Maureen P. Boyle

About Maureen P. Boyle

As Client Account Management Executive, I lead the partnership with Anthem\'s largest national account clients, driving client based solutions designed to maximize total cost, quality and membership health. Client advocacey is critical and the basis for successful relationships, enabling the delivery of quality, enduring technological and customized solutions that help the client achieve mission driven business objectives. I led a team of pharmacists and coders who focused on the design & delivery of clinical benefit UM & formulary programs for large healthplan clients, delivered to the customer via operational excellence, business effecitveness, strong people leadership, creative solutioning. With Aetna, utilizing my expertise in product design/dev & program mgmnt in Strategic Product Solutions, I led an 80-person team focused on Individual & Small Group, which created the concepts, templates, tools, technologies and compliance procedures now utilized in product development across all of Aetna. Prior, I was recruited to Aetna to take ownership/leadership in retaining, servicing & growing our largest national account. I devised the strategies, drove innovation, leveraged technology, and continuously improved service levels & profitability. I served in the function of chief operating officer of a multi-million dollar business unit. During four years, we added more than members, and received a three-year contract extension. Earlier, I developed expertise in account mgmnt leadership and business operations, highlighted by work with two world class healthcare organizations – United Healthcare and Cigna Healthcare. Over the course of my career I have managed staffs up to 500, budgets of up to $30 million and won numerous awards. I have a unique ability to bring the voice of the customer, state of the art technology, continuous operational improvement and an entrepreneurial spirit to my work.

Experience

1. Clinical Benefit Operations Leader

   CVS Health

   Mar 2017 — Present

   Lead a team of over 230 pharmacists, clinical advisors, clinical coders who design and deliver clinical benefit formulary and UM programs to PBM Healthplan customers. Currently leading an org design change to enhance the customer experience and improve overall quality, operational efficiency and effectiveness overall. Also leading a Tools, Technology & Reporting group of highly technical experts who augment the clinical benefit strategy for our internal and external customers, and who drive significant automation, operational efficiency and expert analysis to improve our business in a customer centric model.

Education

• University of Connecticut

  Bachelor of Arts (B.A.), Economics and English

• Rensselaer Polytechnic Institute at Hartford

  Master of Business Administration (M.B.A.), Marketing Management