Executive Health

AJH

OBJECTIVE

Dedicated and accomplished leadership experience within State of MN legal appeals team. Seeking further opportunity to cultivate my complex policy and procedural knowledge.

SKILLS

Leadership skills with mentoring and motivating colleagues. Ability to craft clearly written and concise communication applying appropriate tone and format for the agency and stakeholders. Flexibility to adapt with the many changes that come with health care policy and pivot quickly to problem solve.

AMYJO HANSON

651-***-**** ********@*****.***

EXPERIENCE

STATE PROGRAM ADMIN PRINCIPAL • MNSURE • 9/25/2018 – PRESENT

Functioning as Appeals Lead - Coaching, training and mentoring appeal representatives.

Research and respond to decisions and determinations that have been formally appealed or referred to an administrative hearing officer. Consequently, extend settlement offers; negotiate settlements; draft persuasive policy positions, explaining the agency’s determination and applying law and agency policy to individual cases.

Maintain expert knowledge of changes and updates to policies, procedures, practices, forms, available resources and systems used in relationship to my job functions.

Use advanced knowledge of programs administered by MNsure to handle escalated calls, complex issues, complaints and questions as referred by other workers or contact centers. Includes preparing responses to inquiries from legislators and other policy makers, internal executive-level staff and Board members and external business partners.

LEGAL ANALYST • MNSURE • 1/1/2014 – 9/24/2018

Contact the appellant and his/her representative if applicable to research the case and the desired outcome. Research the statutes, rules and policies associated with the case, and applicable at the time the action was taken.

Collaborate with the agency business unit to determine the applicable policy and processes (e.g., Individual Market, Plan Management, Contact Center Operations, Accounting).

Apply the applicable statutes, rules, policies, and procedures to the facts of the immediate case.

Prepare the agency’s written position to appeal, providing a detailed and persuasive presentation of the agency’s position. This will include a history and description of the case, explanation of when and how the violation of the rules and policies occurred, citations of all relevant statutes/rules/policies, and including a legal analysis of the law and agency policy to the facts of the case.

State of Minnesota – Health Care experience in call center, case management, appeals, and audit since 1995

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