TONYA M. DORSEY

Columbia SC 

[email protected]

 

 

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EXECUTIVE PROFILE

 

STRATEGIC LEADERSHIP ▪ DIGITAL TRANSFORMATION ▪ BENEFIT REALIZATION

 

Senior Strategic Executive with a proven record of success in aligning business strategies to enhance the customer experience, drive organizational improvements and deliver sustainable business results.  A collaborative leader that is adept at working with both business and information technology to deliver the best solutions in alignment with corporate strategies. Proven success in driving large scale transformation efforts.

 

 

—   COMPETENCIES   —

 

Enterprise Transformation                   Strategy & Execution.                                          Portfolio Project Management

Enterprise Architecture                       Change Leadership                                               Relationship Management

Governance                                         Costs Optimization.                                              Vendor Management     

 

 

 

 

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─ EXECUTIVE BUSINESS PERFORMANCE ─

 

 

DRIVE DIGITAL STRATEGIES TO INCREASE GROWTH  AND EFFICIENCY

As Vice President, Business Relationship Management at Aflac, selected to lead new digital transformation to improve sales, customer and service experience. lead innovation and transformation efforts to enable business growth strategy, responsiveness to the market and increase operational efficiency.

• Provides leadership in the newly formed Digital Services organization supporting an operating model that aligns information technology with business operations and sales. 
• Manages all aspects of the digital organization business operations to include customer experience strategies, project portfolio management, financial management, business process management, culture and workforce planning.
• Increase the efficiency of the organization through effective workforce planning and intentional management of the culture.
• Drive collaborative sessions with business partners and key stakeholders to evaluate strategy alignment and prioritization.

 

 

 

ENABLE BUSINESS STRATEGIES THROUGH TRANSFORMATIONS

 

As Transformation Officer at Aflac, recruited to lead innovation and transformation efforts to enable business growth strategy, responsiveness to the market and increase operational efficiency.

• Provides consultative services to C-level executives that influence strategic business and technical direction.
• Provides leadership and strategic direction to matrix teams of business and technical staff on selection and integration of business solutions.  
• Minimizes risk and manages cost by providing expertise on integration of multi-platform applications and vendor solutions.  
• Increase operational efficiency through business process re-engineering and implementation of continuous process improvement methods

 

 

ALIGNING TECHNICAL SOLUTIONS WITH CORPORATE BUSINESS STRATEGIES 

           

 

As Chief Implementation Architect, at BlueCross BlueShield of SC, recruited to influence strategic direction by providing expert advice and education to senior business and technical staff across BCBSSC and its 30+ subsidiaries. 

• Provides consultative services to C-level executives that influence strategic business and technical direction.
• Provides leadership and strategic direction to matrix teams of business and technical staff on design of products and solutions.  
• Provides support for marketing efforts based on approved strategies and architecture principles in responding to Request for Proposals. 
• Minimizes risk and manages cost by providing expertise on integration of multi-platform applications and vendor solutions.  
• Evaluates emerging technology, requests for proposals and government mandates (Health Care Reform, HIPAA, ICD10, Administrative Simplification, Privacy and Security Laws) to access impacts to business and technical architecture.  
• Chairs IT Governance Architecture Committee and participate in other governance committees. 
• Represents BCBSSC on the National Blue Cross Association Enterprise Architecture Group.

 

 

DROVE COMMERCIAL BUSINESS STRATEGIES

 

As Director, Commercial Systems at BlueCross BlueShield of SC, recruited to quickly implement strategic initiatives that allowed BCBSSC and its subsidiaries to offer profitable hosting solutions for other Blue Plans and enter new markets. Spearheaded the claims development strategy to extensively enhance a 22 year old legacy claims processing system to align with company’s future direction and allow the company to respond quickly to new business opportunities and changes in the healthcare industry.

• Developed and marketed 5-year strategic development roadmap for re-engineering claims processing systems and web presence to position the corporation for future growth and changes in the healthcare industry.
• Led product management, application development, system integration and technical project management teams responsible for solution deployment of new Medicare Advantage solution for five contracts.
• Designed and implemented organizational structure required to support strategic portfolio.
• Represented company at the National Blue Cross Association and other national health insurance companies in marketing meetings, business seminars and workgroups.
• Performed technical due diligence assessments in support of new acquisitions in the area of hosted solution offerings.
• Managed staff of (40 - 120+) responsible for project management and product delivery.
• Managed budgets ranging from $5 - $45 million.

