Sr. Project Manager at United Health Care
Greater Boston Area
- Current
-
- Sr. Project Manager at United Health Care
- Past
-
- Sr. Financial Underwriter at United Healthcare
- Sales Support Consultant at Aetna
- Project Testing Consultant at CIGNA Healthcare
- Client Reporting Analyst at CIGNA Healthcare
- Benefits Analyst at CIGNA Healthcare
- Education
-
- Heritage Christian School
- Recommended
-
2 people have recommended Matthew - Connections
-
50
connections
- Industry
- Insurance
Matthew Legere’s Summary
Looking to apply my career experience, relationship-building strengths, and public speaking experience to excel in a customer-facing role.
>>Highlights:
* Class Valedictorian of my entire High School in 1999
* Client-focused and accomplished professional offering greater than ten years of experience in the healthcare insurance industry.
* Multifaceted skill base with areas of expertise which include Finance/Underwriting, Claims Operations, Marketing/Sales Support, Project Management, and Client/Provider Reporting.
* Strong leadership talents, “team player” attitude and spirit, and the natural ability to establish consensus across cross-functional lines.
* Proven success in leading and motivating both individuals and teams to perform and produce evidenced by supervising a team of seven as part of the Connections department at Haven of Hope church.
* Comprehensive healthcare product knowledge including vision, pharmacy, dental, stop loss, FSA, UBH and consumer driven medical healthplans
* Dynamic presentation/public speaking style with extensive experience in front of crowds as small as 10-25 and as large as 1,000.
Matthew Legere’s Specialties:
Public speaking (1-25, 25-100, 100 - 1,000 people), Relationship Building, People Management (managed staff of 7 at Haven of Hope church), Training/Documentation Development
Matthew Legere’s Experience
-
Sr. Project Manager
United Health Care
(Public Company; Insurance industry)
July 2008 — Present (1 year 5 months)
Support United Health Group’s client base across multiple products and platforms by working with functional areas to develop solutions that are operationally sound and administratively feasible.
Participate in forum calls that are “real-time” discussions of client requests regarding operational issues, solution generation, etc.
Identify trends in the customer solutions being generated in order to move solutions from being considered custom/adhoc to being considered a part of our standard suite of services and support.
Responsible for the development and maintenance of department Policy & Procedure documentation. -
Sr. Financial Underwriter
United Healthcare
(Public Company; Insurance industry)
September 2005 — July 2008 (2 years 11 months)
Experienced in preparing presale and renewal quotes over a variety of Self Insured and Fully Insured products, including Medical, Pharmacy, Mental Health/Substance Abuse, Executive Medical, Flexible Spending Accounts, COBRA, Consumer Driven Health Plan, Limited Benefit Plans, Individual and Aggregate Stop Loss
Monitor client financial performance including renewal planning, negotiation and profitability levels
Served as project manager involving implementation of new clients, training documentation, policy and procedure management, miscellaneous department-wide improvement initiatives, etc.
Experienced in negotiating with brokers, consultants, and clients about the legal, contractual, and financial aspects of a potential client relationship
Provided on-site benefits enrollment meeting support for two key National Accounts clients: America Online, and Time Warner Cable.
Generated revenue of approximately $12 million and new business membership of over 75,000 as part of new business development in 2007
Developed administrative service fees, fully insured rates, premium equivalent rates, ISL/ASL rates, plan design modeling for benefit changes/state mandated benefits, projected claim costs, client-specific trend, etc.
Assessed the risks associated with offering performance guarantees on operational metrics, provider discounts, dispensing fees, claims costs, trend, etc. -
Sales Support Consultant
Aetna
(Public Company; AET; Insurance industry)
September 2003 — September 2005 (2 years 1 month)
Generated self-funded presale quotes for New Business Development
Responsible for managing the responses to over 50 RFP’s (Requests for Proposals) over a 2 year period across various product lines (medical, dental, and pharmacy)
Served as a project team member for Broker/Consultant Marketing Survey’s
Responsible for supporting the National Accounts Sales teams with strategically oriented proposal responses in support of a variety of product and financial topics as part of New Business Development.
Was responsible for adding over 50,000 new business membership in 2006
Experienced in negotiating with brokers, consultants, and clients about the legal, contractual, and financial aspects of a potential client relationship -
Project Testing Consultant
CIGNA Healthcare
(Public Company; CI; Hospital & Health Care industry)
May 2003 — September 2003 (5 months)
Responsible for creating test strategies, formulating test plans, and executing scripts in numerous test environments (i.e. acceptance, system/unit, end-to-end, and regression stages)
Developed project plans, mitigated risks for project testing deliverables, and managed aggressive deadlines -
Client Reporting Analyst
CIGNA Healthcare
(Public Company; CI; Hospital & Health Care industry)
August 1999 — May 2003 (3 years 10 months)
Provided both employer-level and book-of-business level reporting to a variety of internal (Healthcare Economics, Provider Contracting) and external (Brokers, Consultants, External Clients) constituents
Supported the Healthcare Economics Help Desk as the Employer/Book of Business Reporting lead
Experienced in developing training documentation to outline both system and business policy and procedures as well as writing business specifications
Served as a business liaison/project manager in conjunction with various I.T. projects, including testing and development of web-based tools, converting large clients from paper reporting to a web-based platform, etc.
Conducted a training class for over 14 individuals in support of a department initiative to transfer client reporting responsibilities from Bloomfield, CT to Chattanooga, TN
Co-led department-wide training initiatives in support of Senior Management staff meetings -
Benefits Analyst
CIGNA Healthcare
(Public Company; CI; Hospital & Health Care industry)
July 1998 — August 1999 (1 year 2 months)
Experienced in providing favorable customer service experiences with members and providers by processing medical insurance claims for CIGNA’s biggest client, United Technologies and providing call center support for members and providers
Testing satellite technology in support of Business Continuity Planning
Matthew Legere’s Education
-
Heritage Christian School
College Preparatory Diploma , Class Valectorian of 1999 , 1996 — 1999
- Activities and Societies:
- High School Class Valedictorian (1999), Member of A.C.T.S. Honor Society (1999), Highest grade among high school students in English & Literature (1996-1999)
Additional Information
Matthew Legere’s Interests:
Public speaking, presentation, relationship building
Matthew Legere’s Groups:
Board member of Haven of Hope Community Church , Feb 2008 – Present
Leadership team, Haven of Hope Community Church, Nov 2007 - Present
-
Boston Young Professionals Association -
Insurance Brokerage/Consulting - Employee Benefit Sales/Service/Underwriting
Matthew Legere’s Honors:
HERITAGE CHRISTIAN SCHOOL –
High School Class Valedictorian (1999), Member of A.C.T.S. Honor Society (1999), Highest grade among high school students in English & Literature (1996-1999)
TUNXIS COMMUNITY COLLEGE –
Recipient of Student Leadership Award (2002), Dean’s List (2003)
GREAT LAKES UNIVERSITY –
Dean’s List (2005)
CIGNA –
Circle of Excellence Awards (2000, 2001, 2002), Nominated for President’s Club (2001)
Matthew Legere’s Contact Settings
Interested In:
- career opportunities
- consulting offers
- job inquiries
- expertise requests
- reference requests
- getting back in touch
