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David Fernandez

Vice President @Point32Health

Boston, MA, US
MOBILE NUMBERS
+17•••••••18

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WORK HISTORY

Sep 2020 — Present

Vice President @Point32Health

Boston, MA, US

Responsible for delivering operational excellence, program management, and post-merger integration.– Reduced inventory by 75% post claim system implementation by developing foundational metrics and KPI’s, building staffing models, process improvement, and automation. – Planned and executed multi-year project to overhaul and automate the Coordination of Benefits process resulting in $8M in annual medical cost savings,$500k in efficiencies, improved compliance, and reduced Provider friction.

EDUCATION

1986 — 1989

Colby College

Bachelor's degree, Political Science and Government

1992 — 1996

Babson College

MBA, Business

SKILLS

Process ImprovementClaims ManagementTeam BuildingManagementCoachingStrategic PlanningVendor ManagementCasualtyLiabilityLeadershipBusiness Process ImprovementUnderwritingCasualty InsuranceTrainingGeneral InsuranceRisk ManagementHealth InsuranceLeadership DevelopmentInsuranceEmployee BenefitsClaimProperty & Casualty InsuranceEducational FundraisingAnalysisDisability InsuranceBusiness StrategyCommercial InsuranceAlumni Relations

ABOUT DAVID FERNANDEZ

What I am Passionate About: · Helping organizations and individuals accomplish things they never thought possible · Solving complex problems and doing work that matters · Building a workplace culture that engages and values employees · Hiring, developing, and coaching others so they can do their best workWhat I Do Now: · Lead Claims and Enrollment Operations for Point32Health, a $9B Health insurer, to drive Quality, Efficiency, Provider and Member experience, and compliance.What I Have Done in the Past: · Lead customer facing operations from employees at industry leading companies. · Taken on the most challenging operational leadership roles because of my ability to quickly understand what’s working, what’s not, and lead the organization to a better future. Key Highlights From My Career: · Reduced Claims inventory by 75% post system implementation through building foundational metrics, developing staffing forecast models, staff augmentation, and automation. · Realized $60M in annual savings and met operational/financial outcomes by driving a robust transformation program. · Decreased annual over payments $25M by taking over, turning around, and executing an IT implementation on-time. · Attained $2M+ in operating efficiencies and 10-pt. increase in service scores by improving operational stability, automating repetitive tasks through technology, and increasing digital self-service offerings. · Generated breakthrough employee engagement, increased Employee Net Promoter Score by 25 points, and decreased turnover 30%.What I Love Doing When I’m Not Working: · Spending time with family and friends, and being outdoors including running, hiking, biking, and water skiing · Raising money for Dana Farber Cancer Institute and riding in the Pan Mass Challenge · Volunteering at Colby CollegeOperational Excellence | Strategic Planning & Execution | Process Improvement | Customer Experience | Digital Enablement | Change Management | Full Cycle Talent Management | Employee Engagement

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