Samuel Baines

Experience

• 

  Connecticut Army National Guard

  Jan 2003 - Jan 2009

  Motor Transport Operator (Sergeant)

  • Veteran of Operation Iraqi Freedom IV: Performed over 39 combat logistical patrols in Iraq• Aided in protection, recovery and humanitarian operations for Hurricane Katrina Relief• Safely operated and maintained a M915 tractor trailer truck for necessary procedures

• 

  Elevance Health

  Apr 2008 - now

  • Responsible for overseeing and directing multiple support programs, including meeting program milestones, deliverables, budget and objectives to support Datamining Organization within Payment Integrity. • Partners with our Digital/IT and Product Teams to define scope of products and programs that are typically multi-year, multi-function, and across multiple states. • Represents the needs of our Datamining stakeholders to ensure digital product solutions meet or exceed their needs. Provides leadership and direction to multiple program/project managers. • Communicates program status to executive-level staff. Hires, trains, coaches, counsels, and evaluates performance of direct and indirect reports which consists of Analysts, Consultants, and Senior Management. Show less • Supervised the strategy and implementation of new products or product changes/enhancements utilizing agile methodologies. Reviewed, analyzed and made recommendations on rate actions for existing products. Investigated market opportunities and effect on market for present products. • Determined customer needs and preferences through research and analysis of industry technology, current processes and other methods. Monitored product performance and the competitive environment by benefit design, market segment and sub region. Ensured products met competitive and legislative needs. • Supported the development of short- and long-term strategic product promotions in support of market, sales and profitability objectives. Identified system needs to support short- and long-term product strategy. • Established product development policies to guide product development. Monitored product development for compliance. Hired, trained, coached, counseled, and evaluated performance of Product Management Staff. Show less • Collaborated with multiple business stakeholders, subject matter experts, architects, and scrum teams to lead requirements discovery and develop business and system requirements.• Leveraged scaled agile methodology as contributor and/ or facilitator of key ceremonies including daily scrums, sprint planning, backlog grooming and demos.• Demonstrated sound understanding and hands on experience in requirements discovery, maturation, and decomposition processes. Helped define MVPs, develop epics, features and non-functional requirements.• Developed and documented user stories and acceptance criteria. Verified and validated user stories to ensure acceptance criteria is met.• Assisted in developing and documenting process models, workflows, business rules, solution diagrams and other key techniques and tools for effective capturing of requirements. Show less • Researched Recovery Identification Analytics workflow problems and system irregularities.• Developed, updated, and maintained standard process manual documentation for Recovery Identification Analytic Department.• Assisted with Cost of Care tracking and Prevention tracking for the department.• Performed complex data analysis and makes recommendations based on the results. • Lead various committees or work groups to develop, implement, modify and document new or revised financial operations processes, procedures, systems and tracking mechanisms. • Represented Financial Operations organization on strategic projects and initiatives. • Worked with management in developing regional and corporate financial operations strategy. • Created, developed and implemented process improvements with an enterprise-wide focus. • Counseled and influenced other departments to ensure positive outcomes for the Financial Operations department. Show less

  • Director Program Management (Financial Operations)

    Jun 2021 - now

  • Manager Product Development

    Mar 2019 - Jun 2021

  • Product Manager

    Sept 2017 - Mar 2019

  • Business Consultant

    Aug 2015 - Sept 2017

  • Process Expert II

    Jan 2013 - Aug 2015

  • Financial Operations Recovery Specialist III

    Mar 2009 - Jan 2013

  • Claims Representative

    Apr 2008 - Mar 2009