Experience

Versant Health

• United States
• Insurance
• 300 - 400 Employee

• Project Management Consultant

  • 2015 - Present

  Baltimore, Maryland Area; Sacramento, CA Consultant - SME for migration of business from one insurer to multiple insurers, including moving groups from one administrator and/or system to another. Project manager for claims system implementation. Project manager for transfer of small group business to new computer system after merger of two companies. Project manager for implementation of new groups as a result of acquiring business from another company. SME for implementation of automated solution for producing policies and… Show more Consultant - SME for migration of business from one insurer to multiple insurers, including moving groups from one administrator and/or system to another. Project manager for claims system implementation. Project manager for transfer of small group business to new computer system after merger of two companies. Project manager for implementation of new groups as a result of acquiring business from another company. SME for implementation of automated solution for producing policies and certificates for groups. Project manager for implementation of new line of business on a new IS platform. Project manager for new insurance filings for new benefits with insurance carrier. Project manager for change of insurance carriers for over 2000 groups. Show less



Hagen & Associates

• President and CEO

  • 2003 - Present

  Accomplished senior consultant with exceptional consulting talents and broad experience in physical and behavioral health care systems, both public and private property & casualty insurance toward supporting the employer in achieving desired results. AREAS OF STRENGTH • Project Management * Business, systems, operations & management * Claims, Eligibility/Enrollment, Utilization Management, Quality Assurance * Medicaid, Medicare and Commercial Insurance… Show more Accomplished senior consultant with exceptional consulting talents and broad experience in physical and behavioral health care systems, both public and private property & casualty insurance toward supporting the employer in achieving desired results. AREAS OF STRENGTH • Project Management * Business, systems, operations & management * Claims, Eligibility/Enrollment, Utilization Management, Quality Assurance * Medicaid, Medicare and Commercial Insurance Experience * Cobra administration * Business process re-engineering • Training on new MMIS and other HealthCare systems • Developing new lines of business • Experienced Project Manager • Development of cohesive teams • Process Analyses & Reengineering • Experienced Team Manager • Quality Assurance Process Development • Business Requirements Definition • Experienced with systems implementations

• President

  • 2003 - Present

  Project Manager for transfer of all groups to new system after merge of two major health care companies Project Manager for implementation of acquisition of new business from previous carrier to new company Project Manager for implementation of new claims system covering several million lives and over 9000 groups Project Manager for consolidation of multiple claims systems onto one platform. Project Manager/Lead of training team providing training to providers and members in WV… Show more Project Manager for transfer of all groups to new system after merge of two major health care companies Project Manager for implementation of acquisition of new business from previous carrier to new company Project Manager for implementation of new claims system covering several million lives and over 9000 groups Project Manager for consolidation of multiple claims systems onto one platform. Project Manager/Lead of training team providing training to providers and members in WV regarding Substance Use Disorder Medicaid program Project Management of a claims system implementation for approximately 4 million life commercial plan. - Extremely successful implementation with minimal issues at go live Multiple client engagements 2008 – present - Developed processes and procedures for management of utilization review department and Medicare notices - For Medical Management for Phoenix Health Plan - Develop QNXT operational workflows and procedural documentation - Claims audit for health plan in NYC – Conducted PERM audits for Alabama CHIP  Review applications for CHIP program  PERM results uploaded to CMS – Development of SMHP for Guam Medicaid  Interviewed staff to develop operational processes  Document was conditionally approved by CMS on first draft submitted – Preparation for audit of Health Plan for GA Medicaid - development of P&Ps  Gap analysis  Process improvement – Development of RFP for County Behavioral Health Sys  Served as lead for proposal dev writing 50% of RFP – Requirements analysis County Behavioral Health System purchase – Development of SMHP for Washington State Medicaid  Developed and wrote operational policies and procedures for State EHR system  P&Ps were conditionally approved by CMS based upon first draft submitted  Developed presentations regarding billing, claims and IT systems  Presented multiple webinars which included up to 50 physicians, office managers and IT personal at each webinar



Hagen & Associates, LLC

• Owner/President

  • Jan 2000 - Present



Self-employed

• Consultant Project Manager

  • May 2020 - Oct 2020

  Project Manager for Michigan Health Plan implementing a new alliance model of services.



SCFHP

• Consultant

  • 2014 - 2015



Hagen & Associates, Inc.

