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Click here or scroll down to respond to this candidateCandidate's Name
Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEEDUCATIONMarxe School of Public & International Affairs - Baruch College, New York NY June 2020 Master of Public AdministrationMajor: Health PolicyRelevant Coursework: Healthcare Communications, Public & Nonprofit Management, Healthcare Policy Ananlysis, Communications in the Public Setting, Budgeting and Financial Analysis,Program Evaluation, Public Affairs Capstone Stonehill College, Easton, MABachelor of Arts May 2013Major: Healthcare Administration Minor: Communication Awards/Honors: Assemblyman Nick Perry community awareness scholarship award September 2009; Stonehill College Dean Merit Scholarship September 2009; One Hundred Black Men Scholarship September 2009 - 2011 Relevant Coursework: Healthcare Employment Law, Supervision and Leadership in Healthcare, Interpersonal Communications, Public Speaking, Product & Service Delivery WORK EXPERIENCEUnited Healthcare, New York, NYRegulatory Affairs Consultant June 2021 Present Perform critical and objective review of regulatory information at the federal and state level to analyze interpret and communicate its impacts to the Medicare Supplement-AARP business. Analyze and interpret new mandates and laws, and support proper implementation by the business Provide ongoing consulting & guidance to business partners to drive compliance with applicable laws and regulations Develop/manage relationships with internal/external stakeholders to maintain ongoing influence on regulatory matters Leverage applicable tools and resources to obtain and store required business data/ information Selected for enterprise wide emerging leaders program Regulatory Affairs Analyst January 2017 June 2021 Conducted research and prepared United Healthcare Communty & State NY position for New York state fair hearings Successfully defended the health plans position on 90% of 450 fair hearings; consisting of inpatient, outpatient, claims disputes, pharmacy, enrollment, personal care services, long term care, and skilled nursing facility disputes Drafted written submissions for the state of NY fair hearing regulatory process, citing the model contract, health plan guidelines and pertinent public health/social service law Personally attended hearings and present the Plans position to an Administrative Law Judge (ALJ) for the NYC region and represents the plan telephonically for the entire state Supported the Regulatory, Compliance and Clinical teams in complying with decisions for the state of New York Community Relations & Outreach Specialist March 2015 January 2017 Developed exceptional relationships with community-based partners, advocacies, providers, and agency partners Worked with Internal cross-functional teams (Clinical, Network, Care Management) to facilitate issue resolution Conducted event development strategies to attract and retain membership market share in targeted markets Coordinated the successful execution of 400 community events yielding 542 leads and 1515 persons enrolled into United Healthcare Community Plan over a 21-month period. Analyzed marketing, health, and community data to develop strategies and solutions to health plan leadership Met and exceeded UHCCP targeted growth, retention, and enrollment expectations within assigned region The Fresh Air Fund, New York, NY November 2013 October 2014 Project Manager Assisted the Director with the implementation of child/host recruitment projects to increase program participation Screened, interviewed, hired, trained, and supervised a team of 30, seasonal, part time staff volunteers and interns Coordinated high priority organizational projects with internal cross-functional teams to successfully produce Mariah Careys Holiday Event and The Cayman Islands Department of Tourism relationship/exchange program Budget oversight for both Community Outreach & Friendly Town departments Liaison between COSS/FT & IS&T departments driving resolution of needs & issues with the IT department Help Desk Manager Summer 2013 Managed the appropriate response to all issues during the check-in process of over 4,000 deserving New York City Obtained and verified information from doctors offices to secure necessary medication for children to attend trips Community Outreach Associate & Station Management Liaison & Confirmation Supervisor Summer 2012 More than doubled enrollment of participants in assigned areas from 9 participants in 2011 to 25 in 2012 Obtained and verified information from doctors offices to coordinate procurements of necessary medication for children to attend tripsCommunity Outreach Support Services Associate Summer 2011 Supervised a team of five staff members who were responsible for ensuring and confirming information was received by participating families; supervised all incoming volunteers Conducted events in New York City communities articulating the mission, criteria, and guidelines of the free program Placement Associate Liaison Summer 2010 Assisted parents in selecting destinations and negotiating timelines for their childrens summer placements Confirmation Associate Summer 2009 Clarified vital information with families, such as their childs trip logistics and emergency contact information COLLEGIATE LEADERSHIPMOSAIC, Coordinator February 2011 May 2013 Served as group leader and Facilitator of Men of Service, Academics, Integrity and Character (MOSAIC) Facilitated discussions and meetings in addition to coordinating events, community service projects and programming Varsity Football, Defensive End August 2009 December 2012 NCAA Division II Northeast 10 ConferenceAmerican College of Healthcare Executives (ACHE), Member May 2012 Present Professional society of healthcare executives who lead hospitals, healthcare systems and healthcare organizations Healthcare Society, Secretary September 2011 May 2013 Monitored the societys social media presence and Student Government Association pages VOLUNTEER EXPERIENCEStonehill College New York City Aluni Council, Diversirty and Inclusion Committee Co-Chair September 2015 - Present Collaborated with stonehill college administration & faculty to further build the colleges presence in NYC and support admission initiatives to further recruit prospective students with an added focus on diversity and inclusion. Big Brothers Big Sisters of America, New York NY May 2015 June 2019 Mentor Serve as a mentor to a 10 year old boy, developing a one to one relationship with him by offering consistency, encouragement, and role-modeling. Interact with my "little" in a variety of simple, sharing activities to enrich and enhance his character and spur his curiosity.Brookdale University Hospital, Brooklyn NY September 2013 November 2013 Ambulatory Services Intern Assisted with various projects aimed at increasing patient volume within the main campus' ambulatory & outpatient services in addition to satellite site; Bristol. Assisted with rescheduling patients during the time of EPIC EMR implementation SKILLSComputer: Proficient with Microsoft Office Suite including Word, Excel, and PowerPoint; Basic Microsoft Access. Proficient EMR processing systems ICUE, Claims Processing systems FACETS, NY STATE UAS Health Systems, EPACES, Legal Research via Lexis |
