Stephen Krzywiec has over 20 years of experience managing healthcare operations including claims processing, enrollment, mailroom, and information technology functions. He has held senior level positions at several companies where he oversaw large staffs and multi-million dollar budgets. Most recently, he was a Senior Manager at FluidEdge Consulting where he managed business process outsourcing relationships and process improvement projects.

1. STEPHEN A. KRZYWIEC
111 West Filbert Street, Archbald, PA 18403 | (H) 570-876-8292 (M) 570-904-3139 | skrzywiec@comcast.net
PROFESSIONAL EXPERIENCE
FluidEdge Consulting,Malvern,PA 2015 – 2016
SeniorManager
Management:
 Managed BPO relationship for a start up Illinois Medicaid Health Plan.
 Oversaw BPO corrective action plan for an Ohio Medicaid Health Plan.
 Created Process Improvement plans for Mailroom, Imaging, Data Entry and Claims Processing Units.
 Acted as Point of Contact between Plans and BPO.
 Served as liaison between Illinois State, NLHP and BPO for file transfers (EDI, 820, 837, 834,
Encounters).
 Managed implementation of Appeals and Grievance module.
MAXIMUSFederal Services,Pittston,PA 2014-2015
Lead ProjectManager|EAOSProject
Management:
 Managed government contract for Eligibility Appeals for individuals applying for healthcare coverage
under the Affordable Care Act.
 Oversaw approximately 900+ staff (including four Project Managers, four Operations Managers, a
Data and Reporting Analytics Manager, and a Facility Manager) and the facility and security
operations.
 Administrated overnight and weekend shifts.
 Managed approximately 8-10 subcontractors that deliver services and staff.
 Developed reporting and analytical team.
 Conducted User Acceptance Testing on Case Management System (CMS) and provided sign-off on all
requirements.
 Directed Front End Operations, Appeal Adjudication, Complex Appeals, Call Center Operation and
Appeal Hearings.
TMG HEALTH, INC. , Jessup & Scranton, PA 2008-2014
Director | Information &Technology Management(2013-2014)
Management:
 Controlled oversight supporting all TMG proprietary applications, including, but not limited to, TMG
Call, TMG Enroll, TMG Maestro, and Proclaim.
 Aligned the Developers that support four different keying/OCR applications.
 Managed 7 direct managers and approximately 120 staff (TMG employees and contractors) that
work on-site, at home, and throughout the country.
 Point of contact for approximately 10 vendors.
 Executed oversight support of the Optum/Webstrat pricing application.
 Collaborated with Compliance and Internal Audit during CMS and delegation audits.
 Paired with IT and all Business Units on a daily basis to complete needed initiatives.
 Directed the Operational Reporting/Analytics Team and the Medicare Configuration Team for
implementations and production.
 Governed the area that controls provider file movement and exceptions.
 Superintended the EDI team responsible for all 27x, 834, 835, and 837 transactions.
 Monitored implementations, management, and readiness for Mailroom, Imaging, and Preprocessing.
 Managed the Information Reporting and Analytics area.
 Budget Administration: Controlled a budget of approximately $10M.

2. Director of Preprocessing |EDI& ProviderSupport(2008-2013)
Management:
 Managed Mailroom and Preprocessing (Data Entry) areas (handled intake for claims and enrollment
applications/correspondence).
 Managed 6 managers and up to 160 staff (dependent upon peak season).
 Accountable for developing and monitoring a budget of approximately $8M and an additional $2M in
Capital Expenditures.
 Accountable for all departmental compliance and audits (CMS, SSAE 16 and Internal Audit); reviewed
and approved CAP(s).
 Responsible for archiving of all documents.
 Verified delivery of data for all Medicare documents to TMG’s Claims and proprietary systems
utilizing reconciliation and quality checks.
 Assessed and tested any new technologies that may improve process; completed and presented ROI,
if applicable.
 Instrumental member of the LEP Re-engineering committee; reduced failure points in the workflow
by over 50%.
 Redesigned preprocessing workflow of home staff, resulting in a 60% higher compliance and
efficiency rate.
 Identified, tested and implemented a new OCR solution.
 Managed and streamlined two separate homegrown IT solutions for operational effectiveness.
 Implemented a new Medicare Encounters process.
 Oversaw mailroom, EDI, imaging and preprocessing services for 15 Medicare Health Plans.
 Supervised development and on-going status of functional checklist during new implementations.
 Designed TMG’s proprietary keying application used for paper enrollment form submissions;
included specification gathering and building, file layout, template design, and workflow.
 Developed fast-track process of enrollment applications for broker late submissions.
 Established all front-end departmental metrics by implementing tracking and timeliness applications
used for monitoring internal and external SLA’s.
 Controlled a budget of $6 million. Capital expenditures of approximately $1.5 million.
DIVERSIFIED INFORMATION TECHNOLOGIES, INC., Scranton, PA 2005-2008
AssistantVicePresident| Imaging Operations
Management:
 Monitored Claims/Enrollment Imaging and Date Entry Operation that processed up to 800K
healthcare and financial documents on a weekly basis.
 Administrated 10 Managers covering a three shifts and two site operation. Represented company
during external audits and clients visits (on and off site).
 Managed two off shore vendors from India.
Director of PA Operations 1998-2005
Management:
 Managed 5 archival records storage warehouses.
 Direct oversight of 2 active records storage warehouses.
 Directed Traffic department (courier system to entire east coast).
 Led Special Projects Team.
 Administered 7 managers and staff of approximately 60 warehouse and special project personnel.
EDUCATION and CERTIFICATIONS
Computer Science
UNIVERSITY OF SCRANTON | Scranton, PA
PC Certification
STAR TECHNICAL INSTITUTE | Scranton, PA