• Medical Equipment Manufacturing

• President

  • Aug 2008 - Jul 2013

  Worked as sub-contractor for Xerox (formerly Affiliated Computer Services (ACS). Spent four years working on the Alaska MMIS implementation doing business process re-engineering and development of desk level procedures for the State of Alaska and Xerox. Transitioned to the State of NH where I hired and managed a team of people responsible for training Xerox employees on the new MMIS (Enterprise) system prior to go live. After go-live took on responsibility of training State of NH… Show more Worked as sub-contractor for Xerox (formerly Affiliated Computer Services (ACS). Spent four years working on the Alaska MMIS implementation doing business process re-engineering and development of desk level procedures for the State of Alaska and Xerox. Transitioned to the State of NH where I hired and managed a team of people responsible for training Xerox employees on the new MMIS (Enterprise) system prior to go live. After go-live took on responsibility of training State of NH employees in addition to coordination of provider and Xerox employee training on the new system. Show less



Zurich North America

• United States
• Insurance
• 700 & Above Employee

• Quality Assurance Lead

  • 2004 - 2008

  Project Manager and Sr. Consultant (Independent Contractor) 2004-2008 - Business Process Mapping, Gap Analysis Documentation and Recommendations



Mercer

• United States
• Professional Services
• 700 & Above Employee

• Principal, Information Planning Sector

  • 1997 - 2003

  Phoenix, Arizona, United States Principal, Information Planning Sector Lead 1997 - 2003  Lead for a 35-person consulting department delivering physical and behavioral healthcare operational and technology solutions to public and private sector clients.  This position was responsible for project management of all staff and projects managed by the department, including scheduling and estimating staffing needs, and management of risk and issues for all projects.  Developed… Show more Principal, Information Planning Sector Lead 1997 - 2003  Lead for a 35-person consulting department delivering physical and behavioral healthcare operational and technology solutions to public and private sector clients.  This position was responsible for project management of all staff and projects managed by the department, including scheduling and estimating staffing needs, and management of risk and issues for all projects.  Developed several new product lines and introduced them to Mercer clients. These product lines included: Health plan operations review, MMIS selection and implementation and IV&V, EQRO, HIPAA consulting, and Bio-Terrorism consulting.  Increased and managed department revenue from $500,000 in 1997 to $8,000,000 in 2002.  Provided direct consulting services to over 100 clients, both health care and behavioral health care with 100% positive survey feedback. Public Sector clients included the State of CT, State of PA, State of NC and District of Columbia, to name a few. Private Sector clients included Schaller Anderson, Delta Dental, and Blue Cross Blue Shield of CA.  Created long term strategies for the department that supported growth of current business and added new business lines to our portfolio.  Developed training programs as well as policies and procedures with other Mercer offices and sectors to provide full-service consulting offerings to clients, allowing an increase in revenue of approximately 10%. Show less



eBenx, formerly Network Management Services

• National Accounts Consultant

  • 1994 - 1996

  Minneapolis, Minnesota, United States National Accounts Consultant 1994 - 1996 Company assisted clients in promoting and supporting sophisticated approaches to purchasing managed health care services. Some of the services provided to employers included health care eligibility feeds, premium billing, COBRA, health FSAs, and customer service. As employee number nine of the company, was instrumental in building many policies, processes and procedures.  Hired and managed most of the operational… Show more National Accounts Consultant 1994 - 1996 Company assisted clients in promoting and supporting sophisticated approaches to purchasing managed health care services. Some of the services provided to employers included health care eligibility feeds, premium billing, COBRA, health FSAs, and customer service. As employee number nine of the company, was instrumental in building many policies, processes and procedures.  Hired and managed most of the operational staff, including customer service, marketing, and account services.  Implemented large new client in 60 days time with no client complaints. This included development of new data feeds and outputs for over 210 health plans.  Managed eight Fortune100 clients from implementation to operational. Clients include Pepsi Cola, Kellogg, Johnson Controls, etc.  Developed business requirements for interfaces between clients and our systems  Developed and implemented new services needed for growth in the Company business.  Developed health care operations tools and reviews as a new line of business for the Company. Show less



UnitedHealth Group

• Hospitals and Health Care
• 700 & Above Employee

• Manager, IS Training & Business Analysis

  • 1989 - 1994

  Ran a ten-member department responsible for training, implementation and business requirement development for all technology systems used by United for behavioral health services. • Managed start-up of two behavioral health care clinics in Indiana, and continued to manage as office manager for one clinic for two years. Clinic was highly profitable and successful for United HealthCare. • Integrated and coordinated development of new business requirements for health care systems, including… Show more Ran a ten-member department responsible for training, implementation and business requirement development for all technology systems used by United for behavioral health services. • Managed start-up of two behavioral health care clinics in Indiana, and continued to manage as office manager for one clinic for two years. Clinic was highly profitable and successful for United HealthCare. • Integrated and coordinated development of new business requirements for health care systems, including provider tracking, clinical management, and clinic operations. • Developed and implemented training programs for all new behavioral health clinics, resulting in increased productivity and decreased customer service complaints. • Responsible for project management and implementation of over 18 new offices across the country with excellent results. Included operations, systems and facilities implementation. Show less