Gail Reganato

High Value Optimization Enablement Director @Independence Blue Cross

Philadelphia, PA, US
MOBILE NUMBERS
+91 *********19

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WORK HISTORY

Jan 2018 — Present

High Value Optimization Enablement Director @Independence Blue Cross

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Philadelphia, PA

Manage intake, valuation and cost/benefit estimation for proposed medical cost reduction initiatives. To date have guided investigatory analyses of potential cost savings opportunities totaling $20MM+ encompassing: benefit structures and incentives, precertifications, medical policies, provider reimbursement/fee schedules, site of service shift, and claims submission and processing errors.

EDUCATION

N/A

Ursinus College

BS

N/A

Penn State University

MHA

SKILLS

Software Project ManagementManagementRequirements GatheringLeadershipProject ManagementRequirements AnalysisProject PlanningHealthcareProcess ImprovementStrategyProject Portfolio ManagementProduct ManagementIntegrationCross-Functional Team LeadershipBusiness AnalysisDatabasesStrategic PlanningBusiness ProcessHealthcare Information TechnologyQuality AssuranceHealth InsuranceSoftware Development Life Cycle (Sdlc)AnalysisData WarehousingManaged CareBusiness IntelligenceSdlcProgram ManagementVendor Management

ABOUT GAIL REGANATO

Product/program/relationship management executive who excels in championing new systems, creating analytical solutions and building strategic client partnerships. Implements the vision by using design tools and techniques, data analytics, and phased/iterative approaches. Leads high functioning multidisciplinary teams to implement optimal systems solutions within budget and timeline. Skilled in analyzing utilization, cost and performance metrics to identify opportunities for improving care and reducing costs.

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Gail Reganato — High Value Optimization Enablement Director at Independence Blue Cross in Philadelphia, PA, US | Unifers