Robin Hamilton

203-***-**** ad3y3e@r.postjobfree.com Hamden, Connecticut

Professional Summary

Executive Leader with experience spanning over 10 years in regional and national program management. Proficient in managing supportive services, such as Call Centers, Provider Network, Operations, Client Services, Account Management, Contract Implementation and Claims/Billing. Preparation of annual budget and monthly P&L oversight.

Client-driven and comprehensive knowledge of the Healthcare and Hospital systems working with various Healthcare systems that supply services for Medicaid and Medicare programs and members.

Core Qualifications

Proficient in overseeing day-to-day operations, staff supervision, and training.

Over 10 years’ experience in management and supervising teams of 8 to 300 employees

Strategic Account Management

Experienced in interfacing with key stakeholders.

Ensuring Client Satisfaction, Strong Client Relationship and Retention

Fostering a growth-focused work environment.

Contract management

Implementation of new and expansion business

Project Management

Demonstrated acumen in Annual Budgeting

P&L Oversight and Responsibility

Achievement of company/program financial goals

Internal/External Communication

Known for collaboration skills

Skilled in program analytics, business reviews, and emergency response management.

CMS Medicaid and Medicare programs with Managed Care and State Agency programs and membership

Committed to operational excellence, staff development, and continuous expansion endeavors.

executive Leader with extensive expertise spanning over a

decade in regional and national program management, notably across the

north-eastern United States. Deep pro#ciency in managing supportive.

services, such as non-emergency medical transportation to-and-from

transitional housing programs, and close collaboration with behavioral and

mental health facilities. Comprehensive knowledge of Medicaid and Medicare

programs, underscored by a strong record in leading teams ranging from 8.

to 300 employees at both local and national levels. Demonstrated acumen in

budgeting, P&L responsibility, and achieving company #nancial objectives.

Committed to operational excellence, sta2 development, and continuous

expansion endeavors. Known for exceptional collaboration skills, ensuring.

client satisfaction, retention, and fostering a growth-focused work

environment

Work Experience

Modivcare LLC – Regional Director

Atlanta, GA: 2/2015 – 4/2023

Managed regional teams in Northeast and Midwest overseeing operations, membership programs, and strategic account management for Medicaid and Medicare contracts and memberships.

Successfully contracted and implemented new and expansion businesses, serving as the executive primary contact for national contracts and clients.

LogistiCare Solutions, LLC – General Manager, Northeast

North Haven, CT: 2/2006-12/2014

Led operations across CT, RI and NY with a focus on Medicaid and Medicare clients and programs.

Managed diverse teams in contact center operations, client services, billing, contracting and non-emergency transportation coordination.

Successfully managed the completion of and service of 22 contracts focusing on Medicaid and Medicare covered benefits with Managed Care Organizations and State Agencies

Anthem BCBS/WellPoint Inc.

North Haven, CT

Regional Director: 2002-2006 Served as a point of contact for hospital executives. Focusing on claims, accounts receivable, and customer satisfaction.

Director Utilization Management: 2002-2002 Managed clinical staff of 100+ Registered Nurses, achieving significant Cost of Care reductions of $1.5M with operational improvements.

Manager National Claims Unit: 1998-2000 Managed a team of 45 in claims data entry, membership management, and billing achieving targeted inventory goal and cost reductions.

Education

3 years of Study at Gateway Community College and Albertus Magnus University, New Haven CT

Completed 3 years of study in various Business Administration courses to support on the job management responsibilities and roles.

ROBIN HAMILTON

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