 

 

 

DROVE STRATEGIC AND TACTICAL DIRECTION FOR GOVERNMENT CONTRACTS

 

As Director-TRICARE Systems, at BlueCross BlueShield of SC, recruited to oversee strategic development and production maintenance of all TRICARE Systems applications to support the military health benefit contracts with the US Department of Defense.

• Prepared business plan and strategic implementation plan to produce new claims processing system in three years. Implemented on schedule with an aggressive timeline and within budget.
• Worked with executive team to align corporate priorities with government mandated changes and develop release schedules. 
• Developed and implemented system solutions that  reduced operational staff levels by 28% and turnaround time on government mandated changes by 40% as a result of the automation and self-service features implemented
• Participated on proposal teams for government contracts for the military health benefits program.
• Collaborated with Department of Defense (DOD) and TRICARE Management Activities (TMA) on defining technical solutions to mandated policies for processing military health benefits
• Managed staff of 350+, responsible for all aspects of claims processing including, enrollment, billing, adjudication and financial systems.
• Managed line of business specific budgets ranging from $5 million to $20 million.

 

 

 

 

─ CAREER SUMMARY ─

 

AFLAC INCORPORATED             Apr 2014 – Present

 

The largest provider of supplemental insurance in the United States, founded in 1955 and based in Columbus, Georgia.

                                    

Vice President, Business Relationship Management, Digital Services   - (2017 – Present)

2ⁿVP, Transformation Office   - (2014 – 2017)

 

 

BLUECROSS BLUESHIELD OF SOUTH CAROLINA                            Mar 1993 - Mar 2014

 

The largest provider of healthcare insurance in the state of South Carolina and the only one in South Carolina with an A.M. Best rating of A+ (Superior).  BCBSSC has over 30 subsidiaries which offer health, property, life, mental health and substance abuse benefits.  In addition, subsidiaries administer contracts for the federal government (military and Medicare).

 

• Chief Implementation Architect  - (2009 – Present)
• Director, Commercial Strategic - (2007 – 2009) 
• Director Inter-Plan Program Technologies - (2005 – 2007)
• Director, Medicare Advantage  - (2004 – 2005) 
• Director TRICARE Systems  - (2001 – 2004)
• Manager, Strategic Development and Claims Adjudication, TRICARE Systems - (1997 – 2001)
• Project/Team Leader – (1995 – 1997)
• Sr Systems Analyst, Systems Analyst, Sr Programmer Analyst – (1993 – 1995)

                  

 

FEDERATED STORES (formerly, THE SABRE GROUP INC), Norcross Ga, Programmer Analyst     Oct 1992 - Mar 1993                                                                        

 

ING (formerly LIFE OF GEORGIA INSURANCE COMPANY), Marietta Ga, Programmer                  Jun 1989  - Oct 1992

  

 

 

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EDUCATION

 

 

Bachelor of Science, Computer Information Systems              Jun 1989

 

DeVry University (formerly DeVry Institute of Technology),             Decatur, GA     

 

 

 

 

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AWARDS & PROFESSIONAL AFFILIATIONS

 

• Board Member, EdVenture Children’s Museum
• Board Member, ITS|SC 
• Alumni, Diversity Leadership Initiative, Riley Institute at Furman University
• Alumni, Leadership for the New South, Columbia College Leadership Institute
• Former Member, ONC Health Information Technology Standards Committee (HITSC) – Privacy & Security and Consumer Technology Workgroups
• Former Member, Women in Philanthropy, United Way
• Former Board Member, Richland County First Steps
• Former Member, Information Technology Senior Management Forum (ITSMF) 
• Awarded 2002 All-Star, Women of Color in Health, Science and Technology
• Past President, Greater Columbia Area Chapter of BDPA 
• Former Member, Corporate Advisory Council, Greater Columbia Area Chapter of BDPA