Scott Shelton
VP, Business Process Outsourcing Operations @Catalyst Solutions
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WORK HISTORY
VP, Business Process Outsourcing Operations @Catalyst Solutions
Birmingham, AL, US
Catalyst Solutions is a 20+ years health plan consulting company providing advisory, operational, and technology consulting to help plans operate more efficiently, reduce risks, and manage change. Catalyst also offers fully outsourced on-shore managed services for Configuration, Claims, and Quality Assurance/Testing functions. Catalyst Assists Health Plans to-Reduce Cost per Member -Improve Auto - Adjudication -Select, Implement, Upgrade and Support Core and Ancillary Systems (Facets™, QNXT™, AMISYS™, HealthRules™, Tapestry, Proprietary, etc.)-Configuration - Design, Build, Assess, Support, Train -Strategy - New LOBs, Market Expansion, Plan Operations, Technology Road-Mapping, Organizational Design -Quality Assurance/Testing - Strategy, Execution, Assessments, Tool Optimization -Improve Provider Data Consistency -Program/Project Delivery and Vendor Management -Optimize Business Process/Reduce Costs of Manual Activity/Change Management -Use Data to Drive Decisions -Eliminate Technology Inefficiencies (Custom Code Rationalization, System Performance Optimization)-Efficiently Integrate Business Processes, EDI and Applications -Data-Governance, Management, Reporting -Reduce Technology Debt -Nimbly Digest Mandates Please contact i•••@catalystsolutions.com or visit our website at
EDUCATION
Western Kentucky University
Bachelor of Science, Business Management and Management Information Systems
ABOUT SCOTT SHELTON
I help growing health plans and health plan vendor organizations increase their top and bottom lines by executing on strategic objectives, optimizing processes (primarily through automation) to drive enhanced productivity, effective resource allocation, and cost reduction. As a data-driven, decisive leader, I have proven success in the oversight of a $100m P&L and 750 associates along with strategic positioning for market growth. As a proven healthcare operations and services leader, my objective and passion have always been to make a difference, particularly in the healthcare space - improving the quality of health outcomes and the cost of healthcare overall, as well as a positive impact to my employer\'s bottom line, to our clients, our employees and to the community we serve. I believe the way to make this type of difference is through effective leadership that is founded in trust and credibility, is highly collaborative and creates a culture of accountability and strategic innovation. I have a reputation for developing and leading teams who deliver client-focused solutions and consistently meet or exceed customer Service Level Agreement and Key Performance Indicator metrics. I thrive on excellence and high levels of client satisfaction and excel in a dynamic, fast-paced environment while remaining pragmatic with laser focus on growth, performance, and strategy execution. Skills and Abilities: Leadership Process Optimization/Efficiency Strategic Planning & Execution Program/Project Management Client Account Management Performance Accountability Financial Statement Analysis Employee Engagement Client Implementation Governance & Controls Change Management Coaching & Mentoring Industry Experience: Health Plan Operations, Business Process Outsourcing, Third Party Administration Industries of Interest: Revenue Cycle Management, Client Success, Health Information Management, Pharmacy Benefit Management, Pharmacy Benefit Optimization, Benefits Management, Health Outcome Optimization I can be reached by phone at (20••••••50 or email at s••••••••@outlook.com
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