas for improvement and creating streamlined business processes.
  • Designed and worked with data scientists to implement a single source Customer Service Benefit Quoting platform. Platform used corporate wide by service and claims teams. Outcomes include: Call handle time reduced by 1 minute, Claims adjudication reduced by 45 seconds, benefit quoting errors reduced by 5%. The platform handles more than a million transactions per year. Awarded the Highmark Think Up reward.
  • Initiated and implemented an Interactive Voice Response (IVR) process for all Highmark toll free numbers to identify callers and route them to the appropriate service teams, reducing transfers, call time and caller abrasion. Awarded the Highmark Higher Up award.
  • Designed and handled daily task using a workflow solution to streamline processes related to handling non-network exception claim payments and determinations. Reduced the time of review and payment from 21 days to 5 days.
  • Managed 4 Supervisors and up to 160 Customer Service Representatives at a time across multiple campuses in a customer service Training Lab environment. Oversaw daily activities such as; time management, workforce planning, training, curriculum, hiring, onboarding, coaching, quality review, evaluation and release to service units or disciplinary action up to an including termination.

Timeline

Senior Business Operations Analyst

Highmark Blue Cross Blue Shield
03.2019 - 03.2025

Manager of Operations

Highmark Blue Cross Blue Shield
03.2015 - 03.2019

Associate of Science - Business Management

Everest Business Institute
BARBARA PRATT