Project Manager Quality Assurance

Henry Saliba

**** ******* *****, ******* ********, Ohio 45044

513-***-**** (home), 513-***-**** (cell)

ablejs@r.postjobfree.com (email)

Objective

Obtain a position where I can maximize my management skills, customer

service, quality assurance, program development, and training experience to

improve customer satisfaction.

Key Strengths Include:

. Computer Literate in Windows environments, CCP2, MailRx, MetaVance and

Agadia/PaHub.

. Ability to stay focused towards accomplishing multiple goals and changing

priorities.

. Equally effective in projects as a lead or part of a team.

. Positive and self motivated with exceptional interpersonal skills.

. Ability to interact with people of all levels.

. History of completing projects on time and under budget.

Professional Experience

Humana, Cincinnati, Ohio - December 2008 - Present

Customer Care Specialist - Medical/Pharmacy/Medicare

. Responsible for reviewing medical claims and procedures with the

providers, members and employers regarding billing, authorizations,

enrollment, complaints, grievance and appeals, FSA/PCA/HSA accounts, plan

limits and exclusions and contracts.

. Responsible for reviewing prior authorizations for pharmacy from the

providers and members for approval for Medicare and commercial accounts.

. Team Lead - Responsible for leading all aspects of pharmacy for

RightSource on a day-to-day basis.

. Implemented HOST (Humana Online Solution Tool), resulting in Humana's

ability to increase efficiency, eliminate errors and reduce costs by

three million dollars.

. Monitored daily and weekly quality performance for the pharmacy

department utilizing Six Sigma.

. Trained Humana Associates on a wide array of subjects in pharmacy using

Humana Online Solution tool.

Delta Funding Corporation/Fidelity, Cincinnati, Ohio - February 2003 -

December 2008

Senior Underwriter

. Managed the underwriting department for the Midwest Region and analyzed

all areas of the mortgage loan application to ensure accuracy,

completeness, and that each loan is in compliance with lender and

regulatory guidelines.

. Responsible for reviewing loan-to-value ratios, credit reports, income,

applications and appraisals to ensure that each loan meets the secondary

marketing guidelines.

. Provided a second layer of quality control to ensure that the liability

taken on by the company will not result in a non-salable loan.

. Trained underwriters on regional market changes, trends, industry guides,

Federal guidelines, program updates, and investor changes.

R. Stuart & Associates, Cincinnati, Ohio - May 2001 - February 2003

Intelligence Analyst - Drug Enforcement Administration (DEA)

. Provided DEA (Drug Enforcement Administration) intelligence regarding

International and Domestic Organizations that are involved in criminal

activities.

. Provided investigative services and testified for the federal courts

regarding criminal activities.

. Provided written and oral briefings to Drug Enforcement Agency on the

progress of each investigation.

General Electric IT Solutions/APAC, Erlanger, Kentucky - October 1999 - May

2001

Project Manager

. Project Leader - Responsible for transitioning and implementing Herman

for Nets, resulting in annual savings of $7 million dollars.

. Project Leader - Implemented new procedures for the Cisco Team, resulting

in GE Net Solutions ability to increase volume by 10 million dollars.

. Project Leader - Audited and implemented new procedures, resulting in GE

Net Solutions ability to increase volume for Wintel by 5 million dollars

for the Toronto, Canada facility.

. Monitored daily and weekly quality performance utilizing Six Sigma.

. Key Team Member in Order Process improvements, resulting in annual

savings of $400,000 in labor.

. Assisted in the development and training of all call center employees and

Team Leaders.

Special Services/PLE, Dayton, Ohio - December 1993 - October 1999

Investigator/Supervisor

. Supervised undercover agents throughout the United States and Canada

specializing in Narcotics.

. Trained undercover agents in the United States on a wide array of

subjects relating to drug law enforcement.

. Provided investigative services and testified for the state and federal

courts regarding criminal activities.

. Provided written and oral briefings to clients and law enforcement

agencies on the progress of each investigation.

. Coordinated investigative information with federal, state, and local law

enforcement agencies for criminal activities.

. Conducted Title III investigations with Drug Enforcement Administration

(DEA).

Education

Cincinnati State College, Cincinnati, Ohio - Arts & Science - 55 Credits -

Currently Enrolled.

General Electric, Erlanger, Kentucky - Six Sigma Quality, Green Belt -

Certificate - 2000.

D. Russell Lee, Hamilton, Ohio - Criminal Law - Diploma - 1998.

Exec Train - Microsoft Access Certified - 1997.

Harris Methodist, Fort Worth, Texas - Hospital Foundation Courses - 21

Credit Hours - Certificate 1994.

References Furnished Upon Request

Contact this candidate