Experience

Cody Consulting Group

• United States
• IT Services and IT Consulting
• 1 - 100 Employee

• Senior Vice President - Client Engagement

  • Oct 2015 - Present

  Cody Consulting Group, Inc. is a technology and consulting firm providing compliance software products and services to Medicare, Medicaid and ACA managed care organizations (MCOs). Founded in 2006, Cody has been built by experienced healthcare professionals who understand the difficult compliance challenges faced by MCOs. Cody offers the following Suite of Compliance Modules and Consulting Services. CodySoft® Suite of Compliance Modules: • Collateral Management Module® -… Show more Cody Consulting Group, Inc. is a technology and consulting firm providing compliance software products and services to Medicare, Medicaid and ACA managed care organizations (MCOs). Founded in 2006, Cody has been built by experienced healthcare professionals who understand the difficult compliance challenges faced by MCOs. Cody offers the following Suite of Compliance Modules and Consulting Services. CodySoft® Suite of Compliance Modules: • Collateral Management Module® - The only automated self-administered platform for the creation of ANOCs & EOCs; eliminating the need to manually build these CMS required documents along with full project management functionality for handling intake, trafficking and the approval process for all marketing collateral development • Policies and Procedures Module™ - Full lifecycle management tool to ensure up to date and compliant P & Ps with complete audit and reporting functionality • Regulatory Analyzer® - a searchable regulatory library pre-loaded with the MMCG and can be uploaded with any other health plan contracts and/or regulations (e.g. Medicaid Contracts) • Investigations Module® - handles all aspects of a health plan investigations(Sales & Marketing, FW&A and HR) and meets regulatory reporting requirements • HPMS Memo Module™/Compliance Correspondence Module™ - a tool designed to handle the increasing number of actionable compliance correspondence and provide reliable process workflows to communicate and capture required responses to document a compliant audit trail. Consulting Services: • CMS Mock Audits: Cody’s experts mirror CMS’ rigorous audit process from beginning to end using the latest audit protocols, audits request specifications and methodologies (CPE & Full Program Audits). • Business Processing Outsourcing (BPO): Cody’s outsourcing solution for the creation of required plan documents (ANOCs, EOCs and SB’s) For more information, email KLeBlanc@CodyConsulting.com or call 855-990-2639 ext.220 Show less Cody Consulting Group, Inc. is a technology and consulting firm providing compliance software products and services to Medicare, Medicaid and ACA managed care organizations (MCOs). Founded in 2006, Cody has been built by experienced healthcare professionals who understand the difficult compliance challenges faced by MCOs. Cody offers the following Suite of Compliance Modules and Consulting Services. CodySoft® Suite of Compliance Modules: • Collateral Management Module® -… Show more Cody Consulting Group, Inc. is a technology and consulting firm providing compliance software products and services to Medicare, Medicaid and ACA managed care organizations (MCOs). Founded in 2006, Cody has been built by experienced healthcare professionals who understand the difficult compliance challenges faced by MCOs. Cody offers the following Suite of Compliance Modules and Consulting Services. CodySoft® Suite of Compliance Modules: • Collateral Management Module® - The only automated self-administered platform for the creation of ANOCs & EOCs; eliminating the need to manually build these CMS required documents along with full project management functionality for handling intake, trafficking and the approval process for all marketing collateral development • Policies and Procedures Module™ - Full lifecycle management tool to ensure up to date and compliant P & Ps with complete audit and reporting functionality • Regulatory Analyzer® - a searchable regulatory library pre-loaded with the MMCG and can be uploaded with any other health plan contracts and/or regulations (e.g. Medicaid Contracts) • Investigations Module® - handles all aspects of a health plan investigations(Sales & Marketing, FW&A and HR) and meets regulatory reporting requirements • HPMS Memo Module™/Compliance Correspondence Module™ - a tool designed to handle the increasing number of actionable compliance correspondence and provide reliable process workflows to communicate and capture required responses to document a compliant audit trail. Consulting Services: • CMS Mock Audits: Cody’s experts mirror CMS’ rigorous audit process from beginning to end using the latest audit protocols, audits request specifications and methodologies (CPE & Full Program Audits). • Business Processing Outsourcing (BPO): Cody’s outsourcing solution for the creation of required plan documents (ANOCs, EOCs and SB’s) For more information, email KLeBlanc@CodyConsulting.com or call 855-990-2639 ext.220 Show less



HPOne (HealthPlanOne LLC.)

