Summary
Overview
Work History
Education
Skills
Community Service
Timeline
Generic

Michele Tucci

Sewickley

Summary

Results-driven executive with extensive experience in strategic planning, implementation, and integration, as well as the successful execution of business programs that delivered tangible, financial results through business process design, organizational development and capability improvements. Customer-focused, highly organized, with effective communication skills and demonstrated ability to lead executives and key business stakeholders in cross-company/departmental initiatives. In-depth knowledge and expertise in the health care industry including analyzing needs, presenting solutions, building consensus, and navigating challenges that accompany change and growth. Motivated and passionate achiever who exceeds goals and expectations; resourceful, creative problem-solver with proven success with senior executives.

Overview

32
32
years of professional experience

Work History

Vice President, Institute Planning & Special Programs

Allegheny Health Network
  • Develop & design the Institute operating model for the Allegheny Health Network
  • Accountable for implementing model that includes rolling out 14 institutes with regards to operating model, organization structure, governance structure, scorecard and financial management reporting, and transformational change
  • Develop & Manage the Institute Strategic Planning process to inform the AHN network strategy
  • Manage and facilitate special programs identified by AHN leadership
  • AHN Clinician Wellness Administrator that includes the program development and implementation of newly created department, annual survey and initiative development and implementation
  • Executive culture transformational change and AHN chairman for network engagement council
  • Represent and drive executive decisions on behalf of the President of the Allegheny Clinic business planning, process improvements, and network communications.

Senior Vice President, Strategic Programs & Institute Development

Allegheny Health Network
08.2021 - Current

Chief of Staff, AHN CEO & Allegheny Clinic President

Allegheny Health Network
02.2017 - 12.2022

Vice President, Highmark Health Plan Portfolio, Strategy & Realization

Highmark, Inc.
10.2013 - 02.2017
  • Accountable for the budgeting, planning and strategic development of an $11 Billion P&L
  • Strategic advisor to senior leadership in executing culture transformational change for 8,500 employees
  • Represent and drive executive decisions on behalf of the President of the Health Plan and the Health Markets division including corporate risk management, procurement, corporate audit, strategic planning, budget and approvals, training and communications
  • Management of a $900M administrative budget and $150M strategic portfolio serving as the primary point of contact for the President
  • Manage and execute the Health Plan portfolio planning and strategic planning process including business plan development, multi-disciplinary teams, stage gating, executive oversight and business case management of administrative and care cost realization outcomes
  • Collaborate with the enterprise strategy and joint partner plan process and serve as health plan champion
  • Create and influence processes to ensure consistency and discipline across all lines of business.

Vice President – Health Services Administration

Highmark, Inc.
01.2007 - 09.2013
  • Served as Chief of Staff for President of Health Services division including planning and directing all administration and financial activities for the division of 6,000 employees
  • Accountable for the financial and non-financial results of a $1B-$800M budget and have consistently managed to a positive variance
  • Served as the executive and senior leaders’ primary point of contact to create and revise the 3 year strategic plan to ensure that enterprise-wide initiatives met current and emerging market demands
  • Responsible for establishing and sustaining strong, value-driven consulting relationships with senior executive leadership of business areas in order to implement and maintain process driven solutions to achieve the strategic vision including identifying metrics and goals to quantify business objectives in alignment with the corporate strategy and support of ongoing monitoring of benefit realization reporting
  • Developed and coordinated the Health Services strategic planning process including facilitating senior executive working sessions for strategic plan development and progress assessment a $200M annual strategic investment portfolio
  • Spearheaded $1.8B business case for Consumerism activities and was responsible for the development and implementation of the value realization process
  • Led an Advisory Board to implement new spending account platform including integration of 13 systems and vendor, migration of existing business, sales projections and business case results
  • Managed vendor relationships, negotiations, and key contracts, as appropriate, with external parties related to the procurement and development of enterprise-wide initiatives and corporate venture investment opportunities.

Director, Membership Business and Process Management

Highmark, Inc.
01.2002 - 01.2007
  • Spearheaded membership and ID card strategies to streamline the current operating systems by providing vision and leadership to a staff of 110 (direct, indirect and consultants) reporting directly to the SVP of Customer & Analytic Operations
  • Executed the re-engineering of the core systems and processes; redesigned the Enrollment and ID card system interfaces, designed and implemented a one source enrollment clearing house, shutdown of a Legacy Membership system and served as a pilot for a new system development life cycle (HighRUP) which proved successful and rolled out to the entire organization
  • Accountable for the generation and delivery of approximately 4 million ID Cards annually
  • Developed, implemented and managed a process to track, accumulate progress, and monitor against the business case targets / synergies achieved by re-engineering the systems
  • Collaborated with senior leaders to articulate, quantify and mitigate the business impacts of quality concerns and inconsistencies and make recommendations regarding critical business judgments.

