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DEBORAH (DEBBIE) KELLY
(Cell) 502-593-2381
DKELLY1958.DK@GMAIL.COM
EXPERIENCE
Humana July 2014 – Present
Business Consultant
Private Exchange is a Sales Distribution Channel that enables Humana to offer products through an Online
Enrollment Vendor. I am responsible for the Third Party Exchange (TPE) Vendor relationship. I manage projects to
implement new vendors, as well as monitor and control existing vendors. I partner with internal and external
customers to define TPE needs and I contribute to the execution of the Humana Exchange Distribution Model.
• Provide oversight and business lead of new private exchange vendor implementations to include onboarding,
orientation, and integration with Humana systems and processes to align with business strategy.
• Central point of contact to the Third-Party Exchange for both Internal and External Partners.
• Create, develop, document, and modify processes, documentation, policies, and decisions.
• Build relationships with internal customers including IT, Product Design, Sales, Underwriting, Account
Installation, Finance and other areas as needed.
• Implemented and Lead Lessons Learned sessions and strive for continual process improvements.
• Escalate issues to the appropriate parties.
Humana August 2011 – July 2014
Process Consultant
Account Installations (AI) is a business area that supports many functions. As a Process Consultant, I reviewed and
analyzed current processes, determined improvements, as well as created new processes. I documented and
implemented the processes. Some of the projects that I managed:
•HumanaOne for Public Exchange – (Rethink Routine) Industry Expansion Project to offer Humana products
on the Federal and State Public Exchanges. Along with determining and documenting processes for various AI
functions, I created and mapped business concepts for IT architecture to build an Online Prototype. I
brainstormed with teammates on possible impacts, noting risks and gaps.
•New Hire Training (Easy to Use/Consistency/Thrive Together) – Internal Improvement Project: I led an internal
project that created and documented an associate On-Boarding process, including the development of the New
Hire Manual and I administered and facilitated New Hire Orientation.
•Disabled Dependent Process (Consistency/Transparency/Pioneer Simplicity) – Compliance Project: I led a
project that resulted in a Disabled Dependent Verification Process for the Enrollment Team as well as creating
documentation for compliance. This work involved coordinating with multiple business areas (AIMS, Contact
Center, Clinical, Enrollment, Compliance, and Legal).
• Department of Insurance (Compliance/Thrive Together) – Compliance Project: I was assigned project lead to
create and implement a compliance process for Kentucky Department of Insurance to address Kentucky House
Bill 126 – Life Insurance Notification. I identified the various stakeholders, translated the government
requirements into business criteria; engaged various IT teams to create systematic letters and code the job to run
the letter and achieve compliance. Delivered the completed process documentation to Compliance so they could
respond to the DOI call to action.
Deborah Kelly
Humana Nov. 2006 – Aug 2011
Policy Consultant
The National Education and Policy Development (NEPD) Department is a part of Strategic Consultancy and offers support to
many areas of the business. I partnered with multiple departments to interpret process flows, validate procedure steps, and
translate information into easy to use reference documentation to support Commercial Group Medical and Specialty
Enrollment. In addition, I was consistently involved with internal strategic projects to define and improve processes and
procedures. Projects that involved various parts of the business include but are not limited to:
• Baldrige Application Organizational Improvement: Project Lead for 3 business areas to obtain Kentucky Center for
Performance Excellence (KYCPE) Award. Helped define the business case with leaders, reviewed contingencies (added
work, associated fees), and identified stakeholders. Conducted meetings, worked with assigned project teams to guide and
instruct to achieve the purpose of project. Managed tasks which included documenting processes, defining our
organizational structure, recognition process for quality work, and outside feedback methods for process improvement.
• Client Engagement (Innovation): Organizational Improvement: Selected as project manager for assigned project team
tasked to improve client engagement. I led the development and implementation of a relationship maturity model,
determined baseline relationship measurements across the department. Oversaw the collection of initial baseline data.
Facilitated the design of associate training, and leadership guidelines. Established ongoing operational guidance and
created a continuous improvement plan using the Humana’s Process Maturity Model.
• Intake Cycle Time Reduction (Green Belt Project): Organizational Improvement: I was one of three project leads using
DMAIC methodology to analyze request intakes and trend analysis. Reviewed non-productive intakes, determine root
cause, and develop process solutions to reduce the process cycle time.
• Customer Satisfaction (Black Belt Project): Organizational Improvement: I was one of three project leads challenged to
design Customer Satisfaction System for Quality Engineering Depart. Utilizing the DMADV methodology I conducted
various ‘Voice of the Customer’ interviews to gather critical to quality features; conducted attribute analysis to select
impact variables. Created online Customer Satisfaction Survey and Information Data Warehouse to collect, and store the
data. Provided sponsor and stakeholder reviews, created guidelines to adjust operational methods based on customer
feedback received.
