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- 1. 1 SHAUN ALLIES Occupation Business Process Specialist Gender Male Nationality South African Ethnic Group Coloured Language English, Afrikaans. Drivers Licence Code 14 Desired job location Willing to consider relocation Current Employer Medscheme Health Risk Solutions Availability 1 month notice Contact Details Cell phone +27 82 745 1340 Tel +27 21 903 6747 Email shaunallies@yahoo.com LinkedIn http://za.linkedin.com/in/shaunallies Residential Location Kuils River, Cape Town, Western Cape, South Africa Professional Profile An ardent clinical professional with over 17 years private healthcare experience, including 9 years at senior management level in the managed health care industry. Proven experience in project management, process modelling, clinical risk management, strategy, operations, client relations and corporate governance. Passionate about results and resilience to excel. Recognised for an ability to deliver on multi-faceted and strategic projects, with great composure and within required timelines. Successful track record in all functional areas of the business, including waste management, profitability and innovation. Background in hospital pharmacy and retail pharmacy. Inspiring leader and mentor, passionate about skills and knowledge sharing. Education 2014 University of Stellenbosch Masters in Development Finance (MDevF) *Obtained 2 Distinctions 2008 University of Stellenbosch Masters in Business Administration (MBA) *Obtained distinction for dissertation, which focussed on managed care ethics. *International Golden Key Membership (Exclusively awarded to academic performers) 2004 University of Stellenbosch Honours in Business Administration *Obtained 5 Distinctions 1999 University of the Western Cape B.Pharmacy Degree *Obtained 3 Distinctions in final year *Achieved overall 2 nd position in Boehringer Western Cape Patient Counselling Competition (1999) 1994 Sarepta Senior Secondary Grade 12 (Matric) *SA Mathematics Olympiad (1993 / 1994) *Distinction: Mathematics Professional Courses / Training Certificate in Applied Systems Thinking Skills / Faculty Training Institute Ignite Leadership Programme / Medscheme Leadership Academy Certificate in Advanced Industrial Relations Course / Tariq Jamodien and Associates Five Steps to a Professional Presence / Metropolitan Health Group Professional Registrations / Memberships USB Alumni Organisation (Present). MHRS Employment Equity Forum Secretary (2010 / 2011). Member of the Pharmaceutical Society (MPS) of SA (Membership not currently active). MHG Youth Council Executive Committee Secretary (2007 - 2009).
- 2. 2 Computer Skills Type of Package Name of Package Proficiency Pharmacy Dispensing Systems Pharmacist, Unisolve, JAC system Advanced Managed Health Care Systems Interventions 98, Pulse, Sovereign, UMS, QUI, Nexus Advanced Microsoft Office (including email & internet) PowerPoint, Word, Excel, Microsoft Project, Outlook, etc. Advanced Financial, Business Forecasting Software - STATISTICA 10 McGregors, Gartner & Reuters Advanced Areas of Expertise Extensive working experience of the Microsoft Office Suite of products. Experience in managing large operational teams and driving operational targets. Proven ability to maintain departmental financial solvency, budgets and viability. Human capacity building of all direct reports and staff. Team management, including retaining and recruiting staff. Demonstrating innovative and technical leadership (New ideas and approaches). Relationship management with key clients and industry stakeholders. Business management and administration. Business process management, including process optimisation and documenting workflows. Project management and participation in strategic projects. Business analysis, in particular articulating and vetting business requirements. Driving and sustaining quality management. Developing, assessing and managing clinical risk management programmes. Evaluating and managing client financial and clinical risk. Proficiency in generating flaunt reports and proposals. Career History 1.1 2011 PRESENT Medscheme Health Risk Solutions Cape Town, South Africa ADVANCED SPECIALIST BUSINESS PROCESS SPECIALIST (HOSPITAL MANAGEMENT) Responsibilities Directly managing a staff complement of 5 Subject Matter Experts. Optimising business process, including maintaining and conducting performance assessments, testing and bench marking to sustain improvements and increase productivity. Effectively representing the department to all stakeholders, including customers, professional associations and internal committees such as the Medical Advisory Committee and other clinical operational committees. Project managing key strategic projects. Overseeing finance, managing cash projections and maintaining solvency within the departmental financial budget and aggressively mitigating all variances to budget. Preparing and presenting reports to management. Adjudicating each project request requiring IT development for Medscheme SA, including articulating and disseminating the exact need into business cases. In addition, quantifying the commercial feasibility of a development request by employing financial metrics such as ROI, NPV, IRR, PP, etc. Ensuring good governance, risk management and compliance to quality management, legal stipulations, ISO requirements, CMS accreditation standards and alignment to business