REBECCA J. CHI
4440 SW Wood Parkway Home: [Send email to request phone number] 92-6604
Portland, OR 97219 Email: Cell: [Send email to request phone number] 07-2900
CHIEF EXECUTIVE OFFICER - CHIEF OPERATIONS OFFICER
Instrumental in generating $80 million in sales and $75 million in cost savings
during career.
Corporate, Division, and New Product Start-ups / Change Management / Turnaround
Leadership / Healthcare Integration / Product Innovation / Business Model
Transition
SENIOR OPERATIONS EXECUTIVE providing 20+ years of high-caliber experience in
the healthcare, clinic management, insurance, social services, not-for-profit,
and scientific equipment industries. Offer solid financial acumen, and expertise
in operations management, corporate turnarounds, revenue growth and cost savings
opportunities, new product development, infrastructure development, and product
and service quality assurance. Held key leadership roles with a national health
insurer, Medicaid/Medicare health insurance company, global scientific company,
start-up business, and a struggling not-for-profit organization.
Executive career path includes achievements in new venture development, new
product launches and branding, mental and physical health integration, business
expansion, large contract negotiations, account management, HIPAA compliance, and
Medicare compliance including Part D.
Career notables include developing an integrated healthcare system that treated
members with physical, mental, and chemical dependency, championing a service
coordination program that achieved a 50% ROI, and selling services to the
provider community which avoided payment issues and boosted member services.
Regarded as an executive who is truly visionary, and is an effective risk
manager, a big picture thinker, a successful team developer and mentor, and a
dynamic business leader. Also acknowledged as an analytical and data driven
businesswoman, and an exceptionally visible executive who creates exciting brand
recognition for organizations and products.
PROFESSIONAL QUALIFICATIONS:
Corporate Operations ( General Business Management ( Corporate Reorganizations (
Profit & Loss Management ( Multi-million Dollar Contract Negotiations ( Sales,
Marketing, and New Business Development ( Brand Identity, Awareness, and
Management ( Board of Director Collaboration
Multi-Site Leadership - Change Management Leadership - Program Management -
Vendor Relationships and Management - Financial Turnarounds - Multi-million
Dollar Cost Saving
Strategies - New Business Expansion - Quality Assurance and Compliance -
Revenue, Sales, and Profit Growth - Public Relations - Cross-Functional Team
Leadership - Employee Training and Development
EXECUTIVE CAREER HISTORY
FAMILYCARE HEALTH PLANS - Portland, OR 2006 to 2009
CHIEF OPERATING OFFICER
Staff: 11 Direct Reports - Health Services Manager, Service Coordinator Manager,
Director of Quality and Compliance, Director of Medicare, Chief Medical Officer,
Claims Manager, Customer Service Manager, Senior Project Manager IT, Medicare
Compliance Specialist, Behavioral Health Manager, Provider Relations Manager, and
others; 82 Indirect Reports. Budget: $72 million ending budget.
Joined an $41 million Medicaid/Medicare insurance plan provider to rejuvenate
operations, develop new and profitable business lines, accelerate revenue, slash
operational expenses, facilitate a corporate culture change, and retain
high-caliber employers to drive change. Ranked second in command of multiple
sites, and was accountable for Profit & Loss management, sales, marketing, new
business development, financial and operational turnarounds, physical and
behavioral health care contract negotiations, program management, and project
management.
Demanding executive role also focused on Board and senior executive team
collaboration, Medicare audits, state government legislation affairs and changes,
public relations, brand management, quality, and state and federal compliance.
Accountable for the success of several business lines: Health Services, New
Product Development, Sales, Medicare, Medicaid, Contracting, Account Management
and Cost Containment.
* Catalyst in skyrocketing revenue from $42 million to $88 million by leading
teams that marketed new products, developing sales opportunities, acting as a
highly visible leader who actively promoted the organization, and bi-forcating
business.
* Significantly improved case management practices and added a service
coordination model. Championed the only health system in the state of Oregon
which included integrated clinic settings that provided seamless healthcare to
members.
* Achieved a $2.78 million healthcare cost savings in the first year by
developing the service coordination model. New initiative lowered medical costs
and inpatient admissions, contributed to the health improvement of members, and
enabled team to sell new concept to the provider community. Retained five
remote-based employees to work with providers and members.
