Teofiel Weston, Executive MBA, Pmp
About Teofiel Weston, Executive MBA, Pmp
Teofiel Weston is a Supervisor of Risk Adjustment at Highmark Inc. with extensive experience in risk management and operations, having previously held various leadership roles in the insurance and retail sectors.
Current Role at Highmark
Teofiel Weston currently serves as Supervisor Risk Adjustment at Highmark Inc., a position he has held since 2019. In this role, he oversees the risk adjustment processes, ensuring compliance and accuracy in medical record retrieval and physician assessment guidance. His leadership focuses on securing supplemental diagnosis data, which is critical for the organization's financial performance and regulatory compliance.
Previous Experience at Highmark
Before his current role, Weston worked at Highmark Inc. as a Risk Adjustment Project Manager from 2014 to 2018. He also held the position of Prospective Vendor Portfolio Management from 2017 to 2019. His tenure at Highmark involved managing projects related to risk adjustment and vendor relationships, contributing to the organization’s operational efficiency.
Professional Background in Retail and Insurance
Weston has extensive experience in retail and insurance sectors. He worked at Target Retail in various leadership roles, including Executive Team Leader - Assets Protection and Executive Team Leader - Logistics, from 2010 to 2014. His background also includes a position as Senior Claims Specialist at Progressive Insurance and as Sr Claims Adjuster at Nationwide, where he managed complex claims and negotiations.
Education and Expertise
Teofiel Weston earned his Executive MBA with a focus on Supply Chain Management and Management from the University of Florida - Warrington College of Business in 2007. He also holds a Master of Business Administration (M.B.A.) from the same institution, specializing in Supply Chain, Decision and Information Sciences. His educational background supports his expertise in project management and operational leadership.
Achievements in Operations and Negotiation
Weston has a proven track record of driving significant revenue through his leadership roles, having contributed to over $750 million in revenue-generating operations. He has successfully negotiated over 7,000 settlements, demonstrating his skills in contract negotiation and communication. His implementation of problem-solving strategies has resulted in saving over 8,000 labor hours, showcasing his impact on organizational performance.