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Customer Service Human Resources

Location:
New York, NY, 10065
Posted:
April 09, 2010

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Resume:

Jeannie Ryan, M.P.H.

EMAIL: ***********@*****.***

*** *. **** ******, #**

HOME: 212-***-****

New York, N.Y. 10065

Mobile: 646-***-****

SUMMARY

Experienced healthcare professional with proven abilities in financial

analysis, healthcare operations, project management, contract

administration, purchasing and vendor relations within healthcare

facilities, banking and pharmaceutical industries. Successful in

implementing policies and procedures as a result of new government

regulations and programs. Proven results at enhancing data analysis and

consolidating data obtained from multiple sources. Ability to manage

multiple projects in order to meet mandated deadlines. Ability to interface

with all levels of management.

PROFESSIONAL EXPERIENCE

Roche Laboratories Inc. - Nutley, NJ

2008-Present

Senior Analyst, Government Pricing and Administration

Supervise mandatory state pricing agreements, including OBRA 93,

Medicaid

Supplemental PDL, ADAPs, State PAPs, and Medicare Wrap-Around. Develop

and implement intra-

departmental and cross-functional SOPs to ensure I MANY Medicaid,

agreement administration,

and reporting are compliant with corporate and government expectations.

Supervise team of three contract

administrators.

Negotiated and resolved $12M in outstanding Medicaid disputes with State

Medicaid agencies.

Developed and implemented dispute resolution process, resulting in a $12M

reduction in potential future Medicaid liability.

Reviewed and approved over 150 quarterly rebate payments as required by

OBRA'90 and OBRA'93.

Serve as subject matter expert on emerging laws and regulations pertaining

to Medicaid.

Provide financial analysis and liability to Finance and Contract Strategy

departments.

Train, develop and mentor direct reports.

Analyst, Government Pricing and Administration

2006-2008

Maintained all Medicaid contracts and pricing calculations in I MANY

Medicaid. Successfully implemented new Medicaid corporate compliance

policies and government reporting/calculation procedures with cross-

functional teams as a result of the Deficit Reduction Act of 2005.

Provided financial analysis and support to Finance and Contract Strategy

departments.

Ensured timely processing of rebates and fees associated with agreement

terms and/or government reporting requirements. .

Developed and implemented trending reports with the IT department.

Subject matter expert on Medicaid laws and regulations.

Forest Laboratories- New York, NY

2005-2006

Medicaid Analyst, Managed Care Department

Managed all aspects of the Medicaid Rebate process. Assist in the

implementation of government contracts and incentives to new state

programs. Prepare quarterly analysis report on products and rebates for

upper management

Responsible for all aspects of government rebate processing including the

validation of data, processing, payment of claims and subsequent

verification of receipt. Ensured that Company's products were properly

listed on formularies per contract terms with state PDL's.

Created and maintained SOPs to comply with Sarbanes Oxley and manage

quarterly test cycles.

Performed quarterly PHS calculations and analysis.

Jeannie Ryan

Page 2

Incarnation Children's Center

2001-2004

Fiscal Manager

Managed $6.5M budget for the facility. Met with vendors, purchased supplies

and medical equipment. Supervised the Human Resources Department.

Reported to the Executive Director and The Board of Trustees.

Produced a $500,000 surplus in revenue for the year ending in 2003.

Restructured jobs and assignments that significantly improved cost control.

Conducted weekly meeting with department heads to improve communication.

Worked as a liaison between Incarnation and Terence Cardinal Cooke nursing

facility.

HSBC BANK

1997-2000

Customer Relations Representative

Handled all commercial accounts for the branch. Trained and managed

six customer service representatives.

Met monthly goal of $800,000.00 in new accounts and loan applications.

Responsible for reconciliation insufficient funds report.

EDUCATION & PROFESSIONAL AFFILIATIONS

BPS Candidate, Health Information Management, SUNY IT, Online

MPH, New York Medical College, Valhalla, NY

BS, Health Services Administration, Lehman College, Bronx, NY

Member of American College of Healthcare Executives

Member of American Public Health Association

SKILLS

Microsoft Office, CARS Medicaid, SAP and QuickBooks.

Fluent in English and Spanish

PROFESSIONAL DEVELOPMENT

ACI Rx Drug Pricing Boot Camp - New York, NY

Negotiating to Win, New York, NY

Improving your Time Management Skills, New York, NY

DNA Spring Medicaid and Managed Care Conference- Orlando, FL

American Bar Association (Health Care Contracting Program) - Chicago, IL

CBI- Continued Budget Woes for Medicaid and Medicare, New York, NY



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