• Tampa/St. Petersburg, Florida Area

• Vice President Of Business Development

  • Dec 2013 - Jul 2015

  HPOne (HealthPlanOne) is a rapidly growing, best in class member acquisition company in the Medicare, individual health insurance, Group Retiree markets Medicare Star Solution Programs. Through our digital marketing, proprietary technology and call center operations, HPOne assists health plans to cost effectively acquire incremental membership designed to drive down the health plans overall sales acquisition cost allowing them to refocus valuable resources toward improving and enhancing member… Show more HPOne (HealthPlanOne) is a rapidly growing, best in class member acquisition company in the Medicare, individual health insurance, Group Retiree markets Medicare Star Solution Programs. Through our digital marketing, proprietary technology and call center operations, HPOne assists health plans to cost effectively acquire incremental membership designed to drive down the health plans overall sales acquisition cost allowing them to refocus valuable resources toward improving and enhancing member experience. HPOne has one of the only independently owned Group Retiree platform designed to administer Medicare and under 65 benefits for Group Retirees. HPOne understanding and knowledge of the Medicare market coupled with our CMS compliant call centers are well positioned to assist group retiree’s transition into the individual Medicare market with products offered in 50 states from over 80 carriers. HPOne is based in Shelton, CT with call center operations in Tampa and St. Pete Florida. HPOne is a funded by Firstmark Capital and Greycroft Partners. We are recipients of several industry awards including the Inc.500/5000 list of fastest growing private companies in America, 2010-2012 Marcum Tech Top 40 as well as the 2012 Deloitte Technology Fast 500. Show less HPOne (HealthPlanOne) is a rapidly growing, best in class member acquisition company in the Medicare, individual health insurance, Group Retiree markets Medicare Star Solution Programs. Through our digital marketing, proprietary technology and call center operations, HPOne assists health plans to cost effectively acquire incremental membership designed to drive down the health plans overall sales acquisition cost allowing them to refocus valuable resources toward improving and enhancing member… Show more HPOne (HealthPlanOne) is a rapidly growing, best in class member acquisition company in the Medicare, individual health insurance, Group Retiree markets Medicare Star Solution Programs. Through our digital marketing, proprietary technology and call center operations, HPOne assists health plans to cost effectively acquire incremental membership designed to drive down the health plans overall sales acquisition cost allowing them to refocus valuable resources toward improving and enhancing member experience. HPOne has one of the only independently owned Group Retiree platform designed to administer Medicare and under 65 benefits for Group Retirees. HPOne understanding and knowledge of the Medicare market coupled with our CMS compliant call centers are well positioned to assist group retiree’s transition into the individual Medicare market with products offered in 50 states from over 80 carriers. HPOne is based in Shelton, CT with call center operations in Tampa and St. Pete Florida. HPOne is a funded by Firstmark Capital and Greycroft Partners. We are recipients of several industry awards including the Inc.500/5000 list of fastest growing private companies in America, 2010-2012 Marcum Tech Top 40 as well as the 2012 Deloitte Technology Fast 500. Show less



WellCare Health Plans

• United States
• Insurance
• 700 & Above Employee

• Vice President - National Sales

  • Feb 2006 - Oct 2013

  Oversight and development of the national distribution channel which included brokers, online sales and Exchanges of Medicare Part D and Medicare Advantage with a focus on the dual eligible member. I increased broker enrollments in all markets during my tenure along with dramatically improving compliance metrics. Delivered over $1 billion dollars in revenue. Oversight and development of the national distribution channel which included brokers, online sales and Exchanges of Medicare Part D and Medicare Advantage with a focus on the dual eligible member. I increased broker enrollments in all markets during my tenure along with dramatically improving compliance metrics. Delivered over $1 billion dollars in revenue.



Pacific Life

• United States
• Financial Services
• 700 & Above Employee

• Vice President - National Sales & Marketing

  • Jan 1991 - Aug 2005

  VP of National Sales & Marketing for the Group Insurance Division of Pacific Life responsible for sales of all lines business. Responsible for growing the Group Health Division to a $1 billion division. I managed 19 sales offices and over 130 national sales reps. VP of National Sales & Marketing for the Group Insurance Division of Pacific Life responsible for sales of all lines business. Responsible for growing the Group Health Division to a $1 billion division. I managed 19 sales offices and over 130 national sales reps.



CareFirst BlueCross BlueShield

• United States
• Insurance
• 700 & Above Employee

• Senior Account Executive for CareFirst BlueCross BlueShield of MD

  • Aug 1988 - Dec 1990

  Responsible for Manage Care business development with Large and Small Employer Groups Responsible for Manage Care business development with Large and Small Employer Groups