* Provided a platform that enabled the Medicare Risk Adjustment practice to
save $4.75 million in claims payments, and saved an additional $2.5 million
through effective business analysis and member case management improvements.
* Also added 20,000 Medicaid lives which boosted business 40%,added 2500
Individual Medicare lives increased business by 99% and participated in state
committees. Wrote legislative testimony for the CEO who spoke before the State of
Oregon's sub-committee.
VWR SCIENTIFIC - Tualatin, OR 2005 to 2006
SITE MANAGER
Staff: 12 Direct Reports - Technicians, Operations Coordinators, and Team Leads
Retained to direct a multi-site operation, drive product innovation, accelerate
performance quality, and increase sales through new services and better products.
Initially focused on strengthening relationships with the world's largest chip
manufacturer, developing an online inventory system, and building a united and
goal-driven team.
Principal activities revolved around new business development, revenue
generation, new service offering development, and customer relationships.
Leveraged leadership qualifications to improve brand recognition with all
manufacturing factories, develop a business culture known for its integrity and
superior quality, and form a dynamic team that could mentor the next generation
of employees.
* Captured revenue by selling an automated vending system that enabled customer
to develop a trackable system for tools and achieve a cost savings.
* Masterminded new programs to deliver exemplary customer service, and advanced
the quality of products through a new product and quality check methodology. Led
team intensely focused on quality which completely eliminate competition.
* Collaborated with the IT Group to design a technology system to track and
order new inventory which contributed to manufacturing improvements and customer
satisfaction.
* Devoted time to train employees for career advancement which enabled company
to hire replacement internally upon departure.
PACIFICARE HEALTH SYSTEMS - Cypress, CA 2002 to 2003
DIRECTOR, AUDIT & TRAINING
Staff: 25 Direct Reports - Training Manager, Audit Manager, Audit Supervisor,
Trainers, Auditors
Accepted leadership role with a company that provided innovative health
insurance coverage and diverse health and wellness plans for groups and
individuals. Concentrated on multi-state operations, employee recruiting, audit
management, cost saving plans, Medicare compliance, policy and procedure
development, and team building. Mentored a service center that was able to
successfully pay claims without encountering problems.
* Established a new Training and Audit Department, and trained more than 250
employees on a new claims system.
* Selected to relaunch a new product, and designed a comprehensive training
program to successfully introduce ensure new system to customers. Collaborated
with vendor to ensure claims payment accuracy.
* Recruited a team in Texas to assume the functions of a California team when
executives decided to move operations for a specific product to Texas.
* Member of team that achieved NCQA accreditation, and wrote and introduced a
Creating Operational policy.
AETNA US HEALTHCARE - Los Angeles, CA 2001 to 2002
INTERNAL QUALITY / EXTERNAL AUDIT COORDINATOR for WESTERN REGION
Staff: 15 Direct Reports - Trainers and Training Leaders.
Member of a $2+ billion company that focused on leading multiple audits
involving claims, customer service quality, enrollments, state and federal
compliance, as well as those involving Medicare insurance commissions and
employer groups. Leadership role revolved around claims payment accuracy
performance, employer group relationship improvements, internal and external
customer satisfaction, and associate coaching and mentoring.
* Designed a Service Center of Leaders, established a valuable leadership
training program, and coached team leaders, supervisors, and managers for career
growth.
* United with regional executives to ensure employees complied with all
corporate practices, and elevated service center quality beyond industry
standards.
* Formulated and deployed a regional audit plan for all sites that guaranteed
the highest levels of customer delivery.
AMBLESIDE, INC. - Snow Hill, NC 1998 to 2000
VICE PRESIDENT, CLIENT SERVICES
Staff: 5 Direct Reports - Site Managers, Director of Day Treatment.
Hired to develop new programs, identify new business opportunities to accelerate
revenue, promote services to targeted markets, and ensure $12 million company
complied with state and federal regulations. Accountable for revenue growth,
Profit & Loss management, quality performance, and employee development.
* Pushed revenue $4 million by starting up several new sites and tapping into
new, lucrative markets.
* Initiated the company's first audit training and tracking system, and
fostered a relationship with the State |
