Bryan Palacio Email & Phone Number

Hartford, Connecticut, United States

Key role on the Find Care Authenticated Search Train, responsible for highly visible initiatives such as Cost Transparency & Aetna Smart Compare.Work in an agile setting developing Epics & Features based upon the needs of our constituents.Work closely with architects, Product Owners and Engineering Managers to ensure clarity in requirements and targets are met.Ensure all work meets local, state, & federal compliance by working with Legal.Provide demonstrations to all constituents upon request.

Manchester, Ct

Hired and managed full staff of bartenders, cooks, managersResponsible for managing day to day operations including purchasing, inventory, marketing, and negotiations with outside vendorsManaged daily and annual bookkeeping including PayrollDeveloped best practices to keep with changing protocols with Covid related activities meeting and often exceeding local agency requirementsNOTE: Current role relegated to bookkeeping, Payroll, and assist with marketing.

Work-At-Home

Working in a start-up mentality organization, played a critical role in the conceptual development, design, & launch of WellMatch, a web-based transparency tool being used to upsell to Self-insured businesses within Aetna. Successfully launched WellMatch in April 2013. Acted as the key SME within the Transparency realm. Worked on the development of the specifications with BAs, business, and IT to ensure critical elements are identified & delivered on in a timely manner. Balanced deliverables by working cross-functionally within Aetna's IT waterfall process while managing the Agile process within the WellMatch team. Continued to review and enhance WellMatch to meet customer needs to strive for best-in-class status with the implementation of Consumer Reports Hospital Quality metrics. Worked closely with several vendors, HealthLine and Consumer Reports to ensure quality metrics and deliverables were met.

Hartford, Connecticut Area

Successfully launched Member Payment Estimator. Acted as a SME by exercising critical decision making on impacts to MPE on Projects and SRs inside and outside the scope of Product Engineering. Led MPE Functional changes from end to end in alignment of Aetna's Narrow Network initiative. Present Aetna's Transparency strategy to internal and external constituents (e.g. - Physician Advisory Board, Regional Network Operations Heads, large plan sponsors and brokers.Analyze current Health Care Delivery Contracts and identify effective cost savings over state Workers Comp rates. Develop Contracting Methodologies to support the Aetna Workers' Compensation Access Program's long term revenue goals. Develop/Present complex Financial Models to various levels of Management in a clear and concise fashion.Negotiated Contracts with external vendors including Ingenix and the Burgess Group. Responsible for managing compliance with the Health Insurance Portability and Accountability Act's (HIPAA) standardized code set regulation for all provider contracts Nationally. Supervised day to day operation of Core Rate Load Operations unit. Made recommendations on implementation strategies, worked with IT Development, & report results to Senior Management. Responsible for the actions of up to 8 Regional Coordinators and interviewing and the hiring of new employees.