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ROBERT L SKOWRONSKI
PO Box 1145, Waitsfield, VT 05673

Cell Phone: (802) 498-8613

E-Mail: rskowronski@gmavt.net
SUMMARY PROFILE
Significant experience with health insurers, managed care organizations, state and federal governments, health
care providers, and IT-solutions vendors. Successful manager of people, projects, processes and priorities.
Committed to on-time development of practical solutions using available resources, and to continuous
improvement. Have earned reputations for accomplishing what was previously considered impossible, for
staying calm under pressure, and for staying focused and positive in the face of adversity.
Major skill areas include:
EXPERIENCE
State of Vermont, Winooski, VT 2014 - Present
Deputy Commissioner, Vermont Health Connect
Was recruited into position to fix development and implementation of the state-based health insurance
marketplace in Vermont, Vermont Health Connect (VHC), after what had been a disastrous first year. Improved
morale, implemented a new organizational structure, created a foundation with a new systems integrator, and
rebuilt operations around data-driven decision-making. The book is still out, but now, at least, there is a chance
for success. Currently focused on implementing automated renewals functionality, assessing alternatives for an
online small business exchange by 2017, and developing standardized, automated reconciliations between
VHC, its financial management system and participating insurance carriers.
UnitedHealthcare, Twin Cities, MN 2005 - 2014
Project Manager, Northeast Regional Leadership Team (2011 - 2014)

Certified Six Sigma Black Belt, Mid-Atlantic/Northeast Region (2005 – 2011)
Project Manager & Six Sigma Black Belt for Northeast Region leadership. Completed projects included:
• Successful roll-out of UHC’s participation in the NY State Health Insurance Exchange. Achieved:
• Redesign of group-customer renewal process eliminating 30% of process steps, reducing process time
by about two weeks, and gaining $2 million for system enhancements.
• Team leadership • Six Sigma process improvement
• Six Sigma process design • Lean “waste” management
• Business intelligence & decision-support solutions • Project management
• Problem solving and analysis to support business goals, including -
- Customer satisfaction
- Operational efficiency
- Strong financial performance
- Clinical quality assurance
- Sales and marketing success
- Health plan certification - Product & provider networks approval
- On-time implementation - Effective small group operations
- Dynamic customer service - Successful offerings on the individual exchange
Robert L. Skowronski

Page 2
Certified Six Sigma Black Belt for the Mid-Atlantic CEO  COO. Responsible for managing clinical quality
improvement efforts, medical cost  utilization reduction projects, State-mandated patient-centered medical
home implementation, and various sales enhancements. Project teams consisted of executive leaders, medical
directors, nurse managers, financial analysts, provider contractors, data analysts, legal staff, clinical program
managers and others, both regionally and nationally. Project results included:
• Eliminated unnecessary inpatient days through greater adherence to Milliman Care Guidelines,
enhanced authorizations processes, and strengthened discharge planning; the project achieved $18
million in savings in one year.
• Moved selected one-day surgical procedures to outpatient (based on Milliman guidelines) – the project
saved approximately $2 million in the first year.
• Reduced the number of inappropriate spinal surgeries; solutions included data-sharing with under-
performing surgeons, enhanced information to back pain patients, and greater attention to the
appropriate use of diagnostics; first-year savings were $3.3 million.
• Shifted one-day medical admissions to observation status; savings exceeded $5 million.
Other projects focused on preventing facility-based pressure ulcers, preventing avoidable admissions for
diabetes, increasing small group sales in Virginia, and implementing a multi-payer patient-centered medical
home program in Maryland.
MAMSI/UnitedHealthcare, Rockville, MD 2004 - 2005
Senior Analyst, Strategic Policy  Analysis
Project manager and team leader for the development of business intelligence solutions to support key
business needs, including Medical Affairs, Provider Payment, Provider Relations, Claims and others.
Satyam Computer Services Ltd., Hyderabad, India 2001 - 2003
Senior Manager – Health Care
Health care consultant and project manager for SEI-CMM Level 5 company offering complete range of
customized technology services. Health care unit achieved $5 million in sales in its first year and 10-15 times
more than that in its second. Services sold included HIPAA solutions, Web-based transactions, process
reengineering, data warehousing and IT outsourcing. Customers included Inland Empire Health Plan, Cerner,
Guardian, Staten Island University Hospital, GE Medical, CareFirst, California Medi-Cal, and WebMD.
iSalvex.com, North Andover, MA 1999 - 2000
Senior Director, Business Operations  Technology Services
Responsible for leading the design, development and implementation of a business-to-business, internet-based
auction exchange for insurance industry recovered assets in an extraordinarily rapid-paced internet start-up
environment.
ADDITIONAL RELEVANT WORK EXPERIENCE
Blue Cross  Blue Shield of Vermont, Montpelier, VT
Corporate Director, Data Management, Analysis  Reporting
Robert L. Skowronski

Page 3
Blue Cross  Blue Shield of Delaware, Inc.  Subsidiaries, Wilmington DE
Manager, Research, Planning  Development

Corporate Planning Consultant

Health Services  Market Research Associate
EDUCATION
Doctoral studies consisted of four years of full-time graduate education in sociology at the Universities of
Massachusetts and Georgia; Ph.D. candidate with specializations in work motivation and organizational
design; grade point average = 4.0
B.A. cum laude, Brooklyn College, double major in sociology and mathematics, graduated in top tenth of class

