Sandra Lowe

Background

About Sandra Lowe

MY PROFESSION Dynamic senior operations Leader with substantial experience successfully strengthening operational strategies and systems for private & public health insurance organizations, while achieving long-term, sustainable company growth. HOW I GET RESULTS • Multi-Unit Operations Management: Oversaw operations for Medicare Part D, Medicare Advantage-Private Fee for Service (MA- PFFS), Individual, Group and Medicare Advantage Part D (MAPD) member and provider inquiries for legacy Central and Medicare managing workforce, training, quality assurance and process improvement. • Budgeting and Forecasting: In five CMS audits, business area was found to be without any “major or minor deficiencies”, achieving scores of 99% and 100% compliance with nearly 300 separate standards. • Process Improvement and Implementation: Implemented process changes that aligned with Healthcare Reform and the Affordable Care Act. Development / implementation of a QA program for Anthem, achieving a 99.48% quality score against 95% target. • Operations Management - Oversaw daily operations of the shared services business, including imaging of 4.5M documents annually, opening and distributing 1.4M envelopes and packages annually to five locations • Generate Company Savings: Consolidated two mail hubs to one hub within six months while maintaining same day service level and reducing overall costs by $1M. • Employee Retention: Lowered staff turnover by 20% by changing organizational training and development structure, deploying work alignment, and role clarity methodologies and strategies. I'm open to connecting with like-minded professionals and learning about new opportunities.