My reputation is as a multifaceted, resourceful, and decisive senior level professional with comprehensive experience in development of strategic business solutions to streamline operational effectiveness, cut costs, enhance quality, compliance, productivity, and in-crease profitability. Goal-driven, adaptable and critical-thinking project manager with demonstrated success in implementation of process improvements and change manage-ment to ensure a cohesive and productive environment. Collaborative, forward-thinking and client-focused multi-functional leader with excellent communication and interperson-al abilities to build rapport with clients, staff, and other key stakeholders to resolve com-plex problems and ensure positive long-term relations. My experience includes Managed Care (MA, MA-PD and PDP) operational implementation, third party account relations, provider contracting and relations, oversight pertaining to Federal and State Regulations and standards, risk assessment management, organizational management and improvement, policy and procedure development and implementation, advocacy, negotiations and contract analysis. My expertise requires me to have a solid knowledge of the Affordable Care Act ( ACA), Health Insurance Portability and Accountability Act ( HIPAA), Medicare and Medicaid ( CMS) requirements for multiple states, Sarbanes Oxley ( SOX), Department of Labor ( ERISA), Federal Employees Health Benefits) and Knox Keene.

Highlights:

• government managed care
• telecommute
• complance
• HealthCare Management
• provider contracting
• vendor oversight
• account management