Christopher Dibella Email & Phone Number

Remote - Work From Home

Support strategies for product development designed to maximize profitable growth and membership targets for Medicare Advantage local markets. Strategies include market and segment analysis, product definition, and competitive assessment. Support market-driven product development project plans.Responsible for ensuring that assigned Products and capabilities are at or above competitive parity. Develop strong, proactive partnerships with areas including Local Market Leaders, Finance, Marketing, Provider Network, Business Operations, Pharmacy, Segment/Sales Leaders, IT, Compliance, Stars, Actuary and external Vendor Partners.

Burlington, Massachusetts, United States

Responsible for guiding development and maintenance of a Medicare Advantage operations support platform, leveraging technology as a "source of truth" for plan data, to facilitate Medicare Advantage bid submissions to CMS and generate CMS mandatory member plan materials (i.e., ANOC/EOC) through automation. Serve as the Medicare policy and process expert to inform the technology development teams of business requirements, manage project work and maintain the project roadmap; develop demonstration presentation contents; and monitor government communications channels for Medicare policy and program updates to maintain compliance with Medicare requirements within the platform.

Jacksonville, Florida Area

Responsible for the overall management of the Medicare Advantage, Part D, Employer Group Waiver Plans (EGWP), and Medicare Supplement lines of business; including assessment and strategy of product performance, product and bid development and implementation activities, and marketing of the product portfolio. Maintain product policy compliance with Centers for Medicare & Medicaid Services (CMS) and Florida Office of Insurance Regulation (OIR) requirements. Act as Medicare and Medicaid subject matter expert. Coordinate cross-functional business partner relationships to develop and implement business and system requirements for annual and ad hoc product line enhancements. Provide product support for municipalities across the State of Florida enrolled in EGWP Medicare Advantage products for retirees. Track and monitor for new market opportunities, membership demographic changes and competitive market positioning. Management of internal and external product enrollment and communications channels.

Miami/Fort Lauderdale Area

Coordinate and manage the annual Medicare Advantage Product Development cycle. Collaborate with Executive Team providing guidance on benefit design, including financial and competitive analysis of product Plan Benefit Packages (PBP). End-to-end management of the PBP generation and approval process with CMS. Responsible for the development and creation, graphic design, and print production of regulatory Major Annual Communications materials provided to Medicare beneficiaries enrolled in Medicare Advantage plans. Conduct regulatory research and analysis to ensure compliance with State and Federal regulations. Develop materials to conduct annual Benefits Training. Document and analyze processes for improvement activities. Hiring and training of direct report associates. Manage departmental daily operations and direct reports.

Tampa/St. Petersburg, Florida Area

Coordinate and manage the annual Product Development cycle. Responsible for the development and creation, graphic design, print production and fulfillment of regulatory documentation, including the Major Annual Communications materials provided to Medicare beneficiaries enrolled in Medicare Advantage plans. Support the annual bid process. Conduct regulatory research and analysis to ensure compliance with State and Federal regulations. Conduct annual corporate Benefits Training across the organization. Responsible for configuration of benefits in the claims processing system; including group, cost sharing, service coding and benefit parameter configuration. Responsible for investigation and resolution of pended claims related to compliance and benefit issues. Responsible for departmental Business Continuity Plan, and Policy and Procedure documentation. Assist in website development and compliance. Document and analyze processes for improvement activities. Manage weekly and quarterly audits. Hiring and training of direct report associates. Manage departmental daily operations and direct reports.

Tampa/St. Petersburg, Florida Area

Trained and supervised call center agents and rapid response team agents. Responsible for the creation and distribution of marketing materials, including Medicare beneficiary booklets, enrollment materials, brochures, flyers and other collateral materials. Layout, design and editing of quarterly newsletters directed to Medicare and Medicaid enrollees, as well as medical professionals within the managed care network. Generated, processed and reconciled purchase orders and invoicing of all print materials. Coordinated all print shop activities. Provided customer service and event coordination for daily marketing seminars. Assisted sales agents and managers as requested. Reconciled enrollment applications.

Wsnla Certified Nurseryman, Horticultural Science

Activities and Societies: WSNLA - Certified Nurseryman

Education record

Education record

Allied Forces Central Europe The Netherlands Department of Defense