Manager Health

Danielle S. Angel, MAPA

****************@*******.***

**** ******** **. ****: 740-***-****

Galena, OH 43021 Cell: 614-***-****

SUMMARY

Highly skilled, results-oriented executive with experience in diverse

healthcare operations, including government relations, compliance, and

lobbying. A proactive manager with expertise in Medicaid/Medicare, Managed

healthcare, HIPAA, Long Term Care, business development, marketing, public

relations, corporate communications, program management, event management

and operations. Keen troubleshooter skilled at implementing viable

solutions.

Accomplished senior manager who is comfortable working with boards of

directors, senior management, and government leaders; can organize and

motivate people and teams; and is able to implement proactive public

communications programs for business and government affiliated entities.

Powerful communicator with excellent presentation and liaison skills.

Extensive experience building alliances with county, state, and federal

agencies, diverse consumer advocacy groups, senior decision makers, and

various legislators.

Areas of Expertise:

(Government Relations(Compliance(Lobbying(HIPAA(Fraud and Abuse(Appeals

and Grievances (State Hearings(State Liaison(Strategic planning (RFA/RFP

ACCOMPLISHMENTS

> Developed strategies for organizational governance, including the

development of plan infrastructure resulting in an increase from 30,000

to 140,000 consumers

> Facilitated the RFA process for a start-up health plan for the Aged,

Blind, and Disabled population in Ohio, resulting in the award of 4

regions and 20,000 consumers

> Prevented several instances of non-compliance, saving the organization

from substantial point penalties and monetary fines totaling over $100k

> Inclusion of language, as provided, in HB 125 and HB 456- once passed,

this language will result in significant administrative and financial

savings

> Participated on the Franklin County Covering Kids and Families

Coalition and was a scheduled presenter at the Ohio Covering Kids and

Families Conference

> Collaborated with agency staff to implement provisions of HB 66 that

mandated statewide expansion of Medicaid Managed Care including direct

involvement in the RFA process and activities associated with the

review and scoring of 14 health plans, proposed to save the state $450

million

> Initiated and created a monthly Government Affairs conference call and

communication forum for 7 state health plans to collaborate and improve

corporate efficiency

> Worked with numerous PBMs to effectively mitigate the impact of AWP

Rollback for the 3400+ pharmacies represented

PROFESSIONAL

McKesson- AccessHealth New Albany, Ohio August 2009-

Current

Senior Manager of PBM Relations

> Reports to the Vice President of Business Development; member of the

leadership team

> Provides oversight and analysis of contracting opportunities, improving

contract outcomes including rates, terms, and conditions on behalf of

3600+ independent pharmacies

> Develops department workflow processes including procedures and various

reporting tools

> Builds relationships with pharmacy industry participants including

independent pharmacies, pharmacy chains, PBMs, associations, Government

entities, etc.

Molina Healthcare of Ohio, Inc. Columbus, Ohio May 2006-

March 2008

Director of Government Contracts and Compliance, Executive Legislative

Agent

> Reported to the President & CEO and Board of Directors; member of

Senior Management

> Built the Compliance, Government Contracts, and Appeals/Grievances

infrastructure for Molina; a Medicaid Managed Care start up health

plan

> Served as state liaison for health plan including the facilitation

of all written and verbal communication with the State of Ohio;

including attending conferences, committees, hearings, and technical

assistance sessions

> Developed Compliance Committee, Compliance Task Force,

Appeal/Grievance Committee, and Policy and Procedure Committee which

equated to more organizational consistency and ensured awareness of

future contractual/compliance obligations and concerns

> Acted as HIPAA Privacy Officer for health plan

Ohio Department of Job and Family Services (ODJFS) Columbus, Ohio

Mar 2005- May 2006

Contract Administrator Manager

> Oversaw the daily functions of contract facilitation for Medicaid

Managed Care Organizations including appeals and grievances, state

hearings, monthly reporting, non-compliance, provider panel

requirements, and consumer complaints

> Identified administrative efficiencies to reduce duplication and

increase productivity

> Provided technical assistance presentations to various stakeholders

including state agencies, community advocacy groups, and health

insuring corporations

> Analyzed and modified applicable sections of the Ohio Administrative

Code annually in conjunction with the State Fiscal Year contract for

Managed Health Care

Franklin County Department of Job and Family

Services Columbus, Ohio Jul 2000-Mar 2005

Case Manager

> Provided oversight and reconciliation of Long Term Care billing for

6 Long Term Care facilities resulting in considerable savings to the

state

> Determined eligibility of Medicaid for nursing home and waiver

consumers

> Processed wage earnings and income recovery of MRDD Medicaid

consumers

> Facilitated the consumer/attorney application process including the

identification of improper transfers and unreported monies,

preventing overspending by the state and financial savings

> Developed processes to reduce the amount of time spent on data

entry, eliminating redundancy, and improving performance and

productivity

EDUCATION

> Ohio University

Master of Arts in Public Administration June, 2004

Dean's List

> Otterbein College June, 1999

Bachelor of Arts in Organizational Communications Minor:

Psychology

Dean's List

> Certified in Healthcare Compliance (CHC) November, 2006

Healthcare Compliance Certification Board (HCCA)

> Registered Executive and Legislative Agent May, 2007

MEMBERSHIPS

> Ohio Association of Health Plans- Medicaid/Legislative committee

member

> Health Care Compliance Association- member

> Ohio University- Society of Advocates

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