General Electric April 2000 – Nov 2006
Program Manager
Implementation and Oversight for the internal management of contingent labor for General Electric Appliances, locally, and
then nationwide.
Tasks:
• Collaborated with outside labor vendors to engage new contingent labor relationships. Negotiated for reduced labor
costs, instructed vendors with compliance issues such as proper billing, fulfillment of drug screening and background
checks
• Partnered with the Human Resources and Legal depart to implement compliance procedures for contingent labor
• Aligned with the Finance depart to resolve vendor payment disputes, denied payments for non-compliance issues
• Directed process for interviewing, engagement, and removal of contingent labor for General Electric Consumer Products
General Electric July 1998 – April 2000
Project Manager – Facilities/Security (Contract Assignment)
Project Description: Handle the coordination of an influx of over 200 new associates
Tasks:
• Designed a system to track the onboarding of a large number of new associates with all necessary security badges,
computer profiles, computer access, job specific software access, and work facilities – such as desk, phone, cabinets, etc.
• Worked with outside vendors to bid, award, purchase and oversee the installation of new cubicles, desks, and file
cabinets; in addition to working with a separate vendor for the completion of the building carpet cleaning
• Coordinated with Information Technology depart to move existing computers, phone lines, computers installations
• Negotiated with management and associates on limited seating requests and timing of staff movements
Deborah Kelly
American Scale Aug 1994 – April 1998
Quality Manager
I led the project to define, document, and implement International Standards of Operations (ISO) methodology.
Tasks:
• Developed and implemented Customer Satisfaction Survey and Customer Complaint process, Internal Auditing and
Internal Training methods, Material tracking and certification process for weights to verify compliance
• Created documentation for ISO Manual , Safety Manual, Quality Management System Manual (QMSM), Standard
Operations Procedures (SOP) for all positions
• Designed compliance processes
• Developed reporting for billable hours, profit margin, labor, and sales tracking
Education
Bellarmine University - Bachelors Degree
Major: Liberal Studies - Emphasis: Psychology
Graduated: Magna cum laude
Jefferson Community College
Associate Degree – Management Technology
Twice awarded – High Distinction Award
Certifications, Awards, and Associations
Project Management Professional (PMP) Certification
Six Sigma LEAN Certified
Six Sigma Black Belt Certified
Humana STAR award for defining implementation method for Management Academy
Humana STAR award for implementing Inventory Reduction method
Humana STAR award for excelling as a Project Leader for the Client Engagement project
Kentucky Center for Performance Excellence (Baldrige) Examiner (2011)
Project Management Institute (PMI) – Member KY Chapter (2016)

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Debbie Kelly Resume 2016

  • 1. DEBORAH (DEBBIE) KELLY (Cell) 502-593-2381 DKELLY1958.DK@GMAIL.COM EXPERIENCE Humana July 2014 – Present Business Consultant Private Exchange is a Sales Distribution Channel that enables Humana to offer products through an Online Enrollment Vendor. I am responsible for the Third Party Exchange (TPE) Vendor relationship. I manage projects to implement new vendors, as well as monitor and control existing vendors. I partner with internal and external customers to define TPE needs and I contribute to the execution of the Humana Exchange Distribution Model. • Provide oversight and business lead of new private exchange vendor implementations to include onboarding, orientation, and integration with Humana systems and processes to align with business strategy. • Central point of contact to the Third-Party Exchange for both Internal and External Partners. • Create, develop, document, and modify processes, documentation, policies, and decisions. • Build relationships with internal customers including IT, Product Design, Sales, Underwriting, Account Installation, Finance and other areas as needed. • Implemented and Lead Lessons Learned sessions and strive for continual process improvements. • Escalate issues to the appropriate parties. Humana August 2011 – July 2014 Process Consultant Account Installations (AI) is a business area that supports many functions. As a Process Consultant, I reviewed and analyzed current processes, determined improvements, as well as created new processes. I documented and implemented the processes. Some of the projects that I managed: •HumanaOne for Public Exchange – (Rethink Routine) Industry Expansion Project to offer Humana products on the Federal and State Public Exchanges. Along with determining and documenting processes for various AI functions, I created and mapped business concepts for IT architecture to build an Online Prototype. I brainstormed with teammates on possible impacts, noting risks and gaps. •New Hire Training (Easy to Use/Consistency/Thrive Together) – Internal Improvement Project: I led an internal project that created and documented an associate On-Boarding process, including the development of the New Hire Manual and I administered and facilitated New Hire Orientation. •Disabled Dependent Process (Consistency/Transparency/Pioneer Simplicity) – Compliance Project: I led a project that resulted in a Disabled Dependent Verification Process for the Enrollment Team as well as creating documentation for compliance. This work involved coordinating with multiple business areas (AIMS, Contact Center, Clinical, Enrollment, Compliance, and Legal). • Department of Insurance (Compliance/Thrive Together) – Compliance Project: I was assigned project lead to create and implement a compliance process for Kentucky Department of Insurance to address Kentucky House Bill 126 – Life Insurance Notification. I identified the various stakeholders, translated the government requirements into business criteria; engaged various IT teams to create systematic letters and code the job to run the letter and achieve compliance. Delivered the completed process documentation to Compliance so they could respond to the DOI call to action.
