nirvana healthcare/RXAdvance

Medicare Operations Specialist February 2023 – May 2023

Southborough, MA

Served as Medicare Operations Manager researching client new Medicare Advantage plan set up and CMS submittal process.

Researched specifically the letter process in order to make sure to meet CMS deadlines and send out accurate letters.

Advantasure

Senior Business Analyst, Medicare Advantage October 2011 – January 2022

Southborough, MA

Served as main CRM for all of my clients directly.

Manage client relationships to ensure all work is timely and in Compliance, to include Enrollment Documents, Letters, and all client material to ensure timeliness with CMS

Analyze Clients’ business requirements and processes through document analysis, interviews, workshops and work flow analysis

Develop and implement efficient and functional system design documents based on client requests or regulatory changes

Conduct 5+ levels of testing including functional, regression, user acceptance, integration and performance to verify clients’ needs are met.

Assess Client relationship with CMS is in order and client is meeting all rules and timeliness

Assist client with correcting any issues or discrepancies with CMS reporting and/or client interaction.

Blue Cross & Blue Shield of RI

Assistant Product Manager January 2010 – May 2011

Providence, RI

Assisted in management of Medicare products and with production of sales and marketing material for print and web. Established project plans to see product through all stages of development.

Extemsive work with CMS and CMS documents regarding Medicare governance and changes from year to year in regards to patient and company impact.

IPSA

Business Development/Research Analyst September 2008 – July 2009

Sterling, VA

Corporate Risk International

Business Development/Research Analyst September 2006 – September 2008

Reston, VA

Oversaw all Anti-Money Laundering projects for the company including staffing and recruiting associates.

General Dynamics Information Technology December 1999 – July 2006

Senior Corporate Communications Specialists

Fairfax, VA

Responsible for management of all company trade shows, and handled logistics for all executive off sites, including site selection, hotel arrangements and contracts, meeting requirements, audiovisual and food and entertainment

Responsible for $3 million marketing budget which included managing and tracking return on investment for all tradeshow and event dollars spent

Partnered with business units to develop marketing campaigns, sponsorships, and advertising

Lexington Insurance Company July 1992 – December 1999

Marketing Coordinator

Computer Experience

Microsoft Office

Education

Providence College September 1988 – May 1992

BA English with a minor in Business

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