Armando A. Millan Email and Phone Number
Nearly two decades of experience working in Managed Care primarily focused on service the underserved through the Medi-Cal program. As the leader of the Medi-Cal Strategy and Project Support team at Anthem Blue Cross, my team and I develop and execute strategies related to improving provider performance, creating provider incentives, deploying Telehealth solutions, and implementing new regulatory programs.We support the enhanced oversight of our delegated entities by bringing together cross-functional teams and leaders to review and manage delegate performance across various domains including Delegation Oversight, Encounters, Grievances and Appeals, Network Compliance, and Quality.As part of Network Compliance, we collaborate with both internal and external stakeholders to ensure adherence to regulatory requirement including the Annual Network Certification, Subcontractor Network Certification, and Provider Appointment Availability Survey requirements. Additionally, we work closely with State Regulators, associations, providers, and internal teams to implement state programs such as Prop 56, Targeted Rate Increase, and the FQHC Alternative Payment Methodology.
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Director, Medi-Cal Program And Project ManagementAnthem Blue Cross Apr 2021 - PresentLead the Medi-Cal Strategy and Project Support team. My team and I overseeing delegated provider performance management, provider incentives, local execution of various telehealth initiatives, RFP readiness and other priorities. Partner with local health plan leaders and corporate business partners to align resources and efforts to achieve State, Health Plan, and corporates goals. -
Business Change DirectorAnthem Blue Cross Apr 2018 - Apr 2021Supported multiple strategic initiatives for the Health Plan. Partnered with business owners across the health plan to review metrics, develop initiative, and execute strategies to grow membership and better position the health plan for the scheduled DHCS Medi-Cal RFP. Developed business cases and navigated the corporate matrix environment to secure support across business units and achieve goals. Ingested information from across the health plan and summarized complex issues into clear and consist presentations for various internal and external stakeholders. -
Regulatory Compliance ManagerAnthem Blue Cross Jul 2015 - Apr 2018Reviewed and analyzed published competitor audit findings along with historical company findings to identify key focus areas and concerns. Partnered with business functions to create a culture of compliance and proactively address issues. Present to senior leaders during Plan Compliance Committees on projects, issues, audits, corrective action plans, and trends. Responsible for analyzing new regulatory and contractural requirements to identify impact and drive change. Reviewed policies and procedures and external communications impacting Utilization Management or Quality Improvement for compliance concerns. Participated in a multi-plan workgroup with the California Association of Health Plans (CAHP) and DHCS to discuss and improve the regulatory audit process. Supported development and execution of the Compliance work plan. -
Regulatory Compliance ConsultantAnthem Blue Cross Feb 2014 - Jul 2015Identified and partnered with business leaders to develop action plans, responses to regulators, and supporting documentation for regulatory audits. Presented to senior leaders during Plan Compliance Committees on projects, issues, audits, corrective action plans, and trends. Responsible for analyzing new regulatory and contractural requirements to identify impact and drive change. Supported execution of Compliance Workplace. -
Business Systems AnalystHealth Net Jan 2012 - Feb 2014Woodland Hills, California, UsLead meetings to identify and create new processes and tools to increase department efficiency. Reviewed language updates in the explanation of benefit documents (EOB's). Designed and maintained tools to automatically assign work to analysts and provide robust reporting capabilities. -
Compliance Data Analyst, SrHealth Net Sep 2010 - Jan 2012Woodland Hills, California, UsRecruited for my technical, compliance and interpersonal experience. Designed, implemented, and maintained a company wide metrics gathering and reporting system. Lead bi-weekly compliance metrics meetings to discuss system and process updates. Enhanced the fraud reporting system to created new reports. -
Business Analyst, IntermediateCaloptima Feb 2010 - Sep 2010Orange, California, UsLead department meetings to collect feedback, identify department issues, and develop new system or reporting functionality. Accessed the company’s SQL databases to fulfill ad hoc and recurring reporting needs including identifying reasons for members leaving, providing member mailing information, and providing reporting for State agencies. Analyzed data to provide management with summarized reports on identified issues or opportunities. -
Business AnalystCaloptima Jun 2009 - Feb 2010Orange, California, UsSystem Administrator of Compliance 360, a Software as a Service. Configured software and workflow to meet business and compliance needs. Using Compliance 360, collected and reviewed evidence of compliance for the various requirements outlined in the DHCS Contract. Developed reports to track progress and presented updates during monthly Compliance Committee meetings and other adhoc meetings to stakeholders at all levels. -
Compliance Program AssistantCaloptima Oct 2006 - May 2009Orange, California, UsWorked with the Compliance Claims Auditors to develop and maintain claims auditing tools. Designed, developed and maintained processes to support key department functions including fraud referrals, HIPPA Breaches, and PHI requests increasing productivity, efficiency, and accuracy while simultaneously providing new reporting capabilities. Automated several processes reducing the amount of time needed to complete common tasks from hours to minutes with increase accuracy and high quality results. Developed qualitative and quantitative reports using data from various sources to provide metrics and trends for the Compliance Department including turnaround times, compliance violation trends, and fraud referral trends. Communicated with internal and external stakeholders to coordinate activates and provide administrative support to the department.
Armando A. Millan Education Details
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Cal State Fullerton, College Of Business And EconomicsBusiness Administration
Frequently Asked Questions about Armando A. Millan
What company does Armando A. Millan work for?
Armando A. Millan works for Anthem Blue Cross
What is Armando A. Millan's role at the current company?
Armando A. Millan's current role is Director @ Anthem Blue Cross | Medi-Cal Strategy and Project Support.
What schools did Armando A. Millan attend?
Armando A. Millan attended Cal State Fullerton, College Of Business And Economics.
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