W. Brian Kelly, Cssgb Clssgb

Director, Carelon Client Management @ Carelon

About W. Brian Kelly, Cssgb Clssgb

W. Brian Kelly is the Director of Carelon Client Management, with over 20 years of experience in managed healthcare, specializing in compliance and sales enablement. He has held various roles at Anthem, Inc. and other organizations, focusing on regulatory matters and process improvement.

Work at Carelon

W. Brian Kelly serves as the Director of Carelon Client Management, a position he has held since 2023. Based in Dallas, Texas, he is responsible for overseeing client management operations and ensuring effective service delivery. His role involves strategic planning and execution to enhance client relationships and satisfaction.

Previous Experience at Anthem, Inc.

W. Brian Kelly has extensive experience at Anthem, Inc., where he held multiple roles over several years. His positions included Health Plan Advisor Lead in Sales and Retention from 2011 to 2013, Business Change Director for Customer Management Analytics from 2017 to 2019, and Compliance Audit Specialist from 2014 to 2015. He also served as Regulatory Compliance Manager and Process Improvement Director, contributing to various initiatives aimed at improving customer experience and compliance.

Education and Expertise

W. Brian Kelly has a diverse educational background, having studied Communication and Media Studies at the University of Southern California and Glendale Community College. He also pursued Six Sigma studies at Villanova University, achieving certifications in Lean Six Sigma and Six Sigma Green Belt. His expertise spans over 20 years in managed healthcare, focusing on compliance, sales enablement, and regulatory matters.

Consulting and Regulatory Expertise

W. Brian Kelly consults on complex regulatory matters that significantly impact his organization and its stakeholders. He has developed and executed Audit Action Plans for state and federal audits, demonstrating his proficiency in compliance reporting. His knowledge includes key legislation such as the Affordable Care Act and various California state bills.

Career in the Insurance Sector

Before his tenure at Anthem, Inc., W. Brian Kelly worked at TRISTAR Insurance Group as Program Director for Healthy Adults Benefits Administration from 2008 to 2010. His career in the insurance sector has equipped him with a comprehensive understanding of health plan operations and regulatory compliance, further enhancing his capabilities in client management.

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