process management and modelling methodologies. Maintaining a strong collaborative relationship with business unit heads and executive leaders and coordinating with support services to provide seamless implementation of process changes and project deployment. Providing leadership in mentoring and developing direct reports and staff to promote team work, collaboration and sharing information, resources and best practices. Ensuring quality results in identifying, recruiting, retaining and developing staff, including delegating appropriately and providing opportunities for staff to further develop their skills and knowledge. Achievements Successfully delivered on 2 major strategic projects which affected the organisation accreditation with the Council of Medical Schemes within the last financial year. Facilitated the identification, articulation and implementation of various smaller projects and initiatives with an approximate cumulative cost saving of R5 million over the last 6 months. Known for establishing process governance in Medscheme Health Risk Management.
- 3. 3 1.2 2009 2011 Medscheme Health Risk Solutions Cape Town, South Africa SENIOR MANAGER: PRODUCT DEVELOPMENT AND INNOVATION (HBM) Responsibilities Directly managing a staff complement of 4 Subject Matter Experts. Leading, coordinating and project managing strategic projects within the division. Providing strategic input to risk management processes with the intention to improve effectiveness and efficiencies of clinical and financial risk management processes. Gathering new product ideas, evaluating its potential and providing input for product adaptations. Evaluating existing products based on market opportunities and ensuring alignment with the companys core competencies and client needs. Ensuring that all commissioned deliverables meet company and client standards. Proposing refinements and adjustments to various operational processes and IT systems with regard to the HBM programme needs and appropriate product or solution fit. Reconciling business planning and forecasting with overall business strategy. Preparing quarterly management reporting and deep dive sessions. Ensuring adherence to budgets and proper financial management of projects. Reporting and monitoring various performance metrics. Directing the establishment, implementation and maintenance of a Quality Management System. Implementing various compliance and governance best practice processes and controls to monitor performance. Achievements Successfully implemented a Dental and Optometry Provider Network for the biggest closed scheme in the Country in conjunction with one of the largest Dental Risk Companies in the Country and the SA Opthalmology Association (SAOA). The scheme was able to save at least 30% of related expenditure. Developed and implemented an industry 1 st , in-hospital physiotherapy management programme for strategic client scheme in conjunction with the SA Society of Physiotherapists. In implementing the model the client was able to reduce in-hospital physiotherapy costs by 25%. Conceptualised and implemented another industry 1 st , an Orthopaedic Prosthesis management model in Association with the SA Orthopaedic Association of South Africa. The model was able to change prescribing habits and in so doing saved clients on average 10% on their general in-hospital prosthesis expenditure. 2.1 2006 - 2009 Qualsa Health Risk Management Specialists Cape Town, South Africa ACTING SCHEME EXECUTIVE MANAGER (2007 - 2009) CLINICAL EXECUTIVE MANAGER (2006 - 2009) ACTING CLINICAL EXECUTIVE MANAGER (2006) Responsibilities Directly managing a staff complement of 70 and 6 blue chip client schemes. Ensuring adequate ROI through operational efficiencies & sustained improvements in quality, service & operating costs. Ensuring compliance to relevant statutory, regulatory and legal provisions and ensuring that the relevant structures and frameworks for risk controls are implemented. Ensuring financial success and viability of the entire business unit. Representing the company and internal Business Units on various committees and among Government bodies and private companies. Developing new and sustaining existing customer relationships with key industry opinion leaders, clients, Board of Trustees, Principle Officers and other Administrators. Developing a detailed understanding of the client's business, as part of developing tailor-made solutions in support of the clients overall strategic objectives. Proactively identifying and responding to clients financial threats, both current and anticipated; through the construction of models to monitor and manage that risk. Compiling & presenting comprehensive scheme performance management reports to Medical Scheme Board of Trustees. Ensuring that Human and Capital Resources, including Senior Managers, are utilised, developed and integrated to optimum levels to meet company objectives. Effectively developing, implementing and monitoring the marketing strategy for a key strategic client with the intention to grow the scheme. Achievements Developed and maintained a medicine management reference pricing programme for a client scheme which reduced their acute and chronic expenditure by 20% in one benefit year. Implemented a hospital network for a blue chip client which saved them around 5% on their hospital benefit expenditure and a performance management bonus to the effect of R500k per year.
