Michael Nemeth

AVP, Revenue Program Management @Blue Cross NC

Jacksonville, FL, US
MOBILE NUMBERS
+18•••••••53

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WORK HISTORY

Aug 2021 — Present

AVP, Revenue Program Management @Blue Cross NC

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EDUCATION

N/A

Jacksonville University

Bachelor of Science, Organizational Leadership

N/A

Florida State University - Herbert Wertheim College of Business

MSM-RMI, Risk Management and Insurance

SKILLS

@RiskLeadershipSdlcInsuranceHealth PolicyTeam BuildingHealthcare IndustryHealth InsuranceManaged CareBusiness Process ImprovementProcess ImprovementHealthcareBusiness DevelopmentBusiness AnalysisHealthcare ManagementVendor ManagementMedicareStrategic PlanningEnterprise Risk ManagementHipaaHealthcare ConsultingCompliance

ABOUT MICHAEL NEMETH

Highly motivated and experienced executive skilled in orchestrating business strategy and operations for major enterprise corporations, with focused subject matter expertise developed in leadership roles in the Healthcare Industry * Offers a demonstrated record of results in a complex business environment. Skilled in revenue growth, relationship building, team management, account retention, and process improvement* Visualizes broad situations and executes focused strategies through exceptional leadership, with a command of the details necessary to ensure the successful resolution of complex issues. Skilled in quick-thinking and devising creative solutions to complex problems, capturing increased efficiency and productivityAreas of Expertise:* Government Programs* Operations Management* Risk Adjustment Strategy and Programs* Program and Project Management* Key Performance Metrics* Long Range Planning* Team ManagementCareer Achievements:* SS & C Health - Launched a formal Revenue Management organization to focus on the encounter submission and risk adjustment product portfolio, sparking improved client support and increased sales. Defined a multi-year strategic product roadmap that increased revenue while reducing costs by $720K* Florida Blue - Led product strategy for the Medicare Advantage and Medicare Supplemental Products offerings, with a $16M annual budget and over $1B in revenue, with full P&L accountability* Florida Blue - Developed a three-year roadmap governing the integration of Quality, Stars, and Risk Adjustment to save $26M in third party expenses

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