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RLSkowronski, 06262015

  • 1. ROBERT L SKOWRONSKI PO Box 1145, Waitsfield, VT 05673
 Cell Phone: (802) 498-8613
 E-Mail: rskowronski@gmavt.net SUMMARY PROFILE Significant experience with health insurers, managed care organizations, state and federal governments, health care providers, and IT-solutions vendors. Successful manager of people, projects, processes and priorities. Committed to on-time development of practical solutions using available resources, and to continuous improvement. Have earned reputations for accomplishing what was previously considered impossible, for staying calm under pressure, and for staying focused and positive in the face of adversity. Major skill areas include: EXPERIENCE State of Vermont, Winooski, VT 2014 - Present Deputy Commissioner, Vermont Health Connect Was recruited into position to fix development and implementation of the state-based health insurance marketplace in Vermont, Vermont Health Connect (VHC), after what had been a disastrous first year. Improved morale, implemented a new organizational structure, created a foundation with a new systems integrator, and rebuilt operations around data-driven decision-making. The book is still out, but now, at least, there is a chance for success. Currently focused on implementing automated renewals functionality, assessing alternatives for an online small business exchange by 2017, and developing standardized, automated reconciliations between VHC, its financial management system and participating insurance carriers. UnitedHealthcare, Twin Cities, MN 2005 - 2014 Project Manager, Northeast Regional Leadership Team (2011 - 2014)
 Certified Six Sigma Black Belt, Mid-Atlantic/Northeast Region (2005 – 2011) Project Manager & Six Sigma Black Belt for Northeast Region leadership. Completed projects included: • Successful roll-out of UHC’s participation in the NY State Health Insurance Exchange. Achieved: • Redesign of group-customer renewal process eliminating 30% of process steps, reducing process time by about two weeks, and gaining $2 million for system enhancements. • Team leadership • Six Sigma process improvement • Six Sigma process design • Lean “waste” management • Business intelligence & decision-support solutions • Project management • Problem solving and analysis to support business goals, including - - Customer satisfaction - Operational efficiency - Strong financial performance - Clinical quality assurance - Sales and marketing success - Health plan certification - Product & provider networks approval - On-time implementation - Effective small group operations - Dynamic customer service - Successful offerings on the individual exchange
  • 2. Robert L. Skowronski
 Page 2 Certified Six Sigma Black Belt for the Mid-Atlantic CEO COO. Responsible for managing clinical quality improvement efforts, medical cost utilization reduction projects, State-mandated patient-centered medical home implementation, and various sales enhancements. Project teams consisted of executive leaders, medical directors, nurse managers, financial analysts, provider contractors, data analysts, legal staff, clinical program managers and others, both regionally and nationally. Project results included: • Eliminated unnecessary inpatient days through greater adherence to Milliman Care Guidelines, enhanced authorizations processes, and strengthened discharge planning; the project achieved $18 million in savings in one year. • Moved selected one-day surgical procedures to outpatient (based on Milliman guidelines) – the project saved approximately $2 million in the first year. • Reduced the number of inappropriate spinal surgeries; solutions included data-sharing with under- performing surgeons, enhanced information to back pain patients, and greater attention to the appropriate use of diagnostics; first-year savings were $3.3 million. • Shifted one-day medical admissions to observation status; savings exceeded $5 million. Other projects focused on preventing facility-based pressure ulcers, preventing avoidable admissions for diabetes, increasing small group sales in Virginia, and implementing a multi-payer patient-centered medical home program in Maryland. MAMSI/UnitedHealthcare, Rockville, MD 2004 - 2005 Senior Analyst, Strategic Policy Analysis Project manager and team leader for the development of business intelligence solutions to support key business needs, including Medical Affairs, Provider Payment, Provider Relations, Claims and others. Satyam Computer Services Ltd., Hyderabad, India 2001 - 2003 Senior Manager – Health Care Health care consultant and project manager for SEI-CMM Level 5 company offering complete range of customized technology services. Health care unit achieved $5 million in sales in its first year and 10-15 times more than that in its second. Services sold included HIPAA solutions, Web-based transactions, process reengineering, data warehousing and IT outsourcing. Customers included Inland Empire Health Plan, Cerner, Guardian, Staten Island University Hospital, GE Medical, CareFirst, California Medi-Cal, and WebMD. iSalvex.com, North Andover, MA 1999 - 2000 Senior Director, Business Operations Technology Services Responsible for leading the design, development and implementation of a business-to-business, internet-based auction exchange for insurance industry recovered assets in an extraordinarily rapid-paced internet start-up environment. ADDITIONAL RELEVANT WORK EXPERIENCE Blue Cross Blue Shield of Vermont, Montpelier, VT Corporate Director, Data Management, Analysis Reporting
  • 3. Robert L. Skowronski
 Page 3 Blue Cross Blue Shield of Delaware, Inc. Subsidiaries, Wilmington DE Manager, Research, Planning Development
 Corporate Planning Consultant
 Health Services Market Research Associate EDUCATION Doctoral studies consisted of four years of full-time graduate education in sociology at the Universities of Massachusetts and Georgia; Ph.D. candidate with specializations in work motivation and organizational design; grade point average = 4.0 B.A. cum laude, Brooklyn College, double major in sociology and mathematics, graduated in top tenth of class