Financial Strategic Planning Manager Program Management Office

Highmark, Inc.
01.1999 - 01.2002
  • Supported the Health Insurance Group (HIG) strategic planning process reporting directly to the Vice President of the HIG Program office providing management oversight to the strategic budget of $70M and development and monitoring of business case targets
  • Assisted in the evaluation of new business and investment opportunities with strategic partners
  • Supported the oversight of the company’s portfolio of strategic programs and manage the division budgeting process
  • Assisted in the coordination and development of the corporate strategic planning process for Highmark and all wholly owned subsidiaries including facilitation of senior executive working sessions for strategic plan development and progress assessment
  • Provided coordination, logistics, and oversight of Consumer Health Management Strategy successfully managing critical points of contact and related information flows to resolve and respond to internal and external business inquiries
  • Presented to senior management on strategic opportunities that resulted in successful conceptual and financial approvals.

Director, Program Management – University Services Organization

UPMC Health System
01.1996 - 01.1999
  • Seamlessly managed special projects and implementations for 130 acquired/affiliated practices (400 physicians) over 26 counties to meet project deliverables and deadlines
  • Reported to the Vice President of Practice Management collaborating and communicating with physicians and practice managers that resulting in successful partnerships
  • Directed the successful implementation and training of a new billing system (EPIC) in 90 practices in 6 months and assisted in the development of a Central Billing Office
  • Defined and directed practice goals, objectives, critical success factors, milestones, and risks associated with the implementations
  • Initiated new business strategies and recommendations for improved practice operations, financial management and consolidations
  • Administered practice wide needs-assessment; identify critical training needs and requirements in the practices
  • Assisted CFO with the development of the USO Finance Department including monthly standardized financial statements, monthly end closing reports, auditing of physician contracts and due diligence.

Manager, Community Practices & Financial Analysts

University Dental Health Services
01.1992 - 01.1996
  • Managed 5 community dental practices including the installation and training of a new billing and scheduling system for 32 providers and associated staff, successful transition of new physicians and practices, performed financial pro-forma of physician practice plans resulting in positive acquisitions
  • Responsible for creating and analyzing monthly financial statement and annual budgets for 30 divisions in the health system included quarterly consolidation statements for five University Programs
  • Managed a unit of 5 business analysts.

Education

Masters of Business Administration -

Robert Morris University

Bachelor of Science, Accounting -

University of Pittsburgh

Executive Fellowship -

Highmark Blue Cross Blue Shield

Executive Education Program -

University of Pennsylvania
Philadelphia, PA
08.2022

Skills

  • Strategic Planning and Integration
  • Business and Financial Planning
  • Enterprise Staffing and Budgeting
  • Cross-functional Consulting
  • Program Management and Execution
  • Practice Management, Billing and Provider Relations
  • Process Improvement
  • Business Development
  • Relationship Building

Community Service

  • University of Pittsburgh, MHA Program, Preceptor, 2018
  • United Way, Be a Middle School Mentor – mentor at Pittsburgh Allegheny 6-8, 2016
  • United Way, Women’s Leadership Council – 2016 – present
  • Variety the Children’s Charity - liaison for Chair Board and organization, 2015-2016
  • Lutheran Senior Life – Gala Chair Sponsorship Lead, 2011
  • North Allegheny Football Club – Board Member & Cheer Director, 2009-2012
  • Bender Consulting Services – Coordinating Department Organization Chair, 2005-2007
  • American Heart Association – Coordinating Chair, Sponsorship Committee, 2003

Timeline

Senior Vice President, Strategic Programs & Institute Development

Allegheny Health Network
08.2021 - Current

Chief of Staff, AHN CEO & Allegheny Clinic President

Allegheny Health Network
02.2017 - 12.2022

Vice President, Highmark Health Plan Portfolio, Strategy & Realization

Highmark, Inc.
10.2013 - 02.2017

Vice President – Health Services Administration

Highmark, Inc.
01.2007 - 09.2013

Director, Membership Business and Process Management

Highmark, Inc.
01.2002 - 01.2007

Financial Strategic Planning Manager Program Management Office

Highmark, Inc.
01.1999 - 01.2002

Director, Program Management – University Services Organization

UPMC Health System
01.1996 - 01.1999

Manager, Community Practices & Financial Analysts

University Dental Health Services
01.1992 - 01.1996

Vice President, Institute Planning & Special Programs

Allegheny Health Network

Masters of Business Administration -

Robert Morris University

Bachelor of Science, Accounting -

University of Pittsburgh

Executive Fellowship -

Highmark Blue Cross Blue Shield

Executive Education Program -

University of Pennsylvania
Michele Tucci