Experience

Health New England
• United States
• Insurance
• 200 - 300 Employee
• Product Development Specialist

  • Jul 2018 - Present


Access Health CT

• United States
• Government Administration
• 1 - 100 Employee

• Health Plan Process Coordinator

  • Apr 2016 - May 2017

  • Learn and build proficiency in the exchange of information between Access Health, the plan carriers, as well as CMS related to enrollment eligibility and financial transactions. o Lead carrier callso Attend meetingso Document meetings with meeting minuteso Changes necessary to support upload of information into the plan management portalo Testing validationo Uploading templates • Work with the system integrator on a weekly basis to provide the plan data used for EDI and Medicaid.• Resolve issues of data transfer with the plan carriers.• Create documentation for the use of Maptitude software.• Assist with monitoring components of carrier compliance through review of data and reports, as well as carrier websites and marketing materials, to provide portal transparency.• Assist the Plan Management team in determining the impact of regulations on carriers and the AHCT consumer shopping portal. Support coordination of modifications to system and business processes.• Research and analyze data, including rates and benefits information available from the system for electronic rate and form filing (SERFF).• Learn to write summary plan documents and obtain information or run recurring and/or ad hoc management reports as needed.• Assist with the development of criteria to monitor carrier compliance.• Work with policy and plan management staff to learn to assess quality improvement measures and regulations required of the carriers to adhere to ACA requirements.• Work with Sr. Business Systems Analyst and to develop relationships with stakeholders (e.g., consultants, DSS, and CID) to ensure consensus on policy and procedures supported through the Exchange.• Document policies and procedures in support of plan management functionality. • First tier consumer support for dental plans members. Show less

• Health Plan Analyst Trainee

  • May 2015 - Mar 2016

  • Use Microsoft Excel and Maptitude mapping software for data analysis of carrier provider network in-formation to assess network adequacy and member access.• As part of annual Qualified Health Plan (QHP) and Stand-Alone Dental Plan (SADP) certifica-tion/recertification assist with:o performing quality assurance reviews to ensure accurate, consistent and complete data and sup-porting documentation has been submitted by carriers via the System for Electronic Rate and Form Filing (SERFF),o securing corrected/revised data and supporting documentation,o validating resubmitted data,o supporting plan preview within Marketplace portals.• Assist with monitoring components of carrier compliance through review of data and reports as well as carrier websites and marketing materials.• Gather data and information to support the creation of documents for plan management functions, in-cluding QHP and SADP Solicitation and Application. • Working with the Plan Management, learn to create, develop & publish AHCT standard plan designs along with the Policy team. • Assist the Plan Management team in determining the impact of regulations on carriers and the AHCT consumer shopping portal and coordination of modifications to system and business processes.• Research and analyze data, including rates and benefits information available from the system for elec-tronic rate and form filing (SERFF).• Support communication between carriers and Access Health CT through teleconferencing, webinars and other means.• Assist with coordination with other AHCT departments to determine scope of potential carrier issues, system or otherwise, such as decertification of carriers and plans.• Assist with the development of criteria to monitor carrier compliance.• Work with policy and plan management staff to learn to assess quality improvement measures and regulations required of the carriers to adhere to ACA requirements. Show less

• Senior operations associate (Public Affairs-Tier 3)

  • Sep 2014 - Apr 2015

  • Utilized business knowledge to aid interested parties and perform analysis on application defects or pro-cess issues. Determine root cause, develop options for resolution and reduce process complexity.• Translated business goals into operational strategies or solutions by ensuring viability of systems and processes• Monitored electronic data transfer activities for EDI trading partners

• Outreach Consultant

  • Aug 2013 - Aug 2014

  • State Health Insurance Exchange Certified In-Person Assister responsible for enrolling hundreds of in-dividuals into affordable health insurance• Educated and engaged consumers on the new State Health Insurance Marketplace and how to enroll• Participated in numerous festivals and street fairs to promote Access Health CT mission • Research opportunities to facilitate lead generation and target consumers through a variety of outreach tactics



Keystone progess

• United States
• Individual and Family Services

• Field Organizer

  • Nov 2012 - Mar 2013

  • Built coalitions within the community • Communicated with the local media such as Butler Eagle, Meadville Tribune, Record Argus, and Sharon Herald • Managed volunteers throughout the Third Congressional District • Representing “The Action” which is a national campaign to put political pressure on members of Congress for fair tax guidelines • Built coalitions within the community • Communicated with the local media such as Butler Eagle, Meadville Tribune, Record Argus, and Sharon Herald • Managed volunteers throughout the Third Congressional District • Representing “The Action” which is a national campaign to put political pressure on members of Congress for fair tax guidelines



Obama for America

• Political Organizations
• 1 - 100 Employee

• Field Organizer

  • Aug 2012 - Nov 2012

  • Recruited and motivated seven individual teams • Managed offices, phone banking, and canvassing for over 200 volunteers • Entered, erased, retrieved, searched, and stored volunteer information into the national database • Responsible for managing team members in their duties • Recruited hundreds of volunteers to help get out the vote • Made contacts door to door and by phone to get President Obama elected • Our team was responsible for gathering over 23,000 votes for President Obama supporters for this past election • Reviewed applications for internships Show less

• Intern

  • Sep 2008 - Nov 2008

  • Helped organize political rallies of 50 to 100 people • Managed offices, phone banking, and canvassing for over 200 volunteers • Entered information into the national database • Recruited over 200 volunteers to help get out the vote • Made contacts door to door and by phone to get Barack Obama elected • Helped organize political rallies of 50 to 100 people • Managed offices, phone banking, and canvassing for over 200 volunteers • Entered information into the national database • Recruited over 200 volunteers to help get out the vote • Made contacts door to door and by phone to get Barack Obama elected



Hillary Clinton for President

• Intern

  • Apr 2008 - May 2008

  • Worked as first assistant to the local field director • Operated canvassing efforts by creating maps, recruiting others to canvass local neighborhoods, and going door to door to get votes • Managed offices, phone banking, and visual aids • Organized political rally for President Bill Clinton which was attended by 500 to 1000 people • Arranged rides to the polls for Beaver, Butler, and Lawrence Counties • Recruited volunteers to help voters get to the polls • Entered information into the Democratic database Show less