Experience

WTIA

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

• Director of Health Operations

  • Jun 2017 - Present



Vimly Benefit Solutions, Inc.

• Business Liaison Manager

  • 2014 - Jun 2017

  • Support and facilitate relationships between BSI and its Carrier partners to ensure proper onboarding of new Association Health Plan Clients• Organize and document projects, facilitate in new carrier implementations• Work with and/or be the Subject Matter Experts (SME’s) to deliver assigned projects on time and on budget• Identifies and mitigates any financial impact for any partner through process improvements.• Identifies business and/or product development opportunities• Internal systems expert, acting as a resource for internal employees, assist with complex solutions that are system-related and monitor all IT• Provide support, training and alternative solutions to resolve IT requests• Internal ‘go-to’ person as it relates to our internal operational systems • Consult with IT development committee in approving and prioritizing the IT work requests as they relate to operations• Trouble shoot, provide risk analysis/risk assessment while understanding and communicating financial impacts. Assess impact to organization using critical thinking skills. Show less

• Account Manager, Association Health Plans

  • 2009 - 2014

  I manage client relationships in the employee benefits field as well as new business implementation. Responsibilities include managing client services functions for assigned clients including administration, retention and profitability. Specific duties include:Facilitate and attend board of trustee client meetings, including meeting agenda preparation, report generation, meeting minutes and follow up.Review and approve client financial statements, Summary Plan Descriptions, benefit communications, and other client documents.Maintains communications and effective working relationships with clients, and responds to requests from clients, carriers, participants, producers, attorneys and consultants.Oversee internal systems, policies and procedures to ensure operations are in compliance with client needs, new developments, regulations, and reporting requirements.Manage projects focusing on continuous improvement of applications and data exchange processes.Act as a liaison between our internal IT team and the administrative staff when researching and reporting on application issues.Work with external council and other resources to establish program designs and operations that comply with the changing laws and regulations.Represent the organization externally with customers and channel partners.Operate independently to navigate organizational complexities and to obtain resources needed to move initiatives forward. Show less

• Account Lead, Association Health Plans

  • 2004 - 2009

  • Establish effective working relationships with Internal Partners, Clients and Carriers• Perform enrollment data entry for new and renewing employer groups as well as new and terminated employees while maintaining data integrity and confidentiality • Administer various benefit programs, which include: medical, dental, vision, life insurance, FSA and HSA plans• Assist employers in answering billing and eligibility related questions and resolve issues as they arise• Reconcile and audit various benefit and billing related transactions Show less

• Account Lead, COBRA Department

  • 2002 - 2004

  • Processes all incoming and outgoing COBRA-related correspondence• Advises COBRA participants of regulatory requirements regarding grace periods, processes, etc.• Processes qualifying events, participant terminations and updates• Review and post COBRA payments received to determine whether payments were mailed within federal time guidelines, whether payments are the correct amount, if grace periods apply, and if under legal guidelines there is a significant payment variance