Matt Norton

About Matt Norton

Background includes roles in healthcare and financial services as Head of Operations, Managing Director of Claim Operations, Managing Director of Special Investigations, Division CFO, and VP of Business/Technology Integration. Scope of roles- leadership of multi-site organizations FTE), including work-at-home and global partners - financials and analytics for $1.1 billion operations & technology division - medical cost programs and overpayment recoveries impacting over $1.0 billion per year - leadership over large-scale technology initiatives, mergers, and change management initiatives - build-out of award-winning business intelligence group Core skills enabled through ability to distill complexity, identify economic value, assemble clear/concise business cases, and empower team through alignment of vision and skills. Leadership credo focuses on aligning staff to their strengths, belief that the best information is often at the frontline, and that failure to do what is right comes largely from failure to tell a clear and compelling story. Some relevant training experiences include six sigma (black belt), chart auditing, SpeakEasy presentation skills, and The Pyramid Principle problem solving. Specialties: Claim and call center operations, medical cost containment programs, six sigma continuous improvement, overpayment recovery, operational logistics (call center operations, capacity planning, etc.), business/technology integration, root cause problem solving, special investigations (fraud, waste, and abuse), outsourcing management, vendor negotiations, acquisition onboarding, financial leadership, decision support systems, process analysis, performance management systems.

Experience

1. Managing Director, Special Investigations

   The Cigna Group

   Mar 2013 — Present · Bloomfield, CT, US

   Lead Cigna\'s anti-fraud efforts addressing claim services for medical, pharmacy, and related health services functions. Primary areas of focus include the Special Investigations Unit (SIU), medical cost focused analytics, policy proposals related to billing controls, and partnership with key stakeholders across the business units (contracting, medical management, medical economics, etc.).

Education

• University of the Incarnate Word

  MBA, Management

  1992 — 1994

• University of Utah - David Eccles School of Business

  B.S., Finance

  1985 — 1989

• University of Virginia Darden School of Business

  Advanced Leadership Program, Business

  2010 — 2010

Skills

• Call Centers
• Staff Development
• Enterprise Software
• Vendor Management
• Learning Agility
• IT Solutions
• Business Intelligence
• Business Process Improvement
• Strategic Planning
• Integration
• Analysis
• Call Center
• Economic Modeling
• Profit Maximization
• Mergers & Acquisitions
• Health Insurance
• Claims Management
• Financial Services
• Performance Management
• Capacity Planning
• What-If Analysis
• Forecasting
• Bpo
• Cross-Functional Team Leadership
• Finance
• Solution Development
• Analytics
• Financial Analysis
• Credit Cards
• Strategy
• Large Volume
• Executive Management
• Employee Benefits
• Six Sigma
• Leadership
• Process Improvement
• Operations Management
• Outsourcing