- 4. 4 2.2 2005 - 2006 Qualsa Health Risk Management Specialists Cape Town, South Africa CLIENT CENTRIC BUSINESS UNIT MANAGER Responsibilities Directly managing a staff complement of 30 and 5 client schemes. Exercising managerial oversight over all client schemes operations & ensuring compliance to service levels. Providing and recommending the best managed care strategies for client schemes. Managing performance levels of team-leaders and multi-disciplinary teams. Influencing and monitoring outcomes of healthcare interventions. Liaising with other departments to ensure delivery of cost effective healthcare. Product and benefit design management. Developing, implementing and managing SOPs. Conducting annual hospital tariff negotiations with major hospital groups. Analysing key hospitals admission and cost trends. Drawing up and evaluating Hospital Risk Management related tenders. Relationship building with hospital service providers. Formulating and disseminating recommendations on topical issues to client schemes. Resolving ad hoc tariff and hospital related queries. Designing and maintaining designated and preferred provider networks with major hospital groups. Achievements Promoted to Acting Clinical Executive Manager after 6 months of employment in the company. Successfully reduced client hospital expenditure by 15% via the implementation of a Hospital Provider Network. Arrested general utilisation and cost for one particular client scheme as a result of increased vigilance and more stringent interventions. This allowed the client to implement contribution increases 10% below industry standards and improved solvency levels by 15%. Career History: Previous Positions 3. FULL-TIME MBA STUDENT University of Stellenbosch, Business School 2004 4. DUR PHARMACIST Medscheme Health 2002 - 2003 5. SENIOR PHARMACIST Tygerberg Hospital 2001 - 2002 6.1 INTERN PHARMACIST Mini-Kem Pharmacy 2000 - 2001 6.2 STUDENT Mini-Kem Pharmacy 1997 - 1999 7. LOCUM CHEMIST ADVICE Westerman's Pharmacy / Medicine Chain Pharmacy / Mini-Kem Pharmacy 2001 2005 Key Strengths Strong prioritization & time management skills with a particular ability to work under pressure & meet strict deadlines. Able to analyse complex problems, draw meaningful conclusions and make business recommendations. An inspiring leader with the ability to think laterally, provide solutions and exercise independent judgement in the resolution of problems. Proven leadership skills involving managing, developing and motivating teams to achieve their objectives. Strong business vision and strategic acumen. Focused, self-motivated and target driven; determined to succeed. Possesses unquestionable professional integrity & a candid, honest style which evokes credibility and inspires confidence. Good persuasive and negotiation skills with an ability to influence and motivate others. Strong focus on customer responsiveness, service delivery and consideration for each clients unique needs. Demonstrated innovative and technical leadership. Experience in sustaining existing and building new relationships with key partners. References Available on request.