Mary Taylor – HealthCare Executive Experience

Recent healthcare executive experience

WellPoint, Inc., Camarillo, California                                                                                                                                             2009-Present

Staff Vice President, Care Management , 2009 – Present

  • Directed utilization management and post clinical claims review functions for the Medicaid and MediCare business units.
  • Implemented an automated fax system, increasing throughput by 200%. Eliminated all paper handling in the department.
  • Launched a 50 person outbound call program for the MediCare STARS program.
  • Established a clinical compliance team for the MediCaid business.
  • Managed Disease Management and Health Education member outreach functions.
  • Responsible for 300 associate post clinical claims review function for the commercial lines of business.
  • Standardized policies, processes, quality improvement and workflows across 5 claims systems.
  • Change Management for 10 successful clinical operations outsourcing projects in 30 months.
  • Achieved savings of 15% on a 37 million dollar annual budget in 2 years.


SecondWind Business systems design, Camarillo, California                                                          2007-2009

Principal Consultant

  • Consulted with executives in firms ranging from 3 person entrepreneurial company to Fortune 100 enterprises.
  • Specialized in strategic planning, goal alignment, change management, and executive coaching.
  • Consulted with Medicare Advantage Clinical Operations to turn around quality problems.


WellPoint, Inc., Camarillo, California                                                                                                                                                  1997-2007

Staff Vice President, Operations Performance Department, 2001-2007

  • Created new corporate department, introducing process analysis and performance improvement to five medical divisions.
  • Developed strategy for department to meet business goals and support operation metrics.
  • Managed team of 145 associates in 15 locations.
  • Conducted performance analysis and consulting.
  • Provided instructional design, training, quality monitoring, business process outsourcing, quality improvement, process analysis/improvement, change management, project management and executive consulting.
  • Delivered Large Client Enrollment system on time and within budget;  Recognized with innovation award.
  • Analyzed staffing and technology requirements for facilitating 20% increase in membership.  Developed web-based system for enrollment and trained temporary staff to manage business in time.
  • Held responsibility for Western region, including California, Colorado and Nevada.
  • Trained outsource vendors in Colorado, Georgia, Jamaica and the Philippines.
  • Restructured priorities of shop, recruiting resources from operations, sales and information systems for key projects.
  • Partnered with team to set parameters for project, including requirement for minimum training time of four hours.
  • Served on steering committee tasked with managing Health Insurance Privacy and Portability Act (HIPPA) compliance and training.


WellPoint, Inc., Camarillo, California

Director of Customer Satisfaction, Newbury Park, California, 1997-2001

  • Developed and implemented improvements to business operations.
  • Managed training, performance consulting, quality monitoring, fulfillment and mail services.
  • Designed and executed program management process to monitor ongoing projects as well as adjust priorities according to business requirements.
  • Improved project completion rate from 55% to 75%, maintaining cancellation rate at 15% as well as off-track and over-budget rate at 5%.
  • Created service transformation project, establishing new senior management sponsorship, management accountabilities and customer-focused metrics.
  • Enhanced staff training and facilitated open dialogues among employees.
  • Raised customer satisfaction scores by four points and decreased contract lapse rate by 6%Received honor award.

Click here to contact Mary