  • 2. Deborah Kelly Humana Nov. 2006 – Aug 2011 Policy Consultant The National Education and Policy Development (NEPD) Department is a part of Strategic Consultancy and offers support to many areas of the business. I partnered with multiple departments to interpret process flows, validate procedure steps, and translate information into easy to use reference documentation to support Commercial Group Medical and Specialty Enrollment. In addition, I was consistently involved with internal strategic projects to define and improve processes and procedures. Projects that involved various parts of the business include but are not limited to: • Baldrige Application Organizational Improvement: Project Lead for 3 business areas to obtain Kentucky Center for Performance Excellence (KYCPE) Award. Helped define the business case with leaders, reviewed contingencies (added work, associated fees), and identified stakeholders. Conducted meetings, worked with assigned project teams to guide and instruct to achieve the purpose of project. Managed tasks which included documenting processes, defining our organizational structure, recognition process for quality work, and outside feedback methods for process improvement. • Client Engagement (Innovation): Organizational Improvement: Selected as project manager for assigned project team tasked to improve client engagement. I led the development and implementation of a relationship maturity model, determined baseline relationship measurements across the department. Oversaw the collection of initial baseline data. Facilitated the design of associate training, and leadership guidelines. Established ongoing operational guidance and created a continuous improvement plan using the Humana’s Process Maturity Model. • Intake Cycle Time Reduction (Green Belt Project): Organizational Improvement: I was one of three project leads using DMAIC methodology to analyze request intakes and trend analysis. Reviewed non-productive intakes, determine root cause, and develop process solutions to reduce the process cycle time. • Customer Satisfaction (Black Belt Project): Organizational Improvement: I was one of three project leads challenged to design Customer Satisfaction System for Quality Engineering Depart. Utilizing the DMADV methodology I conducted various ‘Voice of the Customer’ interviews to gather critical to quality features; conducted attribute analysis to select impact variables. Created online Customer Satisfaction Survey and Information Data Warehouse to collect, and store the data. Provided sponsor and stakeholder reviews, created guidelines to adjust operational methods based on customer feedback received. General Electric April 2000 – Nov 2006 Program Manager Implementation and Oversight for the internal management of contingent labor for General Electric Appliances, locally, and then nationwide. Tasks: • Collaborated with outside labor vendors to engage new contingent labor relationships. Negotiated for reduced labor costs, instructed vendors with compliance issues such as proper billing, fulfillment of drug screening and background checks • Partnered with the Human Resources and Legal depart to implement compliance procedures for contingent labor • Aligned with the Finance depart to resolve vendor payment disputes, denied payments for non-compliance issues • Directed process for interviewing, engagement, and removal of contingent labor for General Electric Consumer Products General Electric July 1998 – April 2000 Project Manager – Facilities/Security (Contract Assignment) Project Description: Handle the coordination of an influx of over 200 new associates Tasks: • Designed a system to track the onboarding of a large number of new associates with all necessary security badges, computer profiles, computer access, job specific software access, and work facilities – such as desk, phone, cabinets, etc. • Worked with outside vendors to bid, award, purchase and oversee the installation of new cubicles, desks, and file cabinets; in addition to working with a separate vendor for the completion of the building carpet cleaning • Coordinated with Information Technology depart to move existing computers, phone lines, computers installations • Negotiated with management and associates on limited seating requests and timing of staff movements
  • 3. Deborah Kelly American Scale Aug 1994 – April 1998 Quality Manager I led the project to define, document, and implement International Standards of Operations (ISO) methodology. Tasks: • Developed and implemented Customer Satisfaction Survey and Customer Complaint process, Internal Auditing and Internal Training methods, Material tracking and certification process for weights to verify compliance • Created documentation for ISO Manual , Safety Manual, Quality Management System Manual (QMSM), Standard Operations Procedures (SOP) for all positions • Designed compliance processes • Developed reporting for billable hours, profit margin, labor, and sales tracking Education Bellarmine University - Bachelors Degree Major: Liberal Studies - Emphasis: Psychology Graduated: Magna cum laude Jefferson Community College Associate Degree – Management Technology Twice awarded – High Distinction Award Certifications, Awards, and Associations Project Management Professional (PMP) Certification Six Sigma LEAN Certified Six Sigma Black Belt Certified Humana STAR award for defining implementation method for Management Academy Humana STAR award for implementing Inventory Reduction method Humana STAR award for excelling as a Project Leader for the Client Engagement project Kentucky Center for Performance Excellence (Baldrige) Examiner (2011) Project Management Institute (PMI) – Member